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Gait abnormality is a deviation from normal walking ().Watching a patient walk is an important part of the neurological examination. Normal gait requires that many systems, including strength, sensation and coordination, function in an integrated fashion.
As a result of this gait impairment, falling is a concern in patients with ataxia. [3] Truncal ataxia affects the muscles closer to the body such as the trunk, shoulder girdle and hip girdle. It is involved in gait stability. [3] Truncal ataxia is different from appendicular ataxia. Appendicular ataxia affects the movements of the arms and legs.
Abnormal gait is a result of one or more of these tracts being disturbed. This can happen developmentally or as the result of neurodegeneration . [ 11 ] The most prominent example of gait irregularities due to developmental problems comes from studies of children on the autism spectrum .
cerebellar ataxia a gait with a broad base; the patient falters to the side of the lesion ; inability to coordinate fine motor activities (intention tremor), e.g. "past-pointing" (pointing beyond the finger in the finger-nose test) inability to perform rapid alternating movements (dysdiadochokinesia), e.g. inability to rapidly flip the hands
Gait deviations are nominally referred to as any variation of standard human gait, typically manifesting as a coping mechanism in response to an anatomical impairment. Lower-limb amputees are unable to maintain the characteristic walking patterns of an able-bodied individual due to the removal of some portion of the impaired leg.
Steppage gait (high stepping, neuropathic gait) is a form of gait abnormality characterised by foot drop or ankle equinus due to loss of dorsiflexion. [1] The foot hangs with the toes pointing down, causing the toes to scrape the ground while walking, requiring someone to lift the leg higher than normal when walking.
Acute cerebellar ataxia of childhood is a childhood condition characterized by an unsteady gait, most likely secondary to an autoimmune response to infection, drug induced or paraneoplastic. [1] The most common viruses causing acute cerebellar ataxia are chickenpox virus and Epstein–Barr virus , leading to a childhood form of post viral ...
The impact of footwear on gait should be considered when assessing children's gait and evaluating the effect of shoe or in-shoe interventions. [ 5 ] Children who go barefoot have a lower incidence of flat feet and deformity while having greater foot flexibility than children who wear shoes.