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In a healthy individual walking at a normal walking speed, stance phase makes up approximately 60% of one gait cycle and swing makes up the remaining 40%. [3] The lower limbs are only in contact with the ground during the stance phase, which is typically subdivided into 5 events: heel contact, foot flat, mid-stance, heel off, and toe off.
Claudication is a medical term usually referring to impairment in walking, or pain, discomfort, numbness, or tiredness in the legs that occurs during walking or standing and is relieved by rest. [1] The perceived level of pain from claudication can be mild to extremely severe.
Gait training or gait rehabilitation is the act of learning how to walk, either as a child, or, more frequently, after sustaining an injury or disability.Normal human gait is a complex process, which happens due to co-ordinated movements of the whole of the body, requiring the whole of Central Nervous System - the brain and spinal cord, to function properly.
Decreased walking and lower body motor ability due to NC is the primary disabling feature of LSS. [18] Constant discomfort and pain in the lower extremities and an inability to sleep and lying down are also disabling features of NC that affect a patient's quality of life.
The term lower limb or lower extremity is commonly used to describe all of the leg. The leg from the knee to the ankle is called the crus . [ 7 ] The calf is the back portion, and the tibia or shinbone together with the smaller fibula make up the shin, the front of the lower leg.
As the walking speed increases, the amplitude of the arm swing increases accordingly. The frequency of the arm movements changes with the speed as well. Studies showed that at speeds lower than approximately 0.8 m/s, the frequency ratio between arm and leg movements is 2:1 whereas above that speed the ratio becomes 1:1. [4]
Lower-limb amputees are unable to maintain the characteristic walking patterns of an able-bodied individual due to the removal of some portion of the impaired leg. Without the anatomical structure and neuromechanical control of the removed leg segment, amputees must use alternative compensatory strategies to walk efficiently.
Orthopedic corrective treatments may also manifest into gait abnormality, such as lower extremity amputation, healed fractures, and arthroplasty (joint replacement). Difficulty in ambulation that results from chemotherapy is generally temporary in nature, though recovery times of six months to a year are common.