Gait Basics
Gait Disorders & Causes
Rancho Levels I-IV
Rancho Levels V-VII
Rancho Levels VIII-X
100

Gait deviation caused by pain with shortened stance phase.

Antalgic gait

100

Steppage gait results from weakness in which muscle group?

Ankle dorsiflexors

100

Level I is described as what type of response?

No response

100

Level V patients often make up stories, known as what?

Confabulation

100

Which is the first level with consistent orientation to person, place, and time?

Level VIII

200

The gluteus medius weakness leads to which gait?

Trendelenburg gait

200

Parkinsonian gait is marked by what involuntary acceleration?

Festination

200

Level II responses are best described as ________.

Generalized, inconsistent, same regardless of stimulus

200

Level VI patients remember old tasks but not _______.

New tasks

200

At Level VIII, patients use this tool to aid memory.

memory devices 

300

Which gait is also called "gluteus maximus gait"?

Posterior lurch gait

300

Scissoring gait is most often seen in this condition.

Cerebral palsy

300

A patient turns toward sound and withdraws from pain. Which level?

Level III (Localized Response)

300

At Level VI, attention span is typically how long?

Up to 30 minutes

300

A Level IX patient can switch between tasks but needs help with what?

Anticipating problems/consequences

400

Which gait requires toe-walking on the sound limb to clear the opposite leg?

Vaulting gait

400

Circumducting gait can be caused by weakness of this muscle group

Hip flexors

400

Level IV is marked by this kind of behavior.

Confused/agitated, hyperactive, non-purposeful

400

Daily routines performed automatically but without safety insight describe which level?

Level VII (Automatic, Appropriate)

400

Modified independence with extra time or compensatory strategies is which level?

Level X

500

Broad-based, irregular walking pattern from cerebellar dysfunction.

Ataxic gait

500

Hyperkinetic gait is associated with damage to which brain area?

Basal ganglia

500

Which level has absent short-term memory and incoherent speech?

Level IV

500

A patient appears normal on the surface but has poor recall and judgment. Which level?

Level VII

500

Even at Level X, patients may still struggle with these emotional factors.

Depression, low frustration tolerance under stress

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