Table 13.4.2
Winter’s classification of the hemiplegic gait
TypeDescription

1

Equinus in swing phase of gait only (e.g. a foot drop). This can be treated with an AFO

2

Equinus throughout the gait cycle, with either toe contact only or toe–heel contact and compensatory hyperextension of the ipsilateral knee

3

Involvement of the hamstrings and rectus is observed and there is increased knee flexion throughout the gait cycle

4

The hip flexors and adductors are affected and internal hip rotation is observed

TypeDescription

1

Equinus in swing phase of gait only (e.g. a foot drop). This can be treated with an AFO

2

Equinus throughout the gait cycle, with either toe contact only or toe–heel contact and compensatory hyperextension of the ipsilateral knee

3

Involvement of the hamstrings and rectus is observed and there is increased knee flexion throughout the gait cycle

4

The hip flexors and adductors are affected and internal hip rotation is observed

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