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Gait Terminology


Gait
Style or manner of walking
 
Gait Cycle
Activity that occurs between the time of initial contact (heel strike) of one foot and the next initial contact of that same foot
 
Stride Length
Distance between initial contact of one foot and initial contact of that same foot
 
Step Length
Distance between initial contact of one foot and initial contact of the other foot
 
Stance Phase
Activity that occurs between the time of initial contact of one foot until that same foot leaves the ground
 
Swing Phase
Activity that occurs between the time the foot leaves the floor until initial contact of that same foot
 

 
Double Support
That period of time when both feet are in contact with the ground
 
Non-Support
That period of time when neither foot is in contact with the ground; does not occur during walking, but does occur during running
 
Single Support
Period in which one lower extremity is in contact with the ground
 

 
Cadence
Walking speed
 
Heel Strike
In normal gait, when the heel comes in contact with the floor
 
Loading Response (Foot Flat)
Period from just after initial contact until the opposite foot leaves the ground, during which the entire foot comes in contact with the floor
 
Midstance
Period from when the opposite foot leaves the ground until body is directly over the weight-bearing limb
 
Terminal Stance (Heel-off)
From midstance to prior to initial contact of the opposite foot with the ground
 
Pre-Swing (Toe-off)
From initial contact of the opposite limb to just before the toes leave the ground; end of stance phase
 
Initial Swing (Acceleration)
From when the toes leave the ground until maximum knee flexion of the same limb; limb is behind the body and beginning to swing forward
 
Midswing
Just after maximum knee flexion until the tibia is in a vertical position
 
Terminal Swing (Deceleration)
From the vertical position of the tibia to just prior to initial contact
 

 
Foot Slap Gait
Weakness of dorsiflexors; no eccentric control exists for lowering foot to ground during loading response
 
Foot Drop Gait
Total paralysis of dorsiflexors; increased knee flexion necessary to clear the foot; swing phase abnormality
 
Gluteus Medius Gait
Weakness of abductors; puts the center of gravity directly over the hip joint to reduce the total force on the hip and decrease the need for gluteus medius to contract; usually seen in a painful hip with abductor weakness
 
Trendelenburg Gait
Weakness of hip abductors, without pain in the hip; during stance, the lower extremity adducts under the body, due to abductor weakness
 
Gluteus Maximus Gait
Weakness of gluteus maximus; patient keeps center of gravity posterior, reducing the need for gluteus maximus to contract
 
Hemiplegic Gait
Neurological pattern, often occurring after a stroke or head trauma, or associated with cerebral palsy; dorsiflexor weakness, quad weakness, lack of pelvic rotation (hemi side stays retracted)
 
Back Knee Gait
Genu recurvatum during stance; caused by fixed plantar flexion deformity of the ankle or weakness of the quadriceps
 
Antalgic Gait
General term for painful gait; does not identify the cause of the pain; stance phase duration is decreased on the painful side


* Original definitions courtesy of Penn State University


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Warren Grant Magnuson Clinical Center
National Institutes of Health
Bethesda, Maryland 20892-7511