Sullivan Tables Examination (pages 16-20) 14.

What are the effect/s of weakness during mid-stance

and terminal stance of gait cycle
1. Joint position of ankle during initial contact? a. Excessive dorsiflexion
a. 5 degrees DF b. Uncontrolled tibial advancement
b. Neutral c. Delayed or absent hell-off
c. 0 degrees d. AOTA
d. 10 degrees PF e. Both A & C
e. Both B & C 15. What is/are the effect/s of weakness in ankle during
2. Muscle active during Heel Strike, EXCEPT: pre-swing phase of gait cycle?
a. Tibialis anterior a. Low or no heel-off
b. Peroneus longus b. Lack of rapid plantarflexion
c. Extensor hallucis longus c. Both of these
d. Extensor digitorum longus d. None of these
e. NOTA e. Only A
3. Muscle/s active during Loading Response, EXCEPT: 16. What is the joint position of knee during Heel-strike?
a. Tibialis anterior a. Appears fully flexed
b. Peroneus longus b. 5 degrees flexion
c. Extensor hallucis longus c. 10 degrees flexion
d. Extensor digitorum longus d. Appears fully extended
e. NOTA 17. Joint position of the knee during loading response?
4. At what phase of gait cycle does foot slap and foot a. 15 degrees flexion
flat or forefoot initial contact occurs? b. Neutral position
a. Initial contact c. 25 degrees of knee flexion
b. Loading Response d. 20 degrees of knee flexion
c. Heel strike 18. Possible compensation of the knee during loading
d. Foot flat response, EXCEPT:
e. AOTA a. Excess plantar flexion
5. Joint position of ankle during loading response? b. Forward trunk lean
a. 5 degrees DF c. Excessive tibial advance
b. 5 degrees PF d. None of the above
c. 10 degrees PF 19. Joint position of the knee during mid-stance?
d. 10 degrees DF a. Appears fully flexed
e. NOTA b. 5 degrees flexion
6. Joint position of ankle during Mid-stance? c. 10 degrees flexion
a. 5 degrees DF d. Appears fully extended
b. 5 degrees PF 20. What is the joint position of the knee during terminal
c. 10 degrees PF stance or heel off?
d. 10 degrees DF a. Appears fully flexed
e. NOTA b. 5 degrees flexion
7. Joint position of ankle during Heel off? c. 10 degrees flexion
a. 5 degrees DF d. Appears fully extended
b. 5 degrees PF 21. What is the normal joint position of the knee during
c. 10 degrees PF pre-swing phase of gait cycle?
d. 10 degrees DF a. Appears fully extended
e. NOTA b. 60 degrees flexion
8. What is the joint position of ankle during Pre-swing? c. 40 degrees flexion
a. 15 degrees DF d. 25 degrees flexion
b. 15 degrees PF e. None of these
c. 10 degrees PF 22. What is the joint position of the knee during initial
d. 10 degrees DF swing phase of gait?
9. What is the joint positon of ankle during a. Appears fully extended
acceleration/initial swing? b. 60 degrees flexion
a. 5 degrees DF c. 40 degrees flexion
b. 5 degrees PF d. 25 degrees flexion
c. 10 degrees PF e. None of these
d. 10 degrees DF 23. What is the joint position of the knee during mid-
e. NOTA swing phase of gait?
10. What is the joint position of ankle during mid-swing? a. Appears fully extended
a. Neutral b. 60 degrees flexion
b. 5 degrees DF c. 40 degrees flexion
c. 5 degrees PF d. 25 degrees flexion
d. 10 degrees DF e. None of these
e. 10 degrees PF 24. What is the joint position of the knee during terminal
11. Joint position of ankle during terminal swing? swing phase of the gait?
a. Neutral a. Appears fully extended
b. 5 degrees DF b. 60 degrees flexion
c. 5 degrees PF c. 40 degrees flexion
d. 10 degrees DF d. 25 degrees flexion
e. 10 degrees PF e. None of these
12. The following ms are active during midstance, 25. The following ms are active at the knee during initial
EXCEPT: swing phase of gait, EXCEPT:
a. Tibialis posterior a. Gracillis
b. Peroneus longus b. Sartorius
c. Peroneus tertius c. Biceps femoris short head
d. Gastrocnemius d. Biceps femoris long head
e. None of these e. None of these
13. Possible compensation/s of the ankle during mid- 26. The following are possible compensatory motion at
stance and terminal stance of gait cycle? the knee during initial swing, EXCEPT:
a. Shortened step length a. Hip hiking
b. Slower velocity to reduce demands on calf b. Excessive hip flexion
muscles c. Excessive hip extension
c. Both of these d. None of these
d. None of these
27. What is the normal joint position of the hip during 35. Normal joint position of the hip during mid swing
Heel-strike phase of gait cycle? phase of gait cycle?
a. 20 degrees extension a. Appears fully extended
b. 25 degrees flexion b. 60 degrees flexion
c. 20 degrees flexion c. 40 degrees flexion
d. 15 degrees flexion d. 25 degrees flexion
28. What is the normal joint position of the hip during e. 15 degrees flexion
Loading Response phase of gait cycle? 36. Normal joint position of the hip during terminal swing
a. 20 degrees extension phase of the gait cycle?
b. 25 degrees flexion a. 20 degrees flexion
c. 20 degrees flexion b. 60 degrees flexion
d. 15 degrees flexion c. 40 degrees flexion
29. The following are effects of weakness of muscles that d. 25 degrees flexion
act in the hip during initial contact and loading e. 15 degrees flexion
response, EXCEPT: 37. The following are the effect/s of weakness in the hip
a. Anterior pelvic tilt during initial swing, EXCEPT:
b. Increased hip flexion a. Limited hip extension
c. Ipsilateral pelvic drop b. Limited Thigh advancement
d. Contralateral pelvic drop c. Limited hip flexion
30. What are the possible compensation of the hip during d. Limited foot clearance
initial contact and loading response? e. None of these
a. Decrease terminal swing hip flexion 38. The following are possible compensation in the hip
b. Posterior trunk lean during initial swing phase of gait except:
c. Trunk leaning laterally toward the stance limb a. Ipsilateral hip hiking
d. None of these b. Excessi hip abduction
e. All of these c. Contralateral limb vaulting
31. What is the normal joint position of the hip during d. Contralateral hip adduction
mid stance of gait cycle? 39. The following muscles are active in hip during initial
a. 20 degrees extension swing phase of gait, EXCEPT:
b. neutral a. Iliacus
c. 25 degrees flexion b. Adductor longus
d. 20 degrees flexion c. Gracillis
e. 15 degrees flexion d. Sartorius
32. Normal joint position of the hip during terminal e. Adductor magnus
stance of gait cycle? 40. Ends when contralateral foot lifts from ground for
a. 20 degrees apparent extension swing?
b. neutral a. HS
c. 25 degrees apparent flexion b. FF
d. 20 degrees apparent flexion c. MS
e. 15 degrees apparent extension d. HO
33. Normal joint position of the hip during pre-swing e. TO
phase of gait cycle?
a. 20 degrees apparent hyper extension
b. neutral
c. 25 degrees apparent flexion
d. 10 degrees apparent flexion
e. 10 degrees apparent hyper extension
34. Normal joint position of the hip during initial swing
phase of gait cycle?
a. Appears fully extended
b. 60 degrees flexion
c. 40 degrees flexion
d. 25 degrees flexion
e. 15 degrees flexion
 HOW TO MEMORIZE RLA TERMINOLOGIES
st
1 Classification:
 Initial Contact: Component of initial double limb stance
 Loading response: Final component of initial double limb stance
 Midstance: First half of single limb support
 Terminal Stance: Second half of single limb support
 Pre-swing: Terminal double limb stance
 Initial Swing: Initial 1/3 of swing
 Mid swing: Middle 13 of swing
 Terminal Swing: Final 1/3 of swing

2nd Classification:
 Initial Contact: ----------
 Loading response: Ends when opposite limb lifts from ground (ends OLL)
 Midstance: Starts when contralateral foot lifts from ground (starts CLL)
 Terminal Stance: Ends with contralateral initial contact (ends CIC)
 Pre-swing: Starts with contralateral initial contact and ends with ipsilateral limb toe
off (starts CIC)
 Initial Swing: Starts when reference limb lifts from ground (starts RLL)
 Mid swing: ----------
 Terminal Swing: Ends when foot contacts ground (ends when foot contacts ground)

3rd classification:
 Initial Contact: Beginning of stance (heel or any part of foot contacts ground)
 Loading response: Body weight rapidly loads
 Midswing: Trunk progresses
 Terminal Stance: Trunk continues forward progression
Limb achieves trailing limb posture
 Pre-swing: Body weight rapidly unloads
 Initial Swing: Hip, knee, ankles rapidly flex
 Mid swing: Thigh continues advancing / ankle neutral
 Terminal Swing: Knee in maximal extension/ ankle neutral

TRADITIONAL CLASSIFICATION
 Heel strike: Beginning of stance
 Foot Flat: sole contacts the floor
 Midstance: point at which body passes directly over reference limb
 Heel off: reference limb’s heel leaves the ground
 Toe Off: ONLY reference limb’s toe contacts with ground
 Acceleration: Reference limb directly UNDER the body
 Midswing: Reference limb passes directly BELOW the body
 Deceleration: reference limb decelerating