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DEFINITION
Locomotion or gait –
• It is defined as a translatory progression of the body as a whole produce by coordinated,
rotatory movements of body segments.
Normal gait –
• It is a rhythmic & characterized by alternating propulsive & retropulsive motions of the
lower extremities.
2
TASKS
• Maintenance of support of HAT
• Maintenance of the upright posture and balance of the body
• Control of the foot trajectory to achieve safe ground clearance and gentle heel or toe
landing.
• Generation of the mechanical energy to maintain the present forward velocity or to
increase forward velocity
• Absorption of the mechanical energy for shock absorption and stability or to decrease
the forward velocity of the body
Winter proposed the following five tasks for walking
3
TASK INVOLVES IN WALKING
According to “rancho los amigos” (RLA), california
•Weight acceptance
•Single limb support
•Swing limb advance
4
GAIT INITIATION
• A series of events occur from the initiation of body movt to beginning of gait cycle.
• It is stereotyped activity in both young & old healthy people.
• Total duration of this phase is about – 0.60sec
5
KINEMATICS OF GAIT
6
PHASES OF GAIT
• Stance phase
• Swing phase
7
STANCE PHASE
• It begins at the instant that one extremity contacts the ground & continuous only as long
as some portion of the foot is in contact with the ground.
• It is approx 60% of normal gait duration.
8
SWING PHASE
• It begins as soon as the toe of one extremity leaves the ground & ceases just before heel
strike or contact of the same extremity.
• It makes up 40% of normal gait cycle.
9
STANCE PHASE
• Heel strike
• Foot flat
• Mid-stance
• Heel off
• Toe off
SWING PHASE
• Acceleration
• Mid-swing
• Deceleration
10
COMPARISON OF GAIT TERMINOLOGY
•Traditional –
1) Heel strike
2) Foot flat
3) Mid-stance
4) Heel off
5) Toe off
6) Acceleration
7) Mid-swing
8) Deceleration
•RLA –
1) Initial contact
2) Loading response
3) Mid-stance
4) Terminal stance
5) Pre-swing
6) Initial swing
7) Mid-swing
8) Terminal swing
11
TRADITIONAL PHASES OF GAIT
12
STANCE PHASE
Heel strike phase:
• Begins with initial contact & ends with
foot flat
• It is beginning of the stance phase when
the heel contacts the ground.
13
STANCE PHASE
• Foot flat:
• It occurs immediately following heel strike
• It is the point at which the foot fully
contacts the floor.
14
STANCE PHASE
• Mid stance:
• It is the point at which the body passes
directly over the supporting extremity.
15
STANCE PHASE
• Heel off:
• The point following mid stance at which
time the heel of the reference extremity
leaves the ground.
16
STANCE PHASE
• Toe off:
• The point following heel off when only the
toe of the reference extremity is in
contact with the ground.
17
SWING PHASE
• Acceleration phase:
• It begins once the toe leaves the ground
& continues until mid-swing, or the point
at which the swinging extremity is directly
under the body.
18
• Mid-swing:
• It occurs approx when the extremity
passes directly beneath the body, or from
the end of acceleration to the beginning
of deceleration.
SWING PHASE
19
• Deceleration:
• It occurs after mid-swing when limb is
decelerating in preparation for heel strike.
SWING PHASE
20
SUB-DIVISIONS OF STANCE PHASE
21
SUB DIVISION OF SWING PHASE
22
RLA PHASES OF GAIT
23
INITIAL CONTACT
• It refer to the initial contact of the foot of
leading lower limb.
• Normally the heel pointed first to contact.
• In abnormal gait it is possible to either
whole foot or toes rather than the heel to
strike.
24
LOADING RESPONSE
• Begins at initial contact & ends when the
contra lateral extremity lifts off the ground
at the end of the double-support phase.
• It occupies about 11% of gait
25
MID STANCE
• Begins when the contra-lateral extremity
lifts off the ground at about 11% of the
gait cycle
• Ends when the body is directly over the
supporting limb at about 30% of the gait
cycle.
26
TERMINAL STANCE
• Begins when the body is directly over the
supporting limb at about 30% of the gait
cycle
• Ends just before initial contact of the
contra-lateral extremity at about 50% of
the gait cycle.
27
PRE SWING
• It is the last 10% of stance phase and
begins with initial contact of the contra-
lateral foot (at 50% of the gait cycle) and
ends with toe-off (at 60%).
28
INITIAL SWING
• Begins when the toe leaves the ground &
continues until max knee flexion occurs.
29
MID SWING
• Encompasses the period from maximum
knee flexion until the tibia is in a vertical
position.
30
TERMINAL SWING
• Includes the period from the point at
which the tibia is in the vertical position to
a point just before initial contact.
31

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Lec 1 walking gait

  • 1.
  • 2. DEFINITION Locomotion or gait – • It is defined as a translatory progression of the body as a whole produce by coordinated, rotatory movements of body segments. Normal gait – • It is a rhythmic & characterized by alternating propulsive & retropulsive motions of the lower extremities. 2
  • 3. TASKS • Maintenance of support of HAT • Maintenance of the upright posture and balance of the body • Control of the foot trajectory to achieve safe ground clearance and gentle heel or toe landing. • Generation of the mechanical energy to maintain the present forward velocity or to increase forward velocity • Absorption of the mechanical energy for shock absorption and stability or to decrease the forward velocity of the body Winter proposed the following five tasks for walking 3
  • 4. TASK INVOLVES IN WALKING According to “rancho los amigos” (RLA), california •Weight acceptance •Single limb support •Swing limb advance 4
  • 5. GAIT INITIATION • A series of events occur from the initiation of body movt to beginning of gait cycle. • It is stereotyped activity in both young & old healthy people. • Total duration of this phase is about – 0.60sec 5
  • 7. PHASES OF GAIT • Stance phase • Swing phase 7
  • 8. STANCE PHASE • It begins at the instant that one extremity contacts the ground & continuous only as long as some portion of the foot is in contact with the ground. • It is approx 60% of normal gait duration. 8
  • 9. SWING PHASE • It begins as soon as the toe of one extremity leaves the ground & ceases just before heel strike or contact of the same extremity. • It makes up 40% of normal gait cycle. 9
  • 10. STANCE PHASE • Heel strike • Foot flat • Mid-stance • Heel off • Toe off SWING PHASE • Acceleration • Mid-swing • Deceleration 10
  • 11. COMPARISON OF GAIT TERMINOLOGY •Traditional – 1) Heel strike 2) Foot flat 3) Mid-stance 4) Heel off 5) Toe off 6) Acceleration 7) Mid-swing 8) Deceleration •RLA – 1) Initial contact 2) Loading response 3) Mid-stance 4) Terminal stance 5) Pre-swing 6) Initial swing 7) Mid-swing 8) Terminal swing 11
  • 13. STANCE PHASE Heel strike phase: • Begins with initial contact & ends with foot flat • It is beginning of the stance phase when the heel contacts the ground. 13
  • 14. STANCE PHASE • Foot flat: • It occurs immediately following heel strike • It is the point at which the foot fully contacts the floor. 14
  • 15. STANCE PHASE • Mid stance: • It is the point at which the body passes directly over the supporting extremity. 15
  • 16. STANCE PHASE • Heel off: • The point following mid stance at which time the heel of the reference extremity leaves the ground. 16
  • 17. STANCE PHASE • Toe off: • The point following heel off when only the toe of the reference extremity is in contact with the ground. 17
  • 18. SWING PHASE • Acceleration phase: • It begins once the toe leaves the ground & continues until mid-swing, or the point at which the swinging extremity is directly under the body. 18
  • 19. • Mid-swing: • It occurs approx when the extremity passes directly beneath the body, or from the end of acceleration to the beginning of deceleration. SWING PHASE 19
  • 20. • Deceleration: • It occurs after mid-swing when limb is decelerating in preparation for heel strike. SWING PHASE 20
  • 22. SUB DIVISION OF SWING PHASE 22
  • 23. RLA PHASES OF GAIT 23
  • 24. INITIAL CONTACT • It refer to the initial contact of the foot of leading lower limb. • Normally the heel pointed first to contact. • In abnormal gait it is possible to either whole foot or toes rather than the heel to strike. 24
  • 25. LOADING RESPONSE • Begins at initial contact & ends when the contra lateral extremity lifts off the ground at the end of the double-support phase. • It occupies about 11% of gait 25
  • 26. MID STANCE • Begins when the contra-lateral extremity lifts off the ground at about 11% of the gait cycle • Ends when the body is directly over the supporting limb at about 30% of the gait cycle. 26
  • 27. TERMINAL STANCE • Begins when the body is directly over the supporting limb at about 30% of the gait cycle • Ends just before initial contact of the contra-lateral extremity at about 50% of the gait cycle. 27
  • 28. PRE SWING • It is the last 10% of stance phase and begins with initial contact of the contra- lateral foot (at 50% of the gait cycle) and ends with toe-off (at 60%). 28
  • 29. INITIAL SWING • Begins when the toe leaves the ground & continues until max knee flexion occurs. 29
  • 30. MID SWING • Encompasses the period from maximum knee flexion until the tibia is in a vertical position. 30
  • 31. TERMINAL SWING • Includes the period from the point at which the tibia is in the vertical position to a point just before initial contact. 31