Observation

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
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