Gait abnormality
From Wikipedia, the free encyclopedia
ICD-10 | R26. |
---|---|
ICD-9 | 781.2 |
DiseasesDB | 15409 |
MedlinePlus | 003199 |
eMedicine | pmr/225 |
Persons suffering from peripheral neuropathy experience numbness and tingling in their hands and feet.
This can cause difficulty in walking, climbing stairs and maintaining balance. Gait abnormality that results from chemotherapy is generally temporary in nature, though recovery times of six months to a year are common.
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[edit] Specific abnormalities and examples of causes
[edit] Antalgic gait
User favors certain motions to avoid acute pain. [1]
[edit] Drunken gait/Cerebellar ataxia
Reeling in a style like that of an intoxicated person. [2]
Cerebellar lesion signs*: DANISH
D - dysdiadochokinesis, dysarthria, difficulty with heel-shin test
A - ataxic gait, increased automatic movements e.g. arm swinging
N - nystagmus, fast phase towards the side of the lesion (ipsilaeral)
I - intention/kinetic tremor
S - slurred, monotonous speech with multisyllabic words pronounced slowly and separately e.g. "hip-po-pot-a-mus"
H - hyptonic limbs and posture
- cerebellar signs are ipsilateral (on the same side of the body as the lesion) and limb symptoms are less the more mid-line the cereballar lesion is (e.g. an infarct next to the centrally placed cereballar vermis)
[edit] Festinating gait/Parkinsonian gait
Patient moves with short, jerky steps. Term derives from Latin "festino", or "to hurry". [3] [4] [5]
[edit] Pigeon gait
Torsional abnormalities. [6]
[edit] Propulsive gait
Stiff, with head and neck bent. [7]
[edit] Steppage gait/High stepping gait
[edit] Scissor gait
Legs flexed slightly at the hips and knees, giving the appearance of crouching, with the knees and thighs hitting or crossing in a scissors-like movement. Often mixed with or accompanied by spastic gait, a stiff, foot-dragging walk caused by one-sided, long-term muscle contraction. Most common in patients with spastic cerebral palsy, usually diplegic and paraplegic varieties. The individual is forced to walk on tiptoe unless the dorsiflexor muscles are released by an orthaepedic surgical procedure. Muscle contractures of the adductors result in thighs and knees rubbing together and crossing in a manner analogous to scissors.
These features are typical, and usually result in some form and to some degree regardless of the mildness or severity of the spastic CP condition.
- rigidity and excessive adduction of the leg in swing
- plantar flexion of the ankle
- flexion at the knee
- adduction and internal rotation at the hip
- contractures of all spastic muscles
- complicated assisting movements of the upper limbs when walking [11].[12]
[edit] See Also
[edit] Sensory ataxia gait/Stomping gait
Uncoordinated walking [13] [14] [15] [16]
- Friedreich's ataxia
- Pernicious anemia
- Tabes Dorsalis (Syphilis)
[edit] Spastic gait
Asymmetric foot dragging. [17] [18]
[edit] Trendelenburg gait
- weakness of the abductor muscles of the lower limb, principally gluteus medius
[edit] Waddling/Myopathic gait
Walking like a duck. [19] [20]