Gait involves a combination of open- and close-chain activities ... A more detailed classification of gait recognizes six phases:
- Heel Strike
- Foot Flat
- Mid-Stance
- Heel-Off
- Toe-Off
- Mid-Swing
[1] Heel Strike --> AKA initial contact, a short period which begins the moment the foot touches the ground and is the first phase of double support.
(heel strike, cont'd).... 30° flexion of the hip and full extension in the knee is observed during HS. The ankle moves from a neutral (supinated 5°) position into plantar flexion
(heel strike, cont'd)....After initial contact knee flexion (5°) begins and increases, just as the plantar flexion of the heel increased which is allowed by contraction of the tibialis anterior.
...extension of the knee is caused by a contraction of the quadriceps, flexion is caused by a contraction of the hamstrings, and the flexion of the hip is caused by the contraction of the rectus femoris.
[2] Foot Flat loading response phase, body absorbs the impact of the foot by rolling in pronation --> hip moves slowly into extension, caused by a contraction of the adductor magnus + gluteus maximus muscles; knee inc to 15° to 20° of flexion. Ankle plantar flexion inc to 10-15°.
[3] Midstance: hip moves from 10° of flexion to extension by contraction of the gluteus medius muscle, knee reaches maximal flexion and then begins to extend.
(midstance, cont'd) During this phase, the body is supported by one single leg. At this moment the body begins to move from force absorption at impact to force propulsion forward.