A Brief Note On Gait Deviation And Postural Asymmetry

Of the many skills incorporated in the study of Biomechanics, there is one that is the center focus to most individuals. This skill that I am referring to is known as running. This skill is where I will be focusing my attention as I express the intricate methods that correspond to running. Running is known as a natural form of human locomotion and continues to be a popular participating sport, however many develop various gait related injuries due to it. It is common for many to see running as a simple activity. However, running is a complex sport that requires attention and technique with the lower extremities such as your legs, hips, knees and ankles. Throughout this paper I will be discussing and evaluating the alternative explanations that correspond with gait related injuries. For my self personally, among many other reasons I enjoy running because on days where I am stressed from school, work or just personal events it is a way for me to escape the daily pressures of life and enjoy some fresh air while relieve some steam. Running takes work and requires some training, however it is one of the best methods on relieving stress and staying motivated. It is a great way to get exercise and you can do it anytime, anywhere without any equipment. Although running is tedious and can be exhausting it is a great way to better ones self and to help stay in shape.

OrthoOklahoma is an orthopedic medical clinic with a physical therapy branch that provides outpatient physical therapy care. The facility has a staff of three licensed physical therapists and a physical therapy assistant along with four physical therapy techs. I was able to observe all three physical therapists, Megan Ripley, Joe Ogle and Ken Roberts. At OrthoOklahoma, the most common patients are post-surgery from repairs of muscles, bones or joints. While shadowing these therapists, I observed cases of total knee replacement, total hip replacement, ACL/meniscus repair, rotator cuff repair, frozen shoulder, labrum repair, and other ailments from wear-and-tear and aging. This experience allowed me to talk to physical therapists about the ins and outs of their job, learn about different exercises and routines for treatment of injuries, and really get an idea of the work it takes to become a well-respected physical therapist.

Have you ever bent down to pick something up or sprinted after your dog because he got loose? Not many people in today’s society pay attention to their body movement. They often take their body’s ability to move normally for granted. A person’s biomechanics are essential to everyday life, without being able to move properly one cannot perform everyday tasks. Unfortunately, there are people who are not able to do so and face many hardships in their life and may be in a lot of pain. Therefore, these people seek professional assistance to help them regain their ability to function normally. Usually, they end up in the care of a physical therapist and his assistant. According to the Bureau of Labor Statistics, physical therapist assistants

According to Su et all (2009), knee replacement is an effective way to find relief of pain and improve mobility, but most importantly giving the patient education and skills during early recovery. In comparison, all articles focused on the need of improving mobility after surgery. Assessing the patient’s abilities and the need for physical therapy and keeping an eye out for complications. A main focus was pain relief and that recovery for each patient varies, but it is important to get them ambulating with assistive devices soon after surgery. My patient at Kindred, had continuous assessment and an interdisciplinary team that assisted in her road to

The Lower Extremity Functional Scale (LEFS) is a tool that is administered, and scored due to its’ simple applicability to a vast variety of disability levels and conditions and all lower-extremity sites. This particular scale is easy to read when it comes to understanding error-associated measurements and for verifying the least clinically important score changes and is adequate enough to measure of reliability, validity, and sensitivity to change, at a position that is proportionate with application at an individual patient level (1). The LEFS scale abstract framework is based on the World Health Organization’s model of the handicap and disabled. It was developed to be competent to manage, score, and record in the medical record with

The participants then completed the functional evaluation by completing three one-leg hop tests on each limb. The longest distance was recorded and calculated as the percentage of the performance of the ACL reconstructed leg over the uninvolved leg, the scores were calculated as the limb symmetric index (LSI). The authors of this study defined the ceiling effect as the percent of participants who received the maximum score of 100 points. The Spearman correlation coefficient was used to examine the correlation between both scales and the limb symmetric index and was interpreted as r > 0.5 which indicated a strong association. The Kolmogorov-Smirnov test was then used to examine the distribution

I recently traveled to a less fortunate community on a PT-based medical mission trip. It left me with a taste of utmost sadness but yet it gave me a gratifying and exhilarating feeling. Helping individuals in challenging circumstances (such as those who have not walked in years) experience optimal movement with my assistance motivates me to become a physical therapist. The development of primitive braces like AFO’s, robotic limbs, and movement stimulation devices fascinate me because they help those who would normally be confined to a sedentary lifestyle experience “typical human movement.” As a physical therapist, my level of devotion to patients such as those I saw on my mission trip and those with whom I have helped in the clinical setting would never waiver. I would strive to provide genuine care and attentiveness to patient’s needs and goals. I look forward to facilitating research and evidence based methods of treatment which promote maximum results for patients that subsequently allows them to return to their activities of daily living. I have personally (via work, my own therapy experience, and observation hours) witnessed the incredible effects physical therapy can evoke on ones life. I would be honored to fulfill the role as someone's PT and mentor through their injury, chronic condition, litigation, or neurological

Knee complexities: Hardened knee is bringing on various useful shortfalls incorporate expanded LE length and circumduction required for foot leeway. Vitality utilization expanded, normally in patients with minimal utilitarian save. Lower leg and foot intricacies: Lower leg and foot distortions are comprised of plantar flexion and toes reversal (Balaban and Tok, 2014 and Martin et al. 2014).

An important aspect of the rehabilitation process is gait training following amputation. Majority of amputees can regain the ability to walk functional distances after surgery, but gait deviations are extremely common. Gait impairments contribute to increasing energy requirements for walking as well as the development of debilitating musculoskeletal diseases. Transfemoral amputees often demonstrate deviations in frontal-plane kinematics of the pelvis and trunk; they have a contralateral rise of the pelvis during midstance on the prosthetic limb instead of maintaining a neutral position. Normalizing this frontal-plane deviation following an amputation is important in restoring a stable gait pattern, but doing so with available treatment

Exclusion criteria were more than fifteen degree of varus deformity, more than twenty degree of flexion contracture and muscle weakness from neuromuscular disease including Parkinsonism or cerebral lesion. The groups consisted of twelve patients (twenty knees) who had total knee arthroplasty (TKA) with a representative MR designed implant (B Braun-Aesculap Vega® Knee System) and thirteen patients (seventeen knees) who had TKA with a representative GR designed implant (Depuy Attune® Knee System)

Although the ankle joint has significantly smaller surface area than the hip or knee, it withstands five times the body weight during stance in walking and up to 13 times the body weight during running (10,11, 17-19). Despite the increased weight-bearing force, the tibiotalar joint is more resistant to development of primary osteoarthritis (OA). However, it is more susceptible to post-traumatic arthritis based on many variables including gender, cartilage thickness, mechanical and metabolic factors. (10,11,19,20).

From peg legs and hooks to mechanical arms and legs, prosthetics have improved drastically since the dawn of time. Prosthetics have allowed amputees to obtain more mobility and flexibility in their lives. The advancements in prosthetics have also led to a better understanding in the area of amputation and in the assembly of the prosthetics themselves. The question is what allowed the advancements of prosthetics to happen in the first place? The answer lies within technology and its role in the medical field. Technology has allowed for prosthetics to not only look like real limbs, but to function as though they are real. Progression in the fabrication of the prosthetic limbs from wood and leather, to now programmable microprocessor controls

The article “Muscular contributions to hip and knee extension during the single limb stance phase of normal gait: a Theoretical Framework for Crouch Gait” by Allison Arnold, Frank Anderson, Marcus Pandy, and Scott Delp investigates the biomechanics of normal gait in hopes to uncover ideas to help determine treatments for crouch gait. Crouch gait is a bothersome abnormality that affects the gait pattern of people who suffer from the condition of cerebral palsy. It’s characterized by excessive flexion of the hips and knees during standing and excessive use of metabolic energy to complete a single gait cycle. Currently, the treatments for this condition are limited and have unpredictable outcomes due to the unknown biomechanical causes of the excessive flexion in crouch gait. These treatments include surgical lengthening of hamstrings, ankle-foot orthoses, and intense stretching regimens, with patients experiencing results ranging from no improvement in their symptoms to dramatic improvements. The vast array of results from treatments are due to the little understanding medical professionals have of not only abnormal gait patterns (such as crouch gait) but of normal gait as well (Arnold, Anderson, Pandy, and Delp, 2005). Despite the article’s title relating to crouch gait, the purpose of the study conducted was to examine and quantify the accelerations of normal hip and knee movements that were induced by specific muscles during the single limb stance phase and to rank these

This was true I could heal with a limp. So, rest assures I put in 100%+ effort and more when I went through rehabilitation physical therapy. I was determined that I had to walk and run again. So, in life I had to leap like a deer with hinds feet physically and emotionally. I share this with you because I had to crawl to get around. It was 1 year process of rehabilitation for me to accomplish running. In my process of recover the other half of the year I worked out and exercised to gain strength to walk and run. So, I did not put in 50% I put 100%+ into walking and running again on my feet. This was a mental battle as well as a physical battle to go through recovery to walk and run. Today, though I can tell you I reached for my goals of walking and running again at 100% capacity and gained recovery with no limp. So, only

Physical therapy has grown increasing more useful as the years’ progress and more is learned about the human body and its movements, interactions, and mechanisms. Someone may go to physical therapy for injury, recovery, in order to maintain function, or even due to a stroke and is trying to work on walking again. Patients of a physical therapist can include, but is not limited to, elderly, children, accident victims, athletes, those with conditions such as arthritis or fractures, etc. The possibilities are endless for potential physical therapy patients (Mayo Clinic School of Health Sciences).