Hemiplegic Gait - Case Study 13
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- čas přidán 4. 07. 2018
- Video includes both a lateral view and an anterior-posterior view.
Case studies are strictly for educational purposes.
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I'm an SPT in Springfield, MA, I used this video for an assignment for my gait class. Thank you for the post and thank you pt for allowing me to learn from you!
(caution, wall of text). Physio here. My visual assessment of this movement pattern: Weakness right side trunk, abdominal muscles failing to bring right side pelvis sufficiently forward in line with left. Hip is thus falling down and back. Hip flexors get no grip, can't do their job. Swing only possible through (poor) pelvic circumduction (using lower back muscles), with hip in external rotation (hip adductors changing jobs to flexors). Right side trunk and arm thrusts backwards to help leg forward. Ankle and toe dorsiflexors weak, no synergy with hip flexors and quadriceps - foot unable to clear, toes drag on floor, awkward foot placement. Discourages weight bearing on right (understandably). Pelvis and hip slips further back, glutes - hamstrings unable to work in that position, quads turn off and knee locks back in hyperextension. Next to none muscular control of knee, weight bearing relying on passive structures like ligaments and bones. Brain does the math, reluctant to bring weight over foot, owner powers through with effort. Ankle presses slightly down in plantar flexion. Shortened stance with ankle collapsing inward - "let's get it over with" - no eccentric right ankle dorsiflexion, so left foot jumps forward quickly as possible. Repeat until tired / falls over. Intervention: Activate and strengthen abdominal muscles right side, exercises for stable pelvic control. Activate gluteal muscles, hamstrings and hip flexors, stretch and exercise hip external rotators and abductors, lessen stress on adductors. Practice swing phase with proper muscles; place foot in direction of travel - make sure hip is properly forward. Employ light orthosis that allows passive dorsiflexion for ankle (do strengthen dorsiflexors if possible). Practice loading right foot, let knee slide forward over foot, rock slowly back and forth, working up control over knee flexion and extension. Clench butt muscles as foot loading increases. Eventually, step forward with left foot. Strive for equal step length. Repeat.
Hi kapitan. Another physio here. Do you have recommendations for me to learn evaluation and treatment. Like books and videos and etc sources?
اللهم اشفهم يا رب وعافنا جميعا 💓
Thank u , I want to ask u about the case , this after treatment right? And he before was walked in toes am right?
I am a physical therapist in Korea. If you allow, I would like to make a video that analyzes the motion using Case 17 and Case 23 with this video. Can I do that?
May Allah treat you and give you better than you deserve .amen
I had a stroke 8 months ago I'm doing great, but this is the way I walk. I can't bend my knee
11 months strong and and walking is much better, just a little stiff at times from the spasticity.
This is great! Keep up the good work!
Hello. I'm a professor of occupational therapy. If you allow me to use this video for my class, it would be very helpful for my students. Would you do that?
That is exactly why we create these videos. You are welcome to use them.
@@MissionGait Thank you!!. I am a podiatry student and currently using this video for a Gait project.
@@MissionGaitgod bless you people
maybe i could do this if i had something to lock me knee from bending
Is Hemiplegia treatable please reply ? If yes where is the best treatment available
Hemiplegia can occur due to a wide variety of diagnoses and each one can potentially be addressed differently. The prognosis can also be highly variable. The short answer to the question is yes, it is treatable. However, you would need to seek a medical provider to learn more.
Yes it is treatable by good physiotherapist
visit a physiotherapist
Automatic fail due to no guarding.