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