Gait types include: hemiplegic, spastic diplegic, neuropathic, myopathic, With mild hemiparesis, loss of normal arm swing and slight circumduction may be the . It is important to be aware of normal motor milestones and gait development. The gait then undergoes orderly stages of development. Circumduction. This walking pattern is known as circumduction gait and in this video we will discuss about the group of muscle that is responsible for it.

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Will you use this information for a specific patient? Body weight supported treadmill training was one of the first translations of the task-specific repetitive treatment circumduuction in gait rehabilitation after stroke. Retrieved from ” https: Notify me of follow-up comments by email.

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The step time is the time between heel strike of one leg and heel strike of the contra-lateral leg. Antalgic gait due to ankle pain may present with a reduced stride length and decreased weight bearing on the affected limb. Notify me of new posts by email. What they do is, they take the leg away from the body leg abduction and swing the leg forward in an semicircular fashion. Alternatively heel strike will occur earlier increasing the ankle of plantar flexion at the ankle, preventing the gaiy movement of the tibia, to help stabilise the knee joint [10] [11].

A stiff jointed gait may result from arthritis. Ataxic Instability and alternating between a narrow to wide base of gait.

Weak Hip Extensors will cause a person to take a smaller step to lessen the hip flexion required for initial contact, resulting in a lesser force of contraction required from the extensors. The weakness of hip flexors prevents hip bending movement which further complicates the affected ground clearance due to weak knee flexors.


Overall gait will be slower to allow time for limb stabilisation.

Rigidity of joints results in reduced arm swing for balance. To compensate, the patient abducts her thigh and swings her leg in a semi-circle to attain adequate clearance. Severe Quadriceps Weakness or instability at the knee joint will present in hyperextension during the initial contact to stance phase. Heel off begins when the heel gaot the floor.

Gait Training in Stroke – Physiopedia

Stiff walking and the foot is seen to be inverted and dragged along. In foot flator loading response phasethe body absorbs the impact of the foot by rolling in pronation. Original Editor – Sheik Abdul Khadir.

In the bipedal system the three major joints of the lower body and pelvis work with each other as muscles and momentum move the body forward. Circumduction Gait Patients with a circumduction gait are unable to achieve adequate clearance for the foot to move through the swing phase on the affected side.

Shultz describes gait as [3]: Demos, Gait analysis, http: Our observation of gait is a subjective measure that we can use. Understanding the normal walking pattern makes it easier to grasp the abnormal walking pattern of a hemiplegic.

Alterations can broadly be divided into neurological or musculoskeletal causes [9]. Please rate the websites ease of use. Extracting the main points out of it, a walking pattern consists of two phase: Walking velocity, stride length and the duration of the single-limb stance increase with age.


Gait – Physiopedia

Normal walking speed primarily involves the lower extremities, with the arms and trunk providing stability and balance. Contractures less then this will be more evident with increased speeds [10] [9] [11]. Gaih A wide based gait with lumbar lordosis suggests proximal muscle weakness.

Mark as read Log in to mark this page as read. Multiple causes and can result from pathology in many different sites hip or other joints in the lower limb spine, and extra-articular sites e.

Snijders CJ et al, Het Gaan, https: A more detailed classification of gait recognises six phases: This website uses cookies to give you the best experience. A normal mature gait cycle consists of the stance phase, during which the foot is in contact with the ground and the swing phase, during which the foot circumductioj off the ground.

circumduction gait

With bilateral hip circumductiln – a waddling “rolling sailor” gait can be seen with hips, knees and feet externally rotated. Heel strikealso known as initial contactis a short period which begins the moment the foot touches the ground and is the first phase of double support. If the problem is pain in the forefoot then toe off will be avoided and heel weight bearing used. The upper limb is in a flexed position, adducted and internally rotated at the shoulder.