Gait abnormality
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Usman Ali Akbar, M.B.B.S.[2]
Synonyms and keywords: Gait disturbance
Overview
Complete Differential Diagnosis
- Appendicitis
- Cerebellar lesions
- Cerebral Palsy
- Cerebrovascular disease
- Chondrodystrophia
- Chondromalacia Patellae
- Damage of the symphysis
- Degenerative joint disease
- Discitis
- Drugs
- Dystonia
- Encephalitis
- Foreign body in shoe
- Fredreich's Ataxia
- Hemophilia
- Hernias
- Hydrocephalus
- Leg length discrepancy
- Legg-Calve-Perthes Disease
- Local neoplasm
- Meningitis
- Metastases
- Multiple Sclerosis
- Neuromuscular disorders
- Osgood-Schlatter Disease
- Osteomalacia
- Osteochondritis Dissecans
- Osteomyelitis
- Parkinsonism
- Periostitis
- Poliomyelitis
- Polyneuropathy
- Poorly fitting shoes
- Rickets
- Sensory ataxia
- Septic Arthritis
- Sickle cell Disease
- Somatization Syndrome
- Splinter in foot
- Tabes Dorsalis
- Testicular torsion
- Trauma
- Viral arthritis [1] [2]
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.
Specific abnormalities and examples of causes
Antalgic gait
User favors certain motions to avoid acute pain. [3]
Drunken gait/Cerebellar ataxia
Reeling in a style like that of an intoxicated person. [4]
Festinating gait/Parkinsonian gait
Patient moves with short, jerky steps. Term derives from Latin "festino", or "to hurry". [5] [6] [7]
Pigeon gait
Torsional abnormalities. [8]
Propulsive gait
Stiff, with head and neck bent. [9]
Steppage gait/High stepping gait
Toes point down. [10] [11] [12]
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 [13].[14]
See Also
Sensory ataxia gait/Stomping gait
Uncoordinated walking [15] [16] [17] [18]
- Friedreich's ataxia
- Pernicious anemia
- Tabes Dorsalis (Syphilis)
Spastic gait
Asymmetric foot dragging. [19] [20]
Trendelenburg gait
- weakness of the abductor muscles of the lower limb, principally gluteus medius
Waddling/Myopathic gait
Walking like a duck. [21] [22]
Magnetic gait
Feet seem attached to floor as if by a magnet. In magnetic gait, each step is initiated in a "wresting" motion carrying feet upward and forward. Magnetic gait can be visualized in terms of a powerful magnet being forcefully pulled from a steel plate.
References
See also
External links
Template:Skin and subcutaneous tissue symptoms and signs Template:Nervous and musculoskeletal system symptoms and signs Template:Urinary system symptoms and signs Template:Cognition, perception, emotional state and behaviour symptoms and signs Template:Speech and voice symptoms and signs Template:General symptoms and signs