GAIT ALIGNMENT-VAULTING OR HIP FLEXION CONTRACTURE

SUMMARY

ABNORMALITIES
1. Flexed posture of the trunk.
2. Vaulting on the prosthetic leg.
3. Rising on toe of sound foot permits amputee to swing prosthesis through with little knee flexion.

CAUSES
1. Prosthesis may be too long.
2. Socket suspension may be inadequate.
3. Excessive stability in alignment or some limitation of knee flexion, such as knee lock or strong extension aid, may cause this deficit.

4. Flexion contracture of the hip.
5. Vaulting is fairly frequent habit pattern.
6. Residual stump discomfort.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.