1. Gait

2. Normal Gait
Gait similar from person to person – difference due to postural variations, weakness , structural abnormalities
One gait cycle – heel of one foot touches the ground to the time it touches ground again
Stance phase –foot in contact with floor and weight bearing
Heel ( foot ) strike – first contact of the heel with floor
Flat foot - - foot flat on floor
Midstance – foot is directly under the body’s weight
Heel off – weight transfer to front of foot
Toe off – foot comes off the floor

3. Normal Gait
Swing Phase – foot not in contact with floor and non weight bearing
Acceleration phase – ( early swing) – momentum increases and thrust from toe off propels extremity forward
Swing through ( mid swing) – continues swing through
Deceleration phase - ( late swing) – slow forward progression make smooth contact with floor

4. Gait Analysis Walk with shoes Walk without shoes
Patient in shorts , shirtless /sport bras ( if possible )
Evenness , rhythmical , foot sounds
Gross movements – how is body carried , how does it move – smooth or halting – strides even , shoulder movement , arm swing , trunk , head position
Then joint by joint assessment

5. Pathological gaits Trendelenburg – gluteus medius gait Quadriceps gait
Glut medius too weak to maintain level pelvis
Quadriceps gait
Surgery or knee injury – quads weak
Pt keeps knee extended at heel strike and through stance phase
Ankle tightness
Loss of dorisflexion – during midstance should go from PF to DF , person will lurch forward over foot – moving quickly to toe off
Antalgic gait
Person reduces time spent on injured leg – stride length altered and cadence asymmetrical