Gait Deviations

Antalgic gait

Draft — clinical review required

One limb spends less time in stance than the other, often to limit loading of a painful limb.

Locate — when it occurs

Our event terms, with functional phase names alongside.

  1. Heel strikeInitial contact
  2. Foot flatLoading response
  3. MidstanceMidstance
  4. Heel offTerminal stance
  5. Toe offPre-swing
  6. Feet adjacentInitial swing
  7. Tibia verticalMid swing
  8. Heel strike (next)Terminal swing

Go deeper

Open each part when you are ready.

Observe
  • Asymmetric timing; shorter step of the opposite limb.
Example mechanisms
  • Pain on loading.
  • Weakness or instability of the stance limb.
  • Fear of falling or reduced balance.
  • An observed deviation describes movement; it does not identify a single diagnosis or a single weak muscle.
Possible compensation
  • Reducing time on a painful or unstable limb.
What to examine next
  • Pain on weight bearing.
  • Strength and stability.
  • Balance confidence.
Clinical reasoning sequence
  • Observe → Explain possible causes → Examine → Choose an intervention → Reassess.

Connect — related deviations

Apply it

Shorter stance on the left usually produces…

Sources and review status

Draft — clinical review required

Starting points for verification. Validated protocols are linked where available; clinical content has not yet been reviewed.

Learning objectives
  • Recognize antalgic gait and when it occurs in the gait cycle.
  • Separate the observed movement from a possible cause and from any compensation.
  • Choose examination findings that would help distinguish between causes.