hemiplegic gait

[anjalee]

Tom is a 78 year old man who suffered from a right side stroke 18 months ago. He is walking with a stick but is limited functionally as he is walking very slowing, falls occasionally and complains of pain in his right knee whilst walking. He demonstrates a typical hemiplegic’s gait pattern and has been referred by the consultant of physiotherapy assessment.

5. State at what stage in the gait cycle he is likely to experience knee pain and explain why.

6. list the three movements necessary to allow for foot clearance during swing phase, which movements might this patient is lacking.

[stephani]

You said Tom has typical hemiplegic gait. Means he must have typical pattern of spasticity in lower limb. Which is pelvis retracted, hip in adduction, internal rotation and extension, knee in extension and foot is in planter flexion.
Well, to clear foot in swing phase, hip flexor, knee flexor and dorsi flexor should work. Missing of one of these componant may alter the gait. While in this patient the pattern is totaly opppsite to it.So he would not be able to clear his foot is obvious.
And in Hemiplegia, knee pain start when spasticity is severe and knee is not so mobile. Or patient has knee pain since his premobid stage.You said patient has stroke before 18 months. so may be he is in stage of 2 or 3 of spasticty. So may be you should work on that.

[anjalee]

okay.. thank u.. this is my assignment to work on whic is very confusing. thanks =)