Cerebral Palsy maybe/maybe not
Unfortunately, gait lingo defines swing phase as when the toe moves forward. More unfortunately, that was the worst of all possible definitions. An amputee with no knee at all can have a fairly decent walking pattern if the prosthetic knee allows an early swing of the thigh without acting like a brake. Forget established gait analysis lingo - it is hopelessly wrongly outdated from our newer understanding. What swings in walking is the THIGH. Thigh swing is the event to watch (In some old lingo was called pre-swing). Watch? Is it stiff? = yes. Knee didn’t bend enough or too late to be effective in swing phase (our new swing phase). Stiff knee in early swing is hemiplegia group #2 Maybe. 2A or 2B According to Shakespeare, there are two kinds of stiff knee hemiplegia patients… 2B or not 2B. 2A a truly neurologically stiff knee. 2B is not a stiff knee joint at all, but made to act stiff because of the foot ankle mechanism. If the ankle/foot is pressing backward (equinus with heel on ground ‘mommy says I have to get my heel down if I want to go to the playground’).
Made with FlippingBook flipbook maker