EQUIPMENT FOR EVALUATION OF GAIT
The equipment used consists of:
Posture Charts
These are boards on which the footprints were drawn.
Footprints can be painted on the exam room floor.
room, but stance tables have the advantage of being
portable.
Plumb line
This line is suspended from a top bar and the plumb line is
hung in line with the posture point.
card indicating the standard base point (i.e., anterior to
the lateral malleolus in lateral view, midway between
heels in rear view).
Folding ruler with
spirit level
It is used to measure the level difference of the posterior
iliac spines. It can also be used to detect any
differences in the level of the shoulders. A checkered butt
is a more practical aid for detecting shoulder level differences.
Set of six blocks
These blocks measure 4 inches by 10 inches and have the
following thicknesses: Vs, A, 3 / s, / 2, 3A and 1 inch.
They are used to determine the amount of lift needed to
level the pelvis laterally.
Pencil marker
It is used to mark the spinous processes to observe the
position of the spine in case of lateral deviation.
Measuring tape
This can be used to measure the length of the leg and the
forward flexion to reach the fingertips towards or beyond
toes. Appropriate clothes
Subjects must wear clothing for a certain period, such as a
two-piece swimsuit for girls or a swimsuit for boys.
postural exam. Such an examination of schoolchildren is
unsatisfactory when children are dressed
normal track suits. In hospital clinics, gowns or other
appropriate clothing should be provided.
FOOT ALIGNMENT
The subjects stand on the postural tables with their feet in
the position indicated by the footprints.
Front view
Observe the position of the feet, knees and legs. Positions
of the fingers, aspect of the longitudinal arch, alignment
relative to pronation or supination of the foot, rotation of
the femur as indicated by the position of the patella,
Bent knees or bent legs should be considered. Any rotation
of the head or abnormal appearance of the ribs should
also be noticed. The results are recorded in the graph under
the heading "Segmental Alignment".
Side view
With the plumb line hanging in line with a point just
anterior to the lateral malleolus, the relationship of the body
Overall, the plumb line is noted and recorded under the
heading "Plumb alignment". must be observed
both on the right and left side in order to detect rotation
faults. Descriptions such as the following
can be used to record the results: "Anterior body from
the ankles up", "Anterior pelvis and head", "Good except
lordosis" or "Upper torso and posterior head". Segmental
misalignment can be seen with or without the plumb line. Notice if the knees
are properly aligned, hyperextended, or flexed. Note the position of the pelvis
when viewed from the side and whether the anterior-posterior curves of the
spine are normal or exaggerated. Also consider the position of the head
(forward or tilted up or down), the position of the chest (whether normal,
depressed or elevated) and the contour of the abdominal wall. The results are
recorded in the graph under the heading "Segmental Alignment".
Rearview mirror
With the plumb line hanging in line with a point halfway
between the heels, the relationship of the body or parts
body to plumb line are expressed as good or as deviations to
the right or left. From the point of view of segmental alignment, alignment of
the calcaneal tendon, postural adduction or abduction of the hips, relative
height of posterior iliac spines, lateral pelvic tilt, lateral spinal
deviations must be considered. vertebral. and the positions of the shoulders
and shoulder blades. . For example, a lateral pelvic tilt may result from
pronation of a foot or habitual flexion of a knee, allowing the pelvis to drop.
on that side standing.
0 Comments