A Gait Analysis is an evaluation of the manner or style of walking, usually done by observing the feet as it walks or trots in a straight line. The normal forward step consists of two phases: the stance phase, during which one or more legs and feet are bearing most or all of the body weight, and the swing phase, during which the other feet are not touching the walking surface and the body weight is borne by the others. In a complete two-step cycle all feet are in contact with the ground at the same time for about 25% of the time. This part of the cycle is called the double-support phase.

PronationNeutralSupination

An analysis of each component of the three phases of ambulation is an essential part of the diagnosis of various neurological disorders and the assessment of patient progress during rehabilitation and recovery from the effects of a neurological disease, a musculoskeletal injury or disease process, or amputation of a lower extremity.

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Some terms to understand when talking about a gait analysis are listed below.

Pronation is the act of assuming the prone position, or the state of being prone. Applied to the foot, a combination of eversion and abduction movements taking place in the tarsal and metatarsal joints and resulting in lowering of the medial margin of the foot, hence of the longitudinal arch.

Supination is the act of assuming the supine position, or the state of being supine. Applied to the hand, the act of turning the palm forward (anteriorly) or upward, performed by lateral rotation of the forearm. Applied to the foot, it generally implies movements resulting in raising of the medial margin of the foot, hence of the longitudinal arch.

Neutral Pronation is hitting the outside of the heel and ball of the foot evenly across the foot to properly reduce impact on the foot.

Underpronation occurs when more weight is absorbed by the outside of the foot rather than evenly through the foot strike.

Overpronation occurs when there is too much roll on the inside of the foot, consequently distributing the weight and shock of impact more heavily on the inside of the foot rather than evenly throughout the foot as found in Neutral Pronation.