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