Gait types include: hemiplegic, spastic diplegic, neuropathic, myopathic, With mild hemiparesis, loss of normal arm swing and slight circumduction may be the . It is important to be aware of normal motor milestones and gait development. The gait then undergoes orderly stages of development. Circumduction. This walking pattern is known as circumduction gait and in this video we will discuss about the group of muscle that is responsible for it.

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The gait then undergoes orderly stages of development. Alterations can broadly be divided into neurological or musculoskeletal causes [9]. The gait cycle is a repetitive pattern [4] involving steps and strides.

A normal mature gait cycle consists of the stance phase, during which the foot is in contact with the ground and the swing phase, during which the foot is circu,duction the ground. Hip flexors group of muscle has an action of bringing flexion movement on the hip joint.

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The quadriceps role is to eccentrically git the knee during flexion through the stance phase. Spastic Stiff walking and the foot is circumdction to be inverted and dragged along. Contractures less then this will be more evident with increased speeds [10] [9] [11].

Will you use this information for a specific patient? Quickly review your physical exam skills, and make evidence informed clinical decisions. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement.

The abductor muscles stabilise the pelvis to allow the opposite leg circumducction lift during the swing phase. Original Editors – Karsten De Koster. Ankle Dorsiflexion Weakness results in a lack of heel strike and decreased circumduciton clearance.


Traditional approaches to stroke recovery have a focus on neurofacilitation or neurodevelopmental techniques NDT to inhibit excessive tone, stimulate muscle activity if hypotonia is present and to facilitate normal movement patterns through hands-on techniques. Toggle navigation p Physiopedia. The knee remains in flexion and possible toe weight bearing occurs during stance phase [9]. The normal child begins to walk circumductikn between 8 to 14 months of age.

There are many possible causes, including difficulty with hip flexion, knee flexion, or ankle dorsiflexion. The MPJ uses the windlass effect to raise the arch and stiffen the foot during dorsiflexion of the hallux. Stiff walking and the foot is seen to be inverted and dragged along. The muscle that acts as dorsiflexors is tibialis anterior.

Circumduction gait | definition of circumduction gait by Medical dictionary

Initially, it is normal for the child to walk with a wide based externally rotated gait, taking circumduftion short steps. Patients with a circumduction gait are unable to achieve adequate clearance for the foot to move through the swing phase on the affected side. Pathological gait patterns resulting from musculoskeletal are often caused by soft tissue imbalance, joint alignment or bony abnormalities. Circukduction most cases Physiopedia articles are a secondary source and so should not be used as references.

In this phase, the body weight is divided over the metatarsal heads. Hemiplegic Gaitoften seen as a result of a stroke.

Caused by damage to deep peroneal nerve. With bilateral hip disease – a waddling “rolling sailor” gait can be seen with hips, knees and feet externally rotated.

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Fresh Health Tips Straight on Inbox. A disorder in any segment of the body can have consequences on the individual’s gait pattern, like a reduced knee flexion range in patients with a reconstructed ACL. The result is forward tilt of the trunk and increased demand on the circumdution extensors or increased lordosis of the spine with anterior pelvic tilt.


Now we know that circumduction gait results due to the insufficient knee and hip movement. Dircumduction from ” https: Results from hip abductor gluteal muscle weakness.

Alternatively heel strike will occur earlier increasing the ankle of plantar flexion at the ankle, preventing the forward movement of the tibia, to help stabilise the knee joint [10] [11]. The weakness of hip flexors prevents hip bending movement which further complicates the affected ground clearance due to weak knee flexors. This is a Super Post.

Such information is not shared with any third party for commercial purposes. A mature gait pattern is well established by about 3 years of age, and the gait of a seven-year-old child resembles that of an adult.

Circumduction Gait – MSK Medicine

Weak Hip Extensors will cause a person to take a smaller step to lessen the hip flexion required for initial contact, resulting in a lesser force of contraction required from the extensors. Some valgus movement is also observed between foot-flat and heel off in the feet. A more detailed classification of gait recognises six phases: The lower limb is internally rotated, knee extended and the ankle inverted and plantar flexed. October 4, at 5: By continuing to use this website you are consenting to cookies being used.

Gait Training in Stroke

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The knee is restricted in extension, meaning heel strike is limited and step length reduced. In the swing phase we can recognise two extra phases – acceleration and declaration. Leave a Reply Cancel reply Your email address will not be published. Demos, Gait analysis, http: