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Kinematics Of Human Gait
OBJECTIVE OF THIS PRESENTATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is gait? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is Kinematic ? ,[object Object],[object Object]
What is kinematics ?   ,[object Object],[object Object],[object Object]
Gait analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gait Terminology.   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gait Terminology. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gait Terminology. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gait Terminology.
Gait Terminology. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gait Terminology. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Kinematic of gait includes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gait cycle phases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gait cycle phases ,[object Object],[object Object],[object Object],[object Object]
Gait cycle phases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Jim Patton
Determinants of Gait 1) Pelvic rotation 2) Pelvic list (lateral tilt) (pelvic  dips) 3) Stance knee flexion 4&5) knee, ankle & foot interactions
Determinant 1  Pelvic Rotation ,[object Object]
Determinant 2 ,[object Object],[object Object],Pelvic Tilt
Determinant 3 ,[object Object],[object Object],Stance Knee Flexion
Determinant 4/5 ,[object Object],[object Object],Knee ankle foot interaction
Determinant 4/5 ,[object Object],[object Object],Knee ankle foot interaction
Determinant 4/5 ,[object Object],[object Object],Knee ankle foot interaction
Determinant 4/5 ,[object Object],[object Object],Knee ankle foot interaction
Joint Motion — ,[object Object],[object Object],[object Object],[object Object]
Sagital plane kinematics. Heel strike to foot Flat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Physical Rehabilitation,3rd edition/Susan B sullivan
Sagital plane kinematics. Foot  Flat to midstance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Physical Rehabilitation,3rd edition/Susan B sullivan
Sagital plane kinematics. M idstance to heel off ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Physical Rehabilitation,3rd edition/Susan B sullivan
Sagital plane kinematics H eel off to Toe off ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Physical Rehabilitation,3rd edition/Susan B sullivan
Sagital plane kinematics  Swing Phase  Toe  off to Heel strike  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Physical Rehabilitation,3rd edition/Susan B sullivan
Sagittal plane Motion Curve
Swing phase Stance  phase Extension Flexion  10 90 50 70 30 Loading Response  Mid stance  Terminal stance Pre swing Initial  swing Mid swing Terminal  swing Single  support Double  support Double  support Acceleration Deceleration Traditional  Terninology RLA Terninology Phases Evemts Traditional  RLA Initial  contact Heel strike Contra foot off Foot flat Contra foot strike Contra foot strike Foot off Toe off Midstance Max  knee flex Tibia is  vertical Initial  contact Mid swing Heel strike Heel  off Gait cycle One stride(100 %) (60-62%) (38-40 %)
Loading Response  Mid stance  Terminal stance Pre swing Initial  swing Mid swing Terminal  swing Single  support Double  support Double  support Acceleration Deceleration Traditional  Terninology RLA Terninology Phases Evemts Traditional  RLA Initial  contact Heel strike Contra foot off Foot flat Contra foot strike Contra foot strike Foot off Toe off Midstance Max  knee flex Tibia is  vertical Initial  contact Mid swing Heel strike Heel  off Gait cycle One stride(100 %) Swing phase Stance  phase Extension Flexion  10 90 50 70 30 (60-62%) (38-40 %)
Loading Response  Mid stance  Terminal stance Pre swing Initial  swing Mid swing Terminal  swing Single  support Double  support Double  support Acceleration Deceleration Traditional  Terninology RLA Terninology Phases Evemts Traditional  RLA Initial  contact Heel strike Contra foot off Foot flat Contra foot strike Contra foot strike Foot off Toe off Midstance Max  knee flex Tibia is  vertical Initial  contact Mid swing Heel strike Heel  off Gait cycle One stride(100 %) Swing phase Stance  phase Planterflesion Dorsilexion  10 90 50 70 30 (60-62%) (38-40 %)
Sagital plane kinematics Other motion ,[object Object],[object Object],[object Object],[object Object]
Frontal plane kinematics Hip& Pelvis motion ,[object Object],[object Object],[object Object],[object Object]
Frontal plane kinematics Subtalar motion ,[object Object],[object Object],Heel off  Midstance Heel strike
Transverse plane kinematics Hip,Trunk & Lower limb ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stair gait Kinematics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sagittal analysis of stair ascent. Weight acceptance to pull up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source – Joint structure & function,a comprehensive analysis /Levangie,C norkins,4th edition /chapter-14/page 552-558
Sagittal analysis of stair ascent. Weight accepatence to pull up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source – Joint structure & function,a comprehensive analysis /Levangie,C norkins,4th edition /chapter-14/page 552-558
Sagittal analysis of stair ascent. Weight acceptance to pull up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sagittal analysis of stair ascent. End of pull up  forward continuation   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sagittal analysis of stairascent. End of pull up  forward continuation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],See – Joint structure & function,a comprehensive analysis /Levangie,C norkins,4th edition /chapter-14/page 552-558
Sagital analysis of stair ascent. End of pull up  forward continuation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],See – Joint structure & function,a comprehensive analysis /Levangie,C norkins,4th edition /chapter-14/page 552-558
Stair ascent.(Sagital)  Swing phase Foot clearance to foot placement   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source– Joint structure & function,a comprehensive analysis /Levangie,C norkins,4th edition /chapter-14/page 552-558
Stair ascent.(Sagital)  Swing phase Foot clearance to foot placement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source – Joint structure & function,a comprehensive analysis /Levangie,C norkins,4th edition /chapter-14/page 552-558
Stair ascent.(Sagital)  Swing phase Foot clearance to foot placement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source – Joint structure & function,a comprehensive analysis /Levangie,C norkins,4th edition /chapter-14/page 552-558
Running gait Kinematics Gait cycle phase Toe off Heel strike Stance phase Swing phase Heel strike
Running gait Kinematics Average peak ROM comparision running and walking ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source – Joint structure & function,a comprehensive analysis /Levangie,C norkins,4th edition /chapter-14/page 552-558
Where to get more…… Web/Internet www.curtin,edu.au/curtin/depat/physi www.kinesiology.ne www.apta.org www.arialdynamics.com www.medicalstudent.com www.oandp.org/jpo/library Books 1- Physical Rehabilitation,3rd edition/SusanB sullivan 2- Joint StructureFunction,4thedition/Levangie,C. Norkins 3- Dynamics of human Gait,2nd edition , Christopher & Brian Juornals Physical Therapy Clinical Anatomy Juornal  of orthopaedic surgery Juornal of physical therapy science
…… .. ?
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I:\Kinemetics Of Gait2 Dh 2

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  • 18. Determinants of Gait 1) Pelvic rotation 2) Pelvic list (lateral tilt) (pelvic dips) 3) Stance knee flexion 4&5) knee, ankle & foot interactions
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  • 33. Swing phase Stance phase Extension Flexion 10 90 50 70 30 Loading Response Mid stance Terminal stance Pre swing Initial swing Mid swing Terminal swing Single support Double support Double support Acceleration Deceleration Traditional Terninology RLA Terninology Phases Evemts Traditional RLA Initial contact Heel strike Contra foot off Foot flat Contra foot strike Contra foot strike Foot off Toe off Midstance Max knee flex Tibia is vertical Initial contact Mid swing Heel strike Heel off Gait cycle One stride(100 %) (60-62%) (38-40 %)
  • 34. Loading Response Mid stance Terminal stance Pre swing Initial swing Mid swing Terminal swing Single support Double support Double support Acceleration Deceleration Traditional Terninology RLA Terninology Phases Evemts Traditional RLA Initial contact Heel strike Contra foot off Foot flat Contra foot strike Contra foot strike Foot off Toe off Midstance Max knee flex Tibia is vertical Initial contact Mid swing Heel strike Heel off Gait cycle One stride(100 %) Swing phase Stance phase Extension Flexion 10 90 50 70 30 (60-62%) (38-40 %)
  • 35. Loading Response Mid stance Terminal stance Pre swing Initial swing Mid swing Terminal swing Single support Double support Double support Acceleration Deceleration Traditional Terninology RLA Terninology Phases Evemts Traditional RLA Initial contact Heel strike Contra foot off Foot flat Contra foot strike Contra foot strike Foot off Toe off Midstance Max knee flex Tibia is vertical Initial contact Mid swing Heel strike Heel off Gait cycle One stride(100 %) Swing phase Stance phase Planterflesion Dorsilexion 10 90 50 70 30 (60-62%) (38-40 %)
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  • 50. Running gait Kinematics Gait cycle phase Toe off Heel strike Stance phase Swing phase Heel strike
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  • 52. Where to get more…… Web/Internet www.curtin,edu.au/curtin/depat/physi www.kinesiology.ne www.apta.org www.arialdynamics.com www.medicalstudent.com www.oandp.org/jpo/library Books 1- Physical Rehabilitation,3rd edition/SusanB sullivan 2- Joint StructureFunction,4thedition/Levangie,C. Norkins 3- Dynamics of human Gait,2nd edition , Christopher & Brian Juornals Physical Therapy Clinical Anatomy Juornal of orthopaedic surgery Juornal of physical therapy science

Notas do Editor

  1. Contralateral toe off Contralateral foot strike Foot off Maximum knee flexion Tibia is vertical Initial contact
  2. Terminal swing Max knee flex
  3. Physical Rehabilitation,3 rd edition/Susan B sullivan