Cathelyn Timple
Cathelyn Timple
Cathelyn Timple
Neurologically
g y Challenged
g
Patients
Cathelyn Timple, PT, DPT, NCS, ATP
Casa Colina Centers for Rehabilitation
Objectives
Understand normal gait mechanics and terminology
Stance Swing
Initial Contact Loading Response Mid Stance Terminal Stance PreSwing Initial Swing Mid Swing Terminal Swing
Normal Human Gait
STANCE: 62% SWING 38%
Ataxic Trendelenberg
Festinating Vaulting
Scissoring Unstable
Equipment: Stopwatch,
Equipment Stop atch marked walking
alking area,
area shoe box
bo
for obstacle, set of steps
Scoring:
S i g 0 ffor severe iimpairment
i t tto 3 ffor normall
performance; maximum score possible is 30.
Functional Gait Assessment
Gait Level Surface Step over Obstacle
Gait with
G h Vertical
V l Head
H d A b l
Ambulation B
Backwards
k d
Turns
Steps
G it and
Gait d Pivot
Pi t Turn
T
Functional Gait Assessment
Reference Group Data
Age N Min Max Mean SD CI
Score Score
40-49 27 24 30 28.9 1.5 28.2-29.5
50 59
50-59 33 25 30 28 4
28.4 16
1.6 27 9 29 0
27.9-29.0
60-69 63 20 30 27.1 2.3 26.5-27.7
70-79 44 16 30 24.9 3.6 23.9-26.0
80-89 33 10 28 20.8 4.7 19.2-22.6
TOTAL 20 10 30 26.1 4.0 25.5-26.6
10-Meter Walk Test
Examines gait speed
To administer test:
Measure a 10 meter course and
M d markk ends
d with
i h tape
Position subject 3 feet behind tape
Instruct the subject to walk at a comfortable rate until
he is 3 feet past the time line
Repeat up to 3 times and average the times
Instruct the
h subject
b to walk
lk as above
b , but
b as fast
f as
possible
Repeat
p up p to 3 times and averageg the times
10-Meter Walk Test
Comfortable (m/min) Maximum (m/min)
H lb
Helbostad
d JL,
JL Vereijken
V ijk B B, Hesseberg
H b K, K Sletvold
Sl ld O.
O Altered
Al d vision
i i destabilizes
d bili gait i in
i older
ld persons. Gait
G i & Posture
P 30(2009) 233-238.
233 238
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