Biomechanics 231 - 235

Course overview

Hour 1 *Identify ideal walking gait biomechanics. *Discuss the indexed literature surrounding movement patterns, gait impairments and compensations. *Analyze arm swing, leg swing, and interlimb timing and coordination. *Interpret local foot biomechanics and compensations. Hour 2 *Review the gait cycle and gait cycle biomechanics. *View and discuss case studies of gait pathologies. *Assess actions of the lower kinetic chain during gait. *Predict pathomechanics that will arise from gait abnormalities presented. *Propose remedies and rehabilitation strategies for the gait abnormalities seen. Hour 3 *Identify some common gait abnormalities seen in gait analysis and develop mental strategies in evaluating the 3 cardinal planes of motion and potential failures in the loading of these planes. *Categorize the Fast and Slow phases of an imbalance asymmetrical gait and define rehabilitation strategies to remedy the gait pathology. *Develop a conceptual overview of how step length and stride length change in a limping gait. *Breakdown portions of the gait cycle into its component parts, including compensation patterns *Conceptualize the gait changes oriented around a hallux (great toe) amputation and learn to predict gait compensations off of a fixed anatomic anomaly. *Describe arm swing and how it plays out in gait, particularly asymmetrical, and develop some treatment concepts in addressing this asymmetry. Hour 4 *Discuss the critical function of the deep neck flexors and transverse abdominus, and how they related to gait, especially the running athlete. *Identify the 3 compartments of the thoracolumbar fascia and translate them into gait concepts and treatment concepts. *Develop treatment concepts in addressing this asymmetry and define in-phase and out-of-phase arm and leg swing assimilation. *Discuss on a surface level the concepts of speed in gait, and how to adjust the speed of one's gait to break down gait components that might lead to better treatment directions. *Describe central pattern generators and relate to arm swing on a neurologic level. *Recognize some common gait abnormalities seen in gait analysis such as arm swing, step length, the cross over gait, and develop mental strategies in evaluating the 3 cardinal planes of motion and potential failures in the loading of these planes when it comes to these gait parameters. Hour 5 *Present the etiology of blister and callus formation. *Review the gait cycle and the biomechanical events relevant to callus formation. *Review pronation and supination motions of the foot and how they relate to low and high gear push off. *Review the 3 rockers and how they can relate to callus formation. *Discuss the more common callus patterns in feet. *Describe the foot pathomechanics that lead to callus formation. Hour 6 *Discuss the anatomy of the tibialis posterior muscle. *Emphasize the importance of blood supply and the presence of watershed areas leading to tendon pathoanatomy. *Present the biomechanics associated with this muscles normal activity vs dysfunction. *Show clinical examples of posterior tibial tendon dysfunction. *Discuss orthotic intervention and exercises that are useful in remediation of posterior tibial tendon dysfunction.