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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.
Ataxia (from Greek α- [a negative prefix] + -τάξις [order] = "lack of order") is a neurological sign consisting of lack of voluntary coordination of muscle movements that can include gait abnormality, speech changes, and abnormalities in eye movements, that indicates dysfunction of parts of the nervous system that coordinate movement, such as the cerebellum.
Neurologists may ask someone to walk as if they are on a tightrope to bring forth tandem gait. Neurologists sometimes ask patients to walk in a straight line using tandem gait as a test to help diagnose ataxia, especially truncal ataxia, because sufferers of these disorders will have an unsteady gait. Walking in tandem magnifies the unsteadiness.
Truncal ataxia (or trunk ataxia) is a wide-based "drunken sailor" gait characterised by uncertain starts and stops, lateral deviations and unequal steps. It is an instability of the trunk and often seen during sitting. [2] It is most visible when shifting position or walking heel-to-toe. [1]
A balance disorder is a disturbance that causes an individual to feel unsteady, for example when standing or walking. It may be accompanied by feelings of giddiness, or wooziness, or having a sensation of movement, spinning, or floating.
unsteady gait (unsteadiness in walking) muscular rigidity, resistance to passive movements of the limbs ; paralysis of a limb (monoparesis) or a larger area on one side of the body (hemiparesis) paralysis head and eye movements; inability to express oneself linguistically, described as an expressive aphasia (Broca's aphasia)
Walking with an unsteady, uneven, or stiff gait [9] Spastic CP is distinguished from other forms of cerebral palsy by its prominent symptom of spasticity or stiff, tight movements and gait patterns such as the scissor gait. [1] However, spasticity as a symptom is also seen in other conditions such as stroke and multiple sclerosis. [1]
An acquired total inability to stand and walk can be seen in organic neurological diseases, including stroke, Parkinson's disease, damage to the cerebellum, Guillain–Barré syndrome, normal pressure hydrocephalus and many others. In normal pressure hydrocephalus, for example, when the condition remains untreated, the patient's gait becomes ...