It should be noted patients can adapt their gait according to the situation, so observing is preferably done from the sitting room to examination, or you can ask the patient for a brisker walk.
Factors to consider:
- Is stride length equal?
- Is weight transferred from heel > lateral foot > back across to MTP joints > greater toe for push off?
- Is either leg IR or ER’d?
- How are the frontal plane deviations – where?
- Excessive transverse plane pelvic motion? (short hip flexors or ER’s?)
- Shock absorption
- Pronation – Resupination
- Hip extension