Amputee Pathological Gait
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 27 March 2019
⏱️ 12 minutes
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Summary
Ross presents with a transtibial amputation and a significant gait deviation during initial contact to loading response.
The physical therapist is challenged with determining why the observed gait deviation is present.
How well do you know your prosthetic gait deviations? Let's test your knowledge in this excellent episode about Amputee Pathological Gait.
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE Clinical Files, two mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT Clinical Files. My name is Kyle Rice, the MPT |
| 0:12.3 | PrEPP Coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching |
| 0:17.3 | Program. And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient Ross. And Ross has a left |
| 0:34.2 | transtibial amputation and has been recently fitted for a brand new prosthesis. |
| 0:39.6 | During a routine gait assessment, the patient is seen excessively flexing at the knee |
| 0:44.5 | on the prosthetic side during initial contact to loading response. |
| 0:49.5 | Which of the following is the most likely cause of the observed deviation? |
| 0:54.1 | So we have A, too soft cushioned heel, |
| 0:57.7 | B, too hard cushion heel, C, too little friction in the extension aid, and D is gluteous, |
| 1:06.5 | medius weakness on the prosthetic side. All right, so let's start off at the top. It says that we have |
| 1:12.4 | Ross and he has a left trans tibial amputation and has been recently fitted for this brand new |
| 1:19.6 | prosthesis. All right. So transibial amputations or even transformoral amputations is definitely something |
| 1:25.2 | that we need to know for the ampete. We didn't know all of the different factors related to them, you know, what type of prosthesis that |
| 1:33.0 | they get, what type of issues, impairments that they may have. |
| 1:36.9 | All right. |
| 1:37.1 | So transtibial amputation is really important. |
| 1:40.5 | Now it says that the patient was recently fitted for a brand new prosthesis. |
| 2:01.3 | That's okay. Understand that. All right, let's move on to the next sentence. It says during a routine gate assessment, the patient is seen excessively flexing at the knee on the prosthetic side during initial contact to loading response. All right. So this is where we have to slow up, |
| 2:06.1 | where you can kind of get a little tripped up because it's talking about gate assessment. But the first thing that I always do is I always look at what should normally be happening. |
... |
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