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Transfemoral Gait Deviations

The document outlines various gait abnormalities related to prosthetic devices, detailing issues such as improper socket fitting, alignment, and insufficient support that cause irregularities in different phases of walking. It highlights how specific problems lead to conditions like unstable balance, pain, and bad gait habits. Each phase of the gait cycle—swing, heel contact, deceleration, and others—features specific causes and symptoms linked to the patient's condition and prosthesis performance.

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2 SWING PHASE: OSCILLATION OF THE SHIN - INCORRECT INITIAL KNEE ROTATION - INCORRECT SOCKET FITTING - INCORRECT SOCKET ALIGNMENT - INSUFFICIENT SUSPENSION OR INCORRECT LOCATION OF THE SILESIAN BELT PROSTHESIS - WEAK AND FLASKY STUMP PATIENT VISIBLE INTERNAL OR EXTERNAL ROTATION OF KNEE MID SWING PHASE
3 - PROSTHESIS IS TOO LONG - INSUFFICIENT SOCKET ABDUCTION - INSUFFICIENT LATERAL FEMORAL SUPPORT - MEDIAL SHELF IS TOO HIGH - EXCESSIVE SUSPENSION OR INCORRECT LOCATION OF THE SILESIAN BELT PROSTHESIS - SHORT STUMP - ABDUCTORS CONTRACTURE - PAIN IN PERINEAL AREA - INSECURE BALANCE - BAD GAIT HABIT PATIENT WALKING BASE IS TOO WIDE SWING PHASE: ABDUCTED GAIT
4 - PROSTHESIS IS TOO LONG - EXCESSIVE PLANTAR FLEXION - INSUFFICIENT SUSPENSION (PISTONING) - INCORRECT SOCKET FITTING - EXCESSIVE SUSPENSION OR INCORRECT LOCATION OF THE SILESIAN BELT - INSUFFICIENT ABDUCTION OF THE SOCKET - MEDIAL SHELF IS TOO HIGH - ANTERIORL DISPLACEMENT OF THE SOCKET - EXCESSIVE FRICTION IN KNEE AXIS - EXCESSIVE STRENGTH OF THE EXTENSION AID PROSTHESIS - ABDUCTORS CONTRACTURE - INSUFFICIENT HIP FLEXION - WEAK QUADRICEPS MUSCLES - FEAR OF TOUCHING GROUND - PAIN IN PERINEAL AREA - BAD GAIT HABIT PATIENT PROSTHESIS CURVES LATERALLY SWING PHASE: CIRCUMDUCTION
5 - PROTESIS IS TOO LONG - EXCESSIVE PLANTAR FLEXION - ANTERIOR DISPLACEMENT OF THE FOOT - INSUFFICIENT SUSPENSION (PISTONING) - INCORRECT SOCKET FITTING - ANTERIOR DISPLACEMENT OF THE SOCKET - EXCESSIVE FRICTION IN KNEE AXIS - EXCESSIVE STRENGTH OF THE EXTENSION AID PROSTHESIS - INSUFFICIENT HIP FLEXION - WEAK QUADRICEPS MUSCLES - FEAR OF TOUCHIG GROUND - BAD GAIT HABIT PATIENT EXCESSIVE ELEVATION OF PELVIS AND SHOULDER OF THE PROSTHETIC SIDE SWING PHASE: ELEVATION OF THE PELVIS
6 - PROSTHESIS IS TOO SHORT - EXCESSIVE ABDUCTION OF THE SOCKET - INSUFFICIENT LATERAL FEMORAL SUPPORT - MEDIAL SHELF IS TOO HIGH PROSTHESIS - WEAK ABDUCTOR MUSCLES (TRENDELENBURG SINDROM) OR ABDUCTORS CONTRACTURE - SHORT STUMP - HYPER SENSITIVE STUMP - INSUFFICIENT BALANCE - BAD GAIT HABIT PATIENT LATERAL INCLINATION OF THE TRUNK TO THE PROSTHETIC SIDE SWING PHASE: LATERAL TRUNK BENDING
7 HEEL CONTACT: OSCILATION OF THE FOOT - HARD HEEL CUSHION - EXCESSIVE EXTERNAL FOOT ROTATION - INCORRECT SOCKET ALIGNMENT PROSTHESIS - SHORT STUMP - WEAK AND FLASKY STUMP - EXCESSIVE HEEL STRIKE PATIENT VISIBLE OSCILATION OF THE FOREFOOT
8 - ANTERIOR DISPLACEMENT OF THE SOCKET - INSUFICIENT FLEXION OF THE SOCKET - EXCESSIVE DORSAL FLEXION - HARD HEEL CUSHION PROSTHESIS - WEAK GLUTEAL MUSCLES PATIENT HEEL CONTACT WITH THE GROUND IS TOO SHORT HEEL CONTACT: EARLY HEEL ROLLOVER
9 - SOFT HEEL CUSHION - EXCESSIVE PLANTAR FLEXION PROSTHESIS - WEAK HIP EXTENSORS, NOT PROVIDING SUFFICIENT ANTERIOR KNEE STABILITY PATIENT SLAP OF THE FOREFOOT TO THE GROUND HEEL CONTACT: FOOT SLAP
10 DECELERATION PHASE: TERMINAL IMPACT - INSUFFICIENT FRICTION IN KNEE AXIS - EXCESSIVE STRENGTH OF THE EXTENSION AID - EXTENSION BUFFER IS TOO HARD PROSTHESIS - EXCESSIVE ACCELERATION FORCE - BAD GAIT HABIT PATIENT VISIBLE SHOCK IN THE KNEE
11 HEEL RAISE PHASE: LUMBAR HYPER LORDOSIS - INSUFFICIENT FLEXION OF THE SOCKET - PROSTHESIS IS TOO LONG - ISCHIAL SEAT IS TOO HIGH OR ANTERIORLY INCLINED PROSTHESIS - HIP FLEXORS CONTRACTURE - PAIN AT ISCHIUM - PROBLEM OF ATTITUDE (POSE) - BAD GAIT HABIT PATIENT VISIBLE ANTERIOR LUMBAR BEND
12 MID SWING PHASE: VAULTING - PROSTHESIS IS TOO LONG - EXCESSIVE PLANTAR FLEXION - INSUFICIENT SUSPENSION (PISTONING) - INCORRECT SOCKET FITTING - MEDIAL SHELF IS TOO HIGH - ANTERIOR DISPLACEMENT OF THE SOCKET - EXCESSIVE FRICTION IN KNEE AXIS - EXCESSIVE STRENGTH OF THE EXTENSION AID PROSTHESIS - FEAR OF TOUCHING GROUND - VERY SENSITIVE OR PAINFUL STUMP - BAD GAIT HABIT PATIENT RAISE OF THE BODY BY EARLY EXCESSIVE PLANTAR FLEXION ON SOUND SIDE
13 ACCELERATION PHASE: UNEVEN AND RAPID HEEL RAISE - INSUFICIENT FRICTION IN THE KNEE AXIS - INSUFFICIENT STRENGTH OF THE EXTENSION AID - POSTERIOR DISPLACEMENT OF THE SOCKET PROSTHESIS - GAIT IS TOO FAST - EXCESSIVE HIP FLEXION - BAD GAIT HABIT PATIENT EXCESSIVE AND RAPID ELEVATION OF THE HEEL
14 TRANSVERSAL VIEW: UNEVEN STEP LENGTH - ANTERIOR DISPLACEMENT OF TH SOCKET - EXCESSIVE FLEXION OF THE SOCKET - PISTONING ACTION - EXCESSIVE FRICTION IN THE KNEE AXIS - EXCESSIVE STRENGTH OF THE EXTENSION AID PROSTHESIS - SHORT, WEAK OR PAINFUL STUMP - GAIT FEAR - LIMITED HIP FLEXION -EXTENSION - WEAK QUADRICEPS MUSCLES PATIENT SHORT STEP ON PROSTHETIC SIDE
15 - INSUFICIENT FLEXION OF THE SOCKET - EXCESSIVE PLANTAR FLEXION - INSUFFICIENT FLEXION OF THE KNEE - EXCESSIVE STRENGTH OF THE EXTENSION AID PROSTHESIS - SHORT, WEAK OR PAINFUL STUMP - HIP EXTENSORS CONTRACTURE - LIMITED HIP FLEXION - EXTENSION - INSUFFICIENT STABILITY - PROBLEMS WITH SOUND LEG PATIENT SHORT STUMP ON SOUND SIDE TRANSVERSAL VIEW: UNEVEN STEP LENGTH