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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.
Gait freezing, also called motor blocks, is a manifestation of akinesia. [1] Gait freezing is characterized by a sudden inability to move the lower extremities which usually lasts less than 10 seconds. [1] It may worsen in tight, cluttered spaces, when attempting to initiate gait or turning around, or when approaching a destination. [1]
Parkinsonian gait (or festinating gait, from Latin festinare [to hurry]) is the type of gait exhibited by patients with Parkinson's disease (PD). [2] It is often described by people with Parkinson's as feeling like being stuck in place, when initiating a step or turning, and can increase the risk of falling. [ 3 ]
Gait is the way in which you walk. While everyone’s gait differs, you may develop an abnormal gait due to illness, injury, genetics, or issues with your legs or feet.
Myopathic gait (or waddling gait) is a form of gait abnormality. The "waddling" is due to the weakness of the proximal muscles of the pelvic girdle. [1]
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 .
Gait. Ask the patient to walk a short distance, turn and then walk back. Observation: looking for symmetry, smoothness of movement, normal stride length, pelvic tilt, arm swing, normal heel strike, stance, toe-off, swing through and ability to turn with ease. Note any antalgic, trendelenburg, hemiplegic or parkinsonian gait features.
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.