Gait Patterns

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Basic Gait Patterns: 

Basic Gait Patterns

4-Point Gait: 

4-Point Gait Requires bilateral ambulation aids Alternate and reciprocal forward movement of aid and opposite LE. “Left crutch, then right foot; Right crutch, then left foot.” Slow, but stable pattern Requires low energy Approximates normal gait pattern

2-Point Gait: 

2-Point Gait “Left crutch and right foot; Right crutch and left foot” Relatively stable, rapid Low energy Most like normal gait Requires coordination

Modified 4-Point or 2-Point: 

Modified 4-Point or 2-Point Requires 1 ambulation aid Used for patient with 1 functional UE or 1 ambulation aid Aid held in UE opposite to LE that requires protection Widens BOS Shifts COG away from “bad” LE “Hemi Gait” or “Hemi Pattern”

3- Point Gait: 

3- Point Gait Requires bilateral ambulation aids or walker. Cannot be performed with bilateral canes “Step-to” or “Step-through” NWB on 1 lower extremity Walker or aids and NWB LE advanced Patient “steps-to” or “steps-through” crutches

3-Point Gait: 

3-Point Gait Less stable, but rapid Requires Good strength in UE’s and other LE Energy expenditure high “Swing-to” and “Swing-through” SCI, developmental disability that must swing LE’s forward

Modified 3-Point or 3-1-Point: 

Modified 3-Point or 3-1-Point Requires bilateral ambulation aids or walker FWB on 1 LE, PWB on the other Aids advanced simultaneously with PWB LE, then FWB LE advanced Portion of body weight distributed to aids to decrease weight-bearing status

Modified 3-Point, 3-1 Point: 

Modified 3-Point, 3-1 Point More stable than 3-point Less energy than 3-point Slower Allows some WB on affected LE Can be of great benefit

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