GAIT AND

POSTURE
ANALYSIS
By: Alyssa Garcia
About my
patient:
Surgeries:
• 2000 4th and 5th vertebrae in lumbar
• 2007 R knee replacement
• 2011 1st vertebrae in lumbar
• 2019 L knee replacement
• Hands for carpal tunnel
• My patient is a 79-year-old female who has
rheumatoid arthritis in her hands, elbows,
shoulders, knees and ankles. She had undergone
many surgeries within the past 20 years . She is
currently employed where she works 3 days out of
the week. My patient does a lot of sitting when
she is not at work and says when she is sitting her
pain is at a 0, but when she starts to walk or stand
for long periods of time her pain increases in her
lower back. My patient still dresses and grooms
herself independently, she does her own laundry
which requires her to walk up and down 14 stairs,
and she takes her granddaughter to school 4x a
week. The one thing she cannot do is put her left
sock because her left arm does not extend fully.
 Test & Measures:

• ROM: MMT:
• Knee extension: R: -4˚ L: -8˚ knee extension (quad strength):
• Hip extension: R: 11˚ L: 10˚ R: 1/5 (gravity eliminated)
• Plantarflexion: R: 27˚ L: 33˚ L: 3+/5 (gravity resisted)
• Thomas Test - Positive
• TUG Test- 17 seconds (fall risk)
Crouch Gait and Lack
of knee extension:
Interventions:

Quad Sets
- 2 sets 10 reps, hold time 3 seconds
Interventions:

Supine Knee Extension

- 4 sets hold for 30 seconds

Interventions:

Seated Lumbar Back Extension

- 4 sets, hold for 30 seconds

QUESTIONS??