1 Rancho Observational Gait Analysis: Maximizing Gait Outcomes through Targeted Interventions for Individuals with Neurologic Impairments Kelley Kubota, PT, MS, NCS, CBIS Walt Weiss, MPT, NCS, KEMG Rancho Los Amigos National Rehabilitation Center American Physical Therapy Association Combined Sections Meeting Anaheim, California February 16 - 17, 2016 Rancho Pathologic Gait Hip / Pelvis / Full Body Hip Rancho Observational Gait Analysis: Hip / Pelvis / Full Body February 16 - 17, 2016 This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be copied or otherwise used without express written permission of the authors.
Transcript
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Rancho Observational Gait Analysis:Maximizing Gait Outcomes through Targeted
Interventions for Individuals with Neurologic Impairments
Kelley Kubota, PT, MS, NCS, CBIS
Walt Weiss, MPT, NCS, KEMG
Rancho Los Amigos National Rehabilitation Center
American Physical Therapy AssociationCombined Sections Meeting
Anaheim, CaliforniaFebruary 16 - 17, 2016
Rancho Pathologic
Gait
Hip / Pelvis /Full Body
Hip
Rancho Observational Gait Analysis: Hip / Pelvis / Full Body
February 16 - 17, 2016
This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be copied or otherwise used without express written permission of the authors.
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Past Retract
Pathologic Hip
Video (insert Gerald-red)
Musculoskeletal Evaluation: Stroke
DIAGNOSIS: L thalamic infarct AGE: 37
HISTORY: R ACL injury, 20 years post
RIGHT LOWER EXTREMITY STRENGTH ROM
HIP: Flexion
Extension
Abduction
4/5 0-135
3/5 0
3/5 WNL
KNEE: Flexion
Extension
4/5 0-135
5/5 0
ANKLE: Dorsiflexion
Plantar Flexion
3-/5 0
2-/5 (standing) 0 - 45
SELECTIVITY: Patient has selective control
SENSATION: Impaired to light touch and superficial pain
HYPERTONICITY: Noted in quads and hamstrings
PROPRIOCEPTION: Intact
BALANCE: Normal
Rancho Observational Gait Analysis: Hip / Pelvis / Full Body
February 16 - 17, 2016
This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be copied or otherwise used without express written permission of the authors.
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Pelvis / Trunk
Contralateral Drop Contralateral Pelvic Drop
Pathologic
Pelvis / Trunk Video
Rancho Observational Gait Analysis: Hip / Pelvis / Full Body
February 16 - 17, 2016
This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be copied or otherwise used without express written permission of the authors.
PROPRIOCEPTION: Intact at hip, knee, ankle, great toe bilaterally
PAIN: No pain
Remember to link deviations!
Possible Causes for Flexed Posture
Rancho Observational Gait Analysis: Hip / Pelvis / Full Body
February 16 - 17, 2016
This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be copied or otherwise used without express written permission of the authors.
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Full Body Eval / Form –
insert Mike
Musculoskeletal Evaluation: Stroke
DIAGNOSIS: 28 year old male s/p MCA infarct with hemorrhagic transformation
HISTORY: No prior medical issues
RIGHT LOWER EXTREMITY STRENGTH ROM
HIP: Flexion
Extension
Abduction
3 10-130
3
3- 0 - 30
KNEE: Extension 3- 0
ANKLE: Dorsiflexion
Plantar Flexion
0 -10
0 10 - 45
UPRIGHT MOTOR CONTROL: Flex: Moderate Hip, Weak Knee/Ankle
Ext: Mod Hip, Weak Knee/Ankle
PAIN: No pain
LEG LENGTH: No leg length discrepancy noted
VELOCITY: 48.6 m/min 59.3% normal
Questions?
Rancho Observational Gait Analysis: Hip / Pelvis / Full Body
February 16 - 17, 2016
This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be copied or otherwise used without express written permission of the authors.
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Patient Lab
Rancho Observational Gait Analysis: Hip / Pelvis / Full Body
February 16 - 17, 2016
This material is the property of K. Kubota and W. Weiss and the Physical Therapy Department of Rancho Los Amigos National Rehabilitation Center and should not be copied or otherwise used without express written permission of the authors.
