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Normal Mobility
Test 2
69
Physiology
Graduate
07/18/2011

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Term
Name 3 requirements for gait
Definition
Progression
Postural Control
Adaptability
Term
The ability to generate a basic locomotion pattern to move the body in the desired direction.
Definition
Progression
Term
The ability to initiate and terminate locomotion
Definition
Progression
Term
The ability to support and control the body against gravity
Definition
Postural Control
Term
Counteract force of gravity and other expected and unexpected forces.
Definition
Dynamic Stability
Term
The ability to adapt gait to meet individual's goals and the demands of the environment
Definition
Adaptability
Term
The ability to avoid obstacles, negative uneven terrains, changes in speed and direction
Definition
Adaptability
Term
What % of gait is the stance phase?
Definition
60%
Term
What of gait is the swing phase?
Definition
40%
Term
Uses horizontal forces to move the body. Vertical forces to support the body against gravity and strategies flexible to accommodate changes in speed, direction, and surrort surface.
Definition
Stance Phase
Term
To advance the swinging limb, reposition the swing limb for weight acceptance, and avoid obstacles.
Definition
Swing Phase
Term
Angular Motion. Tend to be very similar across subjects.
Definition
Kinematics
Term
What position is the hip, knee, and ankle during midswing?
Definition
hip and knee are flexed
ankle is dorsiflexed
Term
What is the position of the hip, knee, and ankle during terminal stance?
Definition
hip and knee are extended
ankle is plantarflexed
Term
What movement provides foot clearance during initial swing?
Definition
hip and knee flexion
Term
Ground reaction forces. More variable across subjects.
Definition
Kinetics
Term
During initial contact, where is the force vector aligned in relationship to the knee?
Definition
Posterior to knee
Term
During late mid stance, where is the force vector aligned in relationship to the knee?
Definition
Anterior to knee
Term
During the swing phase of gait where is the force vector in relation to the knee?
Definition
No where, you must be weight bearing
Term
During initial contact what muscles are active to control the knee and ankle?
Definition
Quads and ant. tib (ecc)
Term
During late mid stance are the quad muscles active?
Definition
No
Term
During late mid stance are the gluts active?
Definition
Glut med is but not max
Term
During intial swing what muscles are active at the hip knee and ankle?
Definition
hip - ilopsoas, rectus femoris
knee - nothing
ankle - tib ant
Term
The average horizontal speed of body measured over one or more strides
Definition
Velocity
Term
What are the normal velocities for men and women
Definition
nl. 1.46 m/s
1.33-1.52 men
1.22 - 1.35 women
Term
Steps per unit of time
Definition
Cadence
Term
What is the normal cadence for men and women?
Definition
110 steps/min (men)
115 steps/min (women)
Term
The distance from one IC to IC of the other limb
Definition
Step Length
Term
What is the mean step length?
Definition
76.3 cm
Term
This measurement of gait will show asymmetries in steps
Definition
Step length
Term
Distance covered in two steps
Definition
Stride Length
Term
This measurement of gait will not show asymmetries is steps
Definition
Stride Length
Term
__ in the spinal cord produce the basic rhythmic movements for gai
Definition
CPGs
Term
__ __ and __ __ allow pattern variations and adaptability to task and environment
Definition
Descending pathways
Sensory Feedback
Term
Strategies used for unexpected disturbances (slip, trip)
Definition
Reactive Strategies
Term
Responses distal to proximal in leg muscles. Initial flexor synergy, second surfing strategy
Definition
Slips
Term
Strategy used depends on which part of swing trip occurs in
Definition
Trips
Term
Early swing = elevating strategy
Late swing = lowering strategy
Definition
Trips
Term
Anticipate potential disruptions to gait, and modify movement to minimize disruption
Definition
Proactive Strategies
Term
Joint receptors and muscle spindle info from hip flexors trigger what?
Definition
Swing onset
Term
GTO input from leg extensors influence what?
Definition
Timing
Term
Walking on an incline increases feedback from __ and consequently increases the activity of the extensor muscles
Definition
GTO
Term
Cutaneous info is used for what?
Definition
Obstacle navigation
Term
Proprioception is used for __ modulation when running on different surfaces
Definition
Stiffness
Term
Influence speed of gait, and alignment of body with respect to gravity and environment
Definition
Visual flow cues
Term
Name 4 ways in which the visual system helps with obstacle avoidance.
Definition
1. Change foot placement
2. Increase ground clearance
3. Change direction if object cannot be cleared
4. Stop if needed
Term
This system is important for stabilizing the head during movement
Definition
Vestibular
Term
Performance of multiple tasks during simple unperturbed gait __ significantly threaten stability in healthy young adults.
Definition
Does NOT
Term
Did increase errors during obstacle crossing
Definition
Dual task
Term
Speed for walk-run transition __ with dual cognitive task (distracted from physiological cues to run)
Definition
Increased
Term
__ shifts posterior and towards swing limb, then anterior and toward stance limb
Definition
COP
Term
There are 2 different strategies used depending on which foot is forward relative to direction of turn
Definition
Spin turn and step turn
Term
Which turn strategy is more efficient and used more often?
Definition
Spin Turn
Term
This transition tends to occur at narrow range of speeds across humans (1.88-2.07 m/sec) though walking and running are possible at speeds higher/lower
Definition
Walk-Run Transition
Term
Changing gait at what speed will minimize metabolic cost?
Definition
2.24-2.36 m/sec
Term
Critical components may be peak ankle angular velocity and acceleration. High levels of activity in both DFs and PFs just before transition to transition to run decreases muscular stress at ankle, shifts work where?
Definition
Upper leg ms
Term
When climbing stairs, what are the percentages of swing and stance phase?
Definition
Swing = 36%
Stance = 64%
Term
Ascent of stairs uses __ force production whereas descent uses __ force production
Definition
Concentric
Eccentric
Term
-Wt acceptance with middle/front of foot
-Pull up using concentric force at knee and ankle extensor contractions
-Forward continuance using ankle muscles
-Instability is greatest at contra toe-off
Definition
Ascent of Stairs in Stance Phase
Term
-Foot clearance tib ant and hams
-Foot placement of hip flexors, then hip extensors and DFs
Definition
Ascent of Stairs Swing Phase
Term
-Weight acceptance: energy absorved thru gastrocs, rectus femoris, and vastus lateralis
-forward continuance
-controlled lowering using eccentric quads
Definition
Descent of Stairs Stance Phase
Term
-Leg pull-through: hip flexors, then hip and knee extension
-Preparation for foot placement; with lateral border foot, tib ant and gastroc active before contact
Definition
Descent of Stairs Swing Phase
Term
Name the sit-to-stand essential characteritics.
Definition
1. Progression - sufficient joint torque to rise
2. Stability/Postural Control - COM from chair to feet
3. Adaptability - modify strategy for seat heights, speed of rise, armrests/non, softness, etc.
Term
What is phase 1 of STS
Definition
Flexion momentum
- Generate forward momentum (adults use upper body)
-Stability OK (b/c butt is still in chair)
Term
What is phase 2 of STS?
Definition
Momentum Transfer, Lift off / Seat off
-Butt off seat
-Critical transition phase
- Instability: COM in front of BOS
- Begin vertical lift
- Coactivation of hip and knee extensors
Term
What is phase 3 of STS?
Definition
Lift or extension phase
- Body moves vertically (hip and knee extension)
-Stability better than in phase 2
(COM now within BOS)
Term
In STS, the propulsive horizontal impulse must change to __ impulse
Definition
Braking
Term
When does braking begin?
Definition
Before lift off
Term
Name 2 alternative strategies for STS
Definition
1. Zero Momentum
2. Armrests
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