Lecture on JAKC Observational Gait Analysis Form

Introduction

• Presenters: Will and Tracy
• Focus on the JAKC Observational Gait Analysis Form from "Observational Gait Analysis: A Visual Guide."
• JAKC stands for the author's initials.
• Known for its color-coded functionality.
  • Blue: Weight Acceptance
  • Yellow: Single Limb Support
  • Red: Swing Phase Advancement

Three Tasks of Gait

• Based on Jacquelin Perry's Gait Analysis
• Functional parts of gait that are often patient complaints
• Simple checkbox format with clinical utility

Phases of Gait

• Eight Phases Defined by Rancho Los Amigos
  • Initial Contact
  • Loading Response
  • Mid Stance
  • Terminal Stance
  • Pre Swing
  • Initial Swing
  • Mid Swing
  • Terminal Swing
• Note: Pre swing is part of swing phase advancement

Ankle Observations

• Initial Contact
  • Forefoot contact
  • Flat foot contact
  • Abbreviated heel contact with inadequate dorsiflexion
• Loading Response
  • Foot slap (audible and visible)
  • Inadequate dorsiflexion
• Single Limb Support
  • Excessive dorsiflexion
• Swing Phase Advancement
  • Contralateral vault (compensatory mechanism for inadequate dorsiflexion)

Calcaneus and Toes

• Excess inversion and eversion, mainly in single limb support
• Inadequate metatarsal-phalangeal extension (MTP X)

Knee Observations

• Inadequate Extension and Flexion
• Single Limb Support
  • Hyperextension vs. Extensor Thrust
  • Wobble: instability in flexion/extension
  • Varus/Valgus thrust
• Swing Phase
  • Inadequate flexion/extension
  • Excess contralateral flexion

Thigh and Hip

• Importance of observing thigh for hip joint issues
  • Medial and lateral rotation in the stance phase
• Abduction, adduction, and circumduction

Pelvis Observations

• Key for gait efficiency
• Single Limb Support
  • Excess anterior tilt
  • Inadequate or excessive backward rotation
• Swing Limb Advancement
  • Trendelenburg patterns, inadequate forward rotation

Trunk Observations

• Forward lean, backward lean, left or right lean

Practice and Application

• Emphasize practice and repeated use of the form
• Practice with case studies and video analysis
  • Utilize slow motion for detailed observations
  • Encouragement to video patients for thorough analysis

Next Steps

• Upcoming video on case study analysis
• Tips for effective use: do not mark what you don't observe and leverage video reviews.