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NPTE Clinical Files | Physical Therapy

Cerebral Palsy: Gait Analysis

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

4.9631 Ratings

🗓️ 12 November 2025

⏱️ 8 minutes

🧾️ Download transcript

Summary

Orion is a 12-year-old with spastic diplegic cerebral palsy and is evaluated for gait abnormalities. The therapist observes excessive hip flexion, knee flexion, and ankle dorsiflexion throughout the gait cycle. Which of the following gait patterns BEST describes these findings?

A) Crouch gait

B) Scissoring gait

C) Ataxic gait

D) Steppage gait

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Transcript

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0:00.0

I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.

0:08.0

It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.

0:15.0

Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I

0:22.5

have today, a life filled with love, financial freedom, and a dream job that allows me to

0:27.7

change lives every single day. I created the NPTE Clinical Files podcast to give you simple,

0:34.3

actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.

0:40.4

All of this so that you can dominate your exam like I did and achieve your dream.

0:45.4

So if you're a driven PT student who's looking to pass the NPTE and start creating a life

0:50.7

you love, you're in the right place. Enjoy the show.

0:58.0

For this week's clinical file, we have Orion.

1:05.0

And Orion is a 12-year-old with spastic diplegic cerebral palsy and is evaluated for gait abnormalities. The therapist observes excessive hip flexion, knee flexion, and ankle dorsal flexion throughout the gate cycle. Which of the

1:12.0

following gate patterns best describes these findings. So we have A, crouch gate, B, scissoring gate,

1:18.9

C, Ataxigate, and D is stepage gate. All right, let's go up to the top of this question.

1:24.9

You know you need to be ready for things like cerebral palsy, Down syndrome, all of those major pathologies in the Peds department.

1:33.0

And so we need to know how to pick out the exact pathology based upon signs and symptoms.

1:39.3

And in this question, they're giving us positions of the lower extremity that we see during gait, and we need to

1:45.8

be able to pick out the patient's type of gait. All right. So let's go ahead and knock down this

1:51.4

question. It says, Orion is a 12-year-old patient with spastic diplegic cerebral palsy and is evaluated

1:59.6

for gait abnormalities. So in this question at the beginning,

2:03.5

it already tells us that patients age, but it also tells us the pathology, spastic, diplegic,

2:11.2

cerebral palsy. Now, it says the therapist observes the excessive hip flexion, knee flexion, and ankle dorsiflection

2:19.9

throughout the gate cycle.

...

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