As a Massage Therapist, I have always struggled with assessing patients. As I grow in my field, I am finding that assessments can be a fantastic tool for both physician & patient, as it can help majority of patients to see progress/change that they otherwise might have missed. So i THANK YOU very much for making these short, helpful tutorials. I would love to see you guys do a video on your favorite assessments to do on patients from different scenarios (ie, car accidents, athletes, certain professions, elderly, disabled, children, etc). Keep up the great work of teaching such valuable info to the world!
It was easy to understand. Thank you for explaining it so well. A great introductory video. Is there one that says which muscles are activated in certain phases? I appreciate your work!
Hi bcoledoe, thanks and good to hear! We don´t have any videos addressing further individual components, what are you interested in exactly? Maybe it´s a good idea for a future video...
I've had issues really grasping muscles that are activated during each phase and the type of activation. If you all could make a video addressing those two aspects, that would be great!
Seems like your anser got somewhere lost - so sorry for the late answer! That´s a great idea! What we have in mind is to definitely do another video for the Gait Cylce with taped joints so you can see how many degrees of movement are happening per joint. Muscles will be harder to show ourselves, but it might be a video in which we explain more than that we show!
@@bcoledoe which muscle are engaged or not becomes almost irrelevant if one can not read the correct articulation and lesions( for that matter) of sulcuces, the main locomotion how pelvis works.
left hip replacement in January 25th . off walker now using a cane .when I get up from sitting to standing it feels like a baby learning to walk all over again. Marie
Thanks you for the video ! I tried to use the gait analysis doc of Nijmehen. As you mention it in 4:50, they talk about knee flexion in the stance phase but I don't understand why ? (in the doc they say it's in the early stance phase). For me flexion occurs only in the swing phase.
Thank you for making videos. I've been preparing for my NPTE exam and all of your videos have been a great resource. I especially like the reference to evidence discovered. Thanks again.
Excellent video. It contained all of the information that I needed to understand the basics of the gait cycle and gait analysis. Thank you for sharing!
I'd like you to do a video of a modern gait analysis machine (laser version) and explain what happens - or what action is taken - AFTER the gait analysis has been completed. Who gets the information, and what do they do with it? For example, I have a child with CP. He has a definite problem with his gait, and his right ankle displays distinct plantarflexion. How would the gait analysis help? Would the test maker normally be a Physio who would the make direct recommendations? Or are they normally only an operator who sends the information to the patient's own physio team to assess? And finally, are all Physios adept at deciphering this detailed information? Thank you.
Help please, our adopted daughter has been a tippy-toe walker ever since she could walk...we have had her ever since she was removed from her biological parents at 3 months of age, neglected, failure to thrive), not deliberately, but due to their own developmental delays. As such, Early Intervention assessed her, remarked at how she employed pinch grip whereas most toddlers used hands in a game-like fashion...however they expressed concern over tippy-toe gait, said it can be indicative of CP or autism..., so EI specialist came and rearranged our coffee table very close to the couch and dropped her little toys around and behind it and observed her navigation and remarked how she tippy-toed retrieving her toys, but how tippy-toe'ing didn't slow her down in the least. Early Intervention reassessed her at age 3 right before adoption and the therapist asked her why she walked tippy-toe, why she didn't walk like mommy & daddy, and as she replied, she showed the therapist that when she tippy-toed, it made a certain spot in her thigh feel better, and the therapist noted that when she stood tip-toe, it forced her criss-crossed toes to undo, they literally uncrossed as tippy-toe'ing flattened them out...and she pointed to the muscle in her quads, the muscle our fingertips reach when standing. So the Therapist was then able to ruled-out CP & autism. Over the years her toes have uncrossed, yet she continues to tippy-toe but no one has been able to account for it, she's almost 10. No amount of scolding or reminding gets her to stop. She CAN walk normally (heel strike, etc),, there's nothing that stops her, and she corrects herself when we tell her, but it only lasts for as long as she remains conscious to do so, but as soon as she's engaged playing or talking, she's resumes tippy-toe'ing. About 4 or 5 times over the years she's complained about her Achilles tendon in the back of her ankle hurting, so all I can explain to her is that walking tiptoe is like being in high heels all the time, and switching to flat shoes: it can be really painful as the Achilles tendon was shortened by the feet being on their toes for so long, and suddenly changing to flats is painful as it's being stretched, but even that intermittent pain doesn't incentivize her to stop tippy-toe'ing. Her pediatrician doesn't seem too disturbed by any of it. Can I ask for your feedback, I'd hate to be missing a window of opportunity as my sister did, not getting a scoliosis corrected whilst her daughter was young. Thank you!
if somebody is walking on their tippy toes they might have issues with doris flexion and if they walk on their heels they may have issues with plantarflexion right?
+My Pearl just answered you on Facebook already. 1. We are not educated in PNF, but are trying to find someone who is able to teach that. 2. No idea how PNF increases lung volume. We assume by means of lengthening/stretching shortened scalenes+pecs etc.?
Great video. Question, how hard are you supposed to push with the toes during 'toe off'? Should the propulsion come from the toes or muscles further up the chain?? Thanks
Thansk Bolopolop! For running performance we are not sure how much active push-off should be done to be honest as we are not specialized in running. However, most of the energy for toe-off should come from elastic energy that is saved within the plantar fascia that is first stretched maximally and then released at toe-off. We call that the "Windlass mechanism" if you are interested in further reading.
Hi.. well explained basics. Would appreciate some more information on windlass mechanism also if you could please share some case impaired gait and it's analysis. thankyou
I believe they're stating NA (not applicable) when analyzing a full stride and then extension limitation might not be of concern in either the L or R leg for a certain phase
@@Physiotutors I found it, it was the picture of the gait cycle. Thank you for the video! Made it easy to understand, it looks more difficult when reading it from a book.
Thank you so much, this video is really educational. Is there a chance to add english subtitles? I'm from Turkey and it is easier to read than to listen :) but it is not problem though. (sorry for grammar.)
You´re welcome! It´s one of the many plans that we have for the future to add subtitles in different languages (maybe also Turkish) so people from all over the world can understand our videos better!
We have worked with free software called "Kinovea" to analyze joint angles during gait. This is not very sophisticated but gives students a good insight in the topic. Other than that we have not.
We have checked the SIMI marker less motion tracking system in November at the Medica Expo in Düsseldorf. If you check our second channel: PhysiotutorsTV you can watch a segment on that The link to the channel is on our channel page in the featured section or on tv.physiotutors.com
I think Gait analysis is very important. Thank you for your video. And I have a question. I think...his gait is abnormal gait (Lt. lower limb)...isn't it?? he has a limp of Lt. Lower limb.
It can have a variety of reasons, similar to knee cracking: th-cam.com/video/NQOZZgh5z8I/w-d-xo.html If the click comes with the pain, we'd recommend to see a local health professional to evaluate your personal situation.
Yes. It's often that patients rather worry about the clicking, although it's very common and not due to any wear and tear in a joint, especially in the younger population. If you are worrying, we'd also say go see a health professional.
There can be a multitude of cause why the elderly are at increased risk of falling: Loss of muscle strength Co-morbidities that affect balance (worse eye sight, vestibular pathology, peripheral neuropathy from diabetes, etc) Reduced ROM Don’t know what you mean with off balanced weight
@@Physiotutors Physiotutors Thank you for your response,it helps. I mean the weight of one leg shifting from the stance to the swing phase to the other leg.
As a Massage Therapist, I have always struggled with assessing patients. As I grow in my field, I am finding that assessments can be a fantastic tool for both physician & patient, as it can help majority of patients to see progress/change that they otherwise might have missed. So i THANK YOU very much for making these short, helpful tutorials. I would love to see you guys do a video on your favorite assessments to do on patients from different scenarios (ie, car accidents, athletes, certain professions, elderly, disabled, children, etc). Keep up the great work of teaching such valuable info to the world!
+mitsk2002 hey, you're welcome! Most assessments can be used in all patient categories with musculoskeletal problems.
Coming from someone with exercise science and physical therapy background, you did a great job here, thorough and complete.
Appreciate the kind words!
everytime i look through rehab videos you guys are my first choice
I have never seen better explanation ! Very easy to understand!
Wow, thanks for this great compliment!
This is a GREAT video!!! Simple, direct, clean, demonstrative, labeled...... Really well designed and directed. Thanks so much for this.
+Gina McDade thank you Gina! That's what we strive for! Thank u for following!
+Gina McDade thanks for the comment !
Physio Tutors are the best! Cheers from DPT students all around the world!
Thanks JT, appreciate it!!!
This is a very comprehensive description. Thank you for this!
glad you enjoyed it!
This helped a LOT more than when I just tried to google the image and learn from that. lol. THANKS!
Great to hear! Maybe you have friends or colleagues that might benefit from the video just as much as you did.
It helped me as well
This is the best description of the gait cycle I have been given to see. It is very clear and precise. Thanks a lot for this video !! :o)
+Emilie B. Thanks a lot for your feedback! Share it with someone who would appreciate it as well and make sure to subscribe for more content
It was easy to understand. Thank you for explaining it so well. A great introductory video. Is there one that says which muscles are activated in certain phases? I appreciate your work!
We thought about making such a video, but it's not easy to do
thanks alot guys
i have tomorrow an exam on the gate cycle you helped alot
+Nimrod Weissberg Good luck!
Happy to hear that! We hope the exam went well
Vielen Dank euch für die tollen Videos, für meine Abschlussprüfung in 7 Wochen kann ich super damit lernen 🙏🏼
You guys explained the gait cycle very clear. I am no longer confused :) Would you happen to have a video addressing each individual component?
Hi bcoledoe, thanks and good to hear! We don´t have any videos addressing further individual components, what are you interested in exactly? Maybe it´s a good idea for a future video...
I've had issues really grasping muscles that are activated during each phase and the type of activation. If you all could make a video addressing those two aspects, that would be great!
Seems like your anser got somewhere lost - so sorry for the late answer! That´s a great idea! What we have in mind is to definitely do another video for the Gait Cylce with taped joints so you can see how many degrees of movement are happening per joint. Muscles will be harder to show ourselves, but it might be a video in which we explain more than that we show!
@@bcoledoe which muscle are engaged or not becomes almost irrelevant if one can not read the correct articulation and lesions( for that matter) of sulcuces, the main locomotion how pelvis works.
left hip replacement in January 25th . off walker now using a cane .when I get up from sitting to standing it feels like a baby learning to walk all over again. Marie
Thanks you for the video !
I tried to use the gait analysis doc of Nijmehen. As you mention it in 4:50, they talk about knee flexion in the stance phase but I don't understand why ? (in the doc they say it's in the early stance phase). For me flexion occurs only in the swing phase.
Thank you for making videos. I've been preparing for my NPTE exam and all of your videos have been a great resource. I especially like the reference to evidence discovered. Thanks again.
+Jamie Galindo great to hear! Hope everything went well with ur exam or is gonna go well! You're welcome!
very well made. Thank you for helping me understand the gait cycle further.
really thank you for this professional video ..
you help me very much in my osce exam 😊
your videos so clear for medical student
+Azal Zuheir Nicht worries Azal! Glad to hear our videos make ur studies easier! That's our goal!
Thanks for the video. Very helpful!
Thank you for the video! Very easy to understand.
+Angel Garcia great to hear!
Thanks a lot. I've downloaded the Gait analysis form.. 👍.
I'm studying OT and this is an amazing video, THANK YOU :D
i realize I'm kind of off topic but do anybody know a good site to stream newly released tv shows online ?
@Krew Cesar flixportal :)
@Nova Terrance Thanks, I went there and it seems to work :) I appreciate it !
@Krew Cesar no problem :)
Very informative video specially the reliability article that was added for evidence. Thank you.
+Pamela D'Silva we're glad you liked the video!
Thank you very much
Really guys you described it very well can you make another one about pathologic gait
Thanks a lot Ebtehal! It's on our list, but it would be better to observe this in real patients than that we fake it!
Great video, this was so helpful
Happy to hear Kiefer!
Thanks for the video, do you have more similar videos about "Case Study Review"? Or do you know where can I find more similar videos?
this is what I've been searching for
+ruanbruce glad you found it!
Thank you guys you are the BEST
Appreciate It 😊
Excellent video. It contained all of the information that I needed to understand the basics of the gait cycle and gait analysis. Thank you for sharing!
Thanks a lot for your comment! Very glad you found what you needed!
Very helpful video! I will use it with my students. Thanks!
+Scott Melius Good to hear! Feel free to recommend them our channel ;)
Explained very well. Greatly needed this reminder.
Thanks Ashley, happy to help!
I'd like you to do a video of a modern gait analysis machine (laser version) and explain what happens - or what action is taken - AFTER the gait analysis has been completed. Who gets the information, and what do they do with it? For example, I have a child with CP. He has a definite problem with his gait, and his right ankle displays distinct plantarflexion. How would the gait analysis help? Would the test maker normally be a Physio who would the make direct recommendations? Or are they normally only an operator who sends the information to the patient's own physio team to assess? And finally, are all Physios adept at deciphering this detailed information? Thank you.
this was nicely and clearly explained.
Happy to hear Marmite! Thanks for following us!
Help please, our adopted daughter has been a tippy-toe walker ever since she could walk...we have had her ever since she was removed from her biological parents at 3 months of age, neglected, failure to thrive), not deliberately, but due to their own developmental delays. As such, Early Intervention assessed her, remarked at how she employed pinch grip whereas most toddlers used hands in a game-like fashion...however they expressed concern over tippy-toe gait, said it can be indicative of CP or autism..., so EI specialist came and rearranged our coffee table very close to the couch and dropped her little toys around and behind it and observed her navigation and remarked how she tippy-toed retrieving her toys, but how tippy-toe'ing didn't slow her down in the least. Early Intervention reassessed her at age 3 right before adoption and the therapist asked her why she walked tippy-toe, why she didn't walk like mommy & daddy, and as she replied, she showed the therapist that when she tippy-toed, it made a certain spot in her thigh feel better, and the therapist noted that when she stood tip-toe, it forced her criss-crossed toes to undo, they literally uncrossed as tippy-toe'ing flattened them out...and she pointed to the muscle in her quads, the muscle our fingertips reach when standing. So the Therapist was then able to ruled-out CP & autism. Over the years her toes have uncrossed, yet she continues to tippy-toe but no one has been able to account for it, she's almost 10. No amount of scolding or reminding gets her to stop. She CAN walk normally (heel strike, etc),, there's nothing that stops her, and she corrects herself when we tell her, but it only lasts for as long as she remains conscious to do so, but as soon as she's engaged playing or talking, she's resumes tippy-toe'ing. About 4 or 5 times over the years she's complained about her Achilles tendon in the back of her ankle hurting, so all I can explain to her is that walking tiptoe is like being in high heels all the time, and switching to flat shoes: it can be really painful as the Achilles tendon was shortened by the feet being on their toes for so long, and suddenly changing to flats is painful as it's being stretched, but even that intermittent pain doesn't incentivize her to stop tippy-toe'ing. Her pediatrician doesn't seem too disturbed by any of it. Can I ask for your feedback, I'd hate to be missing a window of opportunity as my sister did, not getting a scoliosis corrected whilst her daughter was young. Thank you!
*rake-like
Wonderful explanation!
Thank you so much
Thanks 😊
🤩🤩🤩🤩🤩Thank you doctor for the wonderful explanation
great video
This helped me so much. Thanks.
Hi there, brilliant video, I can’t find where the links are, you have explained it’s in the description but can’t find them… thanks
Very nice and comprehensive video on the subject I like it
appreciate it
Thanks! Very Clear Explanation!
You're welcome Eugenia! Thanks a lot for following!
Unfortunately, the scheme link to view the overview doesn't work anymore
Need more videos like this! THANK YOU.
+Aphinya Mankhong Glad you like the video! Any recommendation what you would like to see from us in the future?
영어로된 영상이지만 보행에 대해 배운내용들이라서 흥미있었습니다!
Helpful... thank you
Thank you, this is what I needed. After injury I have incorrect step stereotype. How could I analyse and correct it?
Would advise you to seek the help of a local physio or to get in touch with our partner from yourphysio.online
Thank you for all your research based videos, you guys are doing an amazing job!
Thanks for watching!
Thanks for the upload !!
No problem!
This is so clear now! Thank you!
+Livingthedream Forever thanks for your feedback
Many thanks, very informative
Very welcome
physio boys Great job you are doing
Thanks Abdullah, appreciate it!
Thank you for the linked literature with the gait analysis form
You're welcome Justin! We always try to provide additional value to the videos in the form of evidence, so we are happy you appreciate that!
i found this very useful! Thank you!
+K Nguyen thanks a lot
Great video, great references attached. Love the slow-mo, really helps. This is a very useful assessment for various patient populations. Thanks guys.
Rivaldo has but I think Zidane as well
Very nyc and useful...Sir please upload kinetics and kinematics of joints..
Happy to hear Yaswahnth...it's on our list, but these videos are a lot of effort, so we'll see!
if somebody is walking on their tippy toes they might have issues with doris flexion and if they walk on their heels they may have issues with plantarflexion right?
could you please share me a video on
1.PNF techniques
2.increasing lung volumes and lung capacity in copd using pnf
+My Pearl just answered you on Facebook already.
1. We are not educated in PNF, but are trying to find someone who is able to teach that.
2. No idea how PNF increases lung volume. We assume by means of lengthening/stretching shortened scalenes+pecs etc.?
Actually using this for my class lecture tomorrow guys ;)
Love your videos mate. What's the predominant anatomical movement of the body during gait?
i wished i watched this before my exam but really good rehash.. do you have one with the muslces involved in gait cycle... i always get confused...
Hey thanks for the feedback! We don't have a video of that (yet).
Thank you so much this is so helpful !
+Raghad lyfe glad you like it!
Great video thank you very much for posting it helped a lot. I never post comments on TH-cam but this was great!
+BattleCata3 thanks a lot for your rare comment then :)
Why wasn't dorsiflexion mentioned? Or does an apparent reduced DF more so come from reduced knee flexion/extension.
Good question, would have to re read the paper
I love this video but I can’t download the article 😢 ‘cause the link it’s Not found
Will Update
Great video. Question, how hard are you supposed to push with the toes during 'toe off'? Should the propulsion come from the toes or muscles further up the chain?? Thanks
Thansk Bolopolop! For running performance we are not sure how much active push-off should be done to be honest as we are not specialized in running.
However, most of the energy for toe-off should come from elastic energy that is saved within the plantar fascia that is first stretched maximally and then released at toe-off.
We call that the "Windlass mechanism" if you are interested in further reading.
Physiotutors I'll check it out for sure. thanks for the response
It was quite helpful.... Thank you .... Keep adding more videos... And "subscribed"😊
+Irum Iqbal Nice! Thanks for the sub!
Hi.. well explained basics. Would appreciate some more information on windlass mechanism also if you could please share some case impaired gait and it's analysis.
thankyou
+Payal Khanna please search our channel for the windlass test
Thanks for your compliments
Regarding the Nijmegen table, why is point 11 about absent knee extension different for left and right?
I believe they're stating NA (not applicable) when analyzing a full stride and then extension limitation might not be of concern in either the L or R leg for a certain phase
Can you do a female specific gait analysis? Is it adjusted for uneven weight distribution, elevated centre of gravity, hips movement...etc?
+E F the phases will essentially be the same
Hi guys,
Just to let you know that the links for the gait phases and the Gait Analysis Form on the App are dead. Could you check it out please? Thanks
It's fixed or at least works when we try it.
You are the best
AMAZING just amazing thanks. this helped me a lot!!!
Glad to hear Mélanie!
The video is useful
Thank you
Where is the picture? Is it part of the app?
Yes, it's included in the app.
Which picture are you looking for?
@@Physiotutors I found it, it was the picture of the gait cycle. Thank you for the video! Made it easy to understand, it looks more difficult when reading it from a book.
Amazing work physiotherapist
where is your Base ?
Thanks a lot!
We are based in Amsterdam, The Netherlands. Cheers!
+Physiotutors
Keep on the amazing work and always make new videos on physiotherapy treatments.
+Physiotutors
Keep on the amazing work and always make new videos on physiotherapy treatments.
Aldridge Asurajah thanks for the kind words! Much appreciated and we will for sure keep posting videos
Thank you for the video. Can you recommend a link to a simple and straightforward list/explaination of muscle and sensory work during gait?
Ur Welcome. Wouldn't know where to find such a list besides books on biomechanics
Thank you sooo much!
You’re welcome Jewel
You are the best.. thanks for your efforts ..
Thanks a lot Toqa, we do our best!
I reallly learn alots I want to say شكرااااااااا
+jana aaa Nice, spread the word!;)
Thank you so much, this video is really educational. Is there a chance to add english subtitles? I'm from Turkey and it is easier to read than to listen :) but it is not problem though. (sorry for grammar.)
You´re welcome! It´s one of the many plans that we have for the future to add subtitles in different languages (maybe also Turkish) so people from all over the world can understand our videos better!
Can this walk be corrected?
Thanks for the video
Sir
Cheer~~~a person's manner of walking.😊
can you post like for that picture?
thanks!
are you also using motion analysis systems, mabye some experience in markerless?
We have worked with free software called "Kinovea" to analyze joint angles during gait. This is not very sophisticated but gives students a good insight in the topic. Other than that we have not.
We have checked the SIMI marker less motion tracking system in November at the Medica Expo in Düsseldorf.
If you check our second channel: PhysiotutorsTV you can watch a segment on that
The link to the channel is on our channel page in the featured section or on tv.physiotutors.com
Awesome video man! Thanks a lot!
Happy to hear Omer!
can i ask.. what is your tool to measure the joint range during running ?
we answered you on Facebook
yes . again thank you
Hi all. Is there any video from physiotutors explaining pathological aspects of the gait?
Nope, not yet
What might contribute to early toe off? Great video btw
you mean early as in "too early"? Can be many factors like reduced hip extension for example.
I think Gait analysis is very important.
Thank you for your video.
And I have a question.
I think...his gait is abnormal gait
(Lt. lower limb)...isn't it??
he has a limp of Lt. Lower limb.
Nothing wrong here.
Thank you for your answer.
I was wrong.
thank you very much this has helped a lot with my studies
Good to hear, Lauren! That’s what we strive for !
Great video really. Is there any walking gait issue that would cause a big toe to loudly click with most steps? Happens to my left big toe. Thanks :-)
It can have a variety of reasons, similar to knee cracking: th-cam.com/video/NQOZZgh5z8I/w-d-xo.html
If the click comes with the pain, we'd recommend to see a local health professional to evaluate your personal situation.
Physiotutors Thanks for the reply. Is it fair to say that if it's not painful it's not necessarily a problem?
Yes. It's often that patients rather worry about the clicking, although it's very common and not due to any wear and tear in a joint, especially in the younger population.
If you are worrying, we'd also say go see a health professional.
Physiotutors Lovely. Once more, thanks for replying :)
+Bolopolop nog worries
my stance phase is very short and i can not take my leg behind. what should I do ?
Can the off balanced weight cause older patients to fall? Are the patients falling because of the off balance in each stance?
There can be a multitude of cause why the elderly are at increased risk of falling:
Loss of muscle strength
Co-morbidities that affect balance (worse eye sight, vestibular pathology, peripheral neuropathy from diabetes, etc)
Reduced ROM
Don’t know what you mean with off balanced weight
@@Physiotutors Physiotutors Thank you for your response,it helps. I mean the weight of one leg shifting from the stance to the swing phase to the other leg.
Great video! Very informative for a beginner like myself. Thank you!!!
Awesome! glad you liked it!
thank you .
+Marie Calhoun You´re welcome!
Where can I download the overview picture?
In the description: www.physiotutors.com/wp-content/uploads/2016/01/Gait-Phases.pdf
Sir pls tell what is the process of obtaining skeleton sequence?
Sorry but we don't understand your question. Could you elaborate?
Thnk you for this video 🙂