Clinical Gait Analysis and Its Role in Treatment Decision-Making

Roy B. Davis, III, PhD, Sylvia Õunpuu, MSc, Peter A. DeLuca, MD, Mark J. Romness, MD

August 14, 2002

Summary

In summary, quantitative gait analysis provides the tools necessary to evaluate both normal and pathologic gait in a more objective fashion. The art of sophisticated clinical gait analysis lies in the integration of many methods of analysis to arrive at a more complete assessment of a patient's gait pattern. Proper gait data interpretation is dependent upon the care with which gait data are collected and the experience and expertise of the clinical team, which may include physicians, physical therapists, kinesiologists, engineers and technicians.

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Cite this: Clinical Gait Analysis and Its Role in Treatment Decision-Making - Medscape - Sep 01, 1999.

Table 1. Summary of Ankle Dorsiflexion in the Clinical Examination of Patients 1, 2 and 3
Patient	Knee Position	Side	Passive Motion	Dorsiflexion Strength
1	fully extended	left	0°	2 out of 5
1	flexed to 90°	left	5°	2 out of 5
2	fully extended	left	5°	2 out of 5
2	flexed to 90°	left	10°	2 out of 5
3	fully extended	left	0°	1 out of 5
3	flexed to 90°	left	10°	1 out of 5

Table 2. EMG Pattern of Activity in Three Patients to Determine Tibialis Posterior and Tibialis Anterior Function
Patient	Muscle	Pattern of Activity
1	tibialis posterior	active in terminal swing with variable activity in stance
1	tibialis anterior	active in late stance, at toe off and in initial swing
2	tibialis posterior	negligible activity
2	tibialis anterior	active in late stance, at toe off and in initial swing with variable activity in late swing and from initial contact through mid-to-late stance
3	tibialis posterior	continuous activity in swing through mid-to-late stance depending on the gait cycle
3	tibialis anterior	variable premature activity of a late stance burst and normal activity in swing and prolonged activity through mid stance

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Clinical Gait Analysis and Its Role in Treatment Decision-Making

Summary

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Tables

References

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Authors and Disclosures

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