Gait cycle
Classification of the gait cycle involves two main phases: the stance phase and the swing
phase. The stance phase occupies 60% of the gait cycle while the swing phase occupies
only 40% of it.
• Heel Strike- Also known as initial contact, is a short period which begins the moment
the foot touches the ground and is the first phase of double support 30° flexion of
the hip and full extension in the knee is observed. The ankle moves from a neutral
(supinated 5°) position into plantar [Link] this, knee flexion (5°) begins and
increases, just as the plantar flexion of the heel increased.
• Foot Flat- In foot flat, or loading response phase, the body absorbs the impact of the
foot by rolling in [Link] hip moves slowly into extension, The knee flexes to
15° to 20° of flexion. Ankle plantar flexion increases to 10-15°.
• Midstance- the hip moves from 10° of flexion to extension. The knee reaches
maximal flexion and then begins to extend. The ankle becomes supinatedand
dorsiflexed (5°).During this phase, the body is supported by one single leg. At this
moment the body begins to move from forceabsorption at impact to force propulsion
forward.
• Heel-Off- begins when the heel leaves the floor. In this phase, the body weight is
divided over the metatarsal heads. 10-13° of hip hyperextension, occurs which then
goes into flexion. The knee becomes flexed (0-5°)and the ankle supinates and plantar
flexes.
• Toe-Off- or pre-swing phase, the hip becomes less extended. The knee is flexed
35-40° and plantar flexion of the ankle increases to 20.° In toe-off, like the name says,
the toes leave the ground.
• Early Swing / Acceleration - hip extends to 10° and then flexes due to contraction of
the iliopsoas muscle 20° with lateral rotation. The knee flexes to 40-60°, and the
ankle goes from 20° of plantar flexion to dorsiflexion, to end in a neutral position.
• Mid swing- the hip flexes to 30° (by contraction of the adductors) and the ankle
becomes [Link] knee flexes 60° but then extends approximately 30°.
• Late swing / Deceleration - begins with hip flexion of 25-30°, a locked extension of
the knee and a neutral position of the ankle.
An alternative classification of gait: Initial Contact, Loading Response, Midstance, Terminal
Stance , Pre swing, Initial Swing, Mid Swing, Late Swing