The nurse notes when the patient enters the room for the physical examination, there is unsteadiness...

The nurse notes when the patient enters the room for the physical examination, there is unsteadiness during the weight-bearing stance phase of walking, which accounts for approximately 60 % of the walking cycle with one joint area having the most influence on the patient’s gait. Therefore, which of the following areas should the nurse primarily focus her assessment on? A. Feet B. Ankles C. Knees D. Hips

Expert Solution

Antalgic Gait

Is a gait (A manner of walking) that develops as a way to avoid pain while walking.It is a form of gait abnormality where the stance phase of gait is abnormally shortened relative to the swing phase.

Antalgic gait due to knee pain presents with decreased weight bearing on the affected side. The knee remains in flexion and possible toe weight-bearing occurs during stance phase.
Antalgic gait due to hip pain results in reduced stance phase on that side. The trunk is propelled quickly forwards with the opposite shoulder lifted in an attempt to even the weight distribution over the limb and reduce weight-bearing. Swing phase is also reduced.
Antalgic gait due to ankle pain may present with a reduced stride length and decreased weight bearing on the affected limb. If the problem is pain in the forefoot then toe-off will be avoided and heel weight-bearing used. If the pain is more in the heel, toe weight-bearing is more likely. General ankle pain may result in weight-bearing on the lateral border.

Nightingale answered 2 years ago

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