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Fig. 12.4. Static observation in stance: a, b frontal plane; c sagittal plane

— Reciprocal upper and lower trunk rotation and the arm swing

— The width of the gait base

— Abduction, adduction or circumduction of the hip

— Medio-lateral stability of the knee and ankle

For a manual evaluation of gait, place your hands on the person's pelvis and feel what is happening during unimpeded walking. Your hands go on the iliac crest as though you were resisting pelvic elevation. When evaluating, do not resist or approximate, just feel or assist if necessary (O Fig. 12.5). Gait analysis also includes an evaluation of posture control, for example, equilibrium reactions and fall reactions. We should always check whether the patient's gait performance is at the level of a skill: automatic enough to turn his or her attention completely to the environment and to carry out all kinds of double tasks. Integration of double tasks is always a part of gait training.

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Fire Up Your Core

Fire Up Your Core

If you weaken the center of any freestanding structure it becomes unstable. Eventually, everyday wear-and-tear takes its toll, causing the structure to buckle under pressure. This is exactly what happens when the core muscles are weak – it compromises your body’s ability to support the frame properly. In recent years, there has been a lot of buzz about the importance of a strong core – and there is a valid reason for this. The core is where all of the powerful movements in the body originate – so it can essentially be thought of as your “center of power.”

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