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Gait abnormality

Gait abnormality is a deviation from normal walking (gait). 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. Many common problems in the nervous system and musculoskeletal system will show up in the way a person walks.[1]

Gait abnormality
Other namesAbnormalities of gait
Quadrupedalism in a Kurdish family
SpecialtyNeurology, orthopedics

Presentation and causes edit

Patients with musculoskeletal pain, weakness or limited range of motion often present conditions such as Trendelenburg's sign, limping, myopathic gait and antalgic gait.

Patients who have peripheral neuropathy also experience numbness and tingling in their hands and feet. This can cause ambulation impairment, such as trouble climbing stairs or maintaining balance. Gait abnormality is also common in persons with nervous system problems such as cauda equina syndrome, multiple sclerosis, Parkinson's disease (with characteristic Parkinsonian gait), Alzheimer's disease, vitamin B12 deficiency, myasthenia gravis, normal pressure hydrocephalus, and Charcot–Marie–Tooth disease. Research has shown that neurological gait abnormalities are associated with an increased risk of falls in older adults.[2]

Orthopedic corrective treatments may also manifest into gait abnormality, such as lower extremity amputation, healed fractures, and arthroplasty (joint replacement). Difficulty in ambulation that results from chemotherapy is generally temporary in nature, though recovery times of six months to a year are common. Likewise, difficulty in walking due to arthritis or joint pains (antalgic gait) sometimes resolves spontaneously once the pain is gone.[3][4] Hemiplegic persons have circumduction gait, where the affected limb moves through an arc away from the body, and those with cerebral palsy often have scissoring gait.[citation needed]


See also edit

References edit

  1. ^ Harrison's Principles of Internal Medicine, 16th ed., Ch. 346, Approach to the Patient with Neurologic Disease
  2. ^ Verghese, Joe; Ambrose, Anne F.; Lipton, Richard B.; Wang, Cuiling (2010-03-01). "Neurological gait abnormalities and risk of falls in older adults". Journal of Neurology. 257 (3): 392–398. doi:10.1007/s00415-009-5332-y. ISSN 0340-5354. PMC 2838981. PMID 19784714.
  3. ^ . Selmanholman.com. Archived from the original on 2014-07-14. Retrieved 2014-06-10.
  4. ^ ICD-9-cm Chrisenders May 21, 2005, at the Wayback Machine

External links edit

  • Videos of various abnormal gaits

gait, abnormality, deviation, from, normal, walking, gait, watching, patient, walk, important, part, neurological, examination, normal, gait, requires, that, many, systems, including, strength, sensation, coordination, function, integrated, fashion, many, comm. Gait abnormality is a deviation from normal walking gait 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 Many common problems in the nervous system and musculoskeletal system will show up in the way a person walks 1 Gait abnormalityOther namesAbnormalities of gait source source source source Quadrupedalism in a Kurdish familySpecialtyNeurology orthopedics Contents 1 Presentation and causes 2 See also 3 References 4 External linksPresentation and causes editPatients with musculoskeletal pain weakness or limited range of motion often present conditions such as Trendelenburg s sign limping myopathic gait and antalgic gait Patients who have peripheral neuropathy also experience numbness and tingling in their hands and feet This can cause ambulation impairment such as trouble climbing stairs or maintaining balance Gait abnormality is also common in persons with nervous system problems such as cauda equina syndrome multiple sclerosis Parkinson s disease with characteristic Parkinsonian gait Alzheimer s disease vitamin B12 deficiency myasthenia gravis normal pressure hydrocephalus and Charcot Marie Tooth disease Research has shown that neurological gait abnormalities are associated with an increased risk of falls in older adults 2 Orthopedic corrective treatments may also manifest into gait abnormality such as lower extremity amputation healed fractures and arthroplasty joint replacement Difficulty in ambulation that results from chemotherapy is generally temporary in nature though recovery times of six months to a year are common Likewise difficulty in walking due to arthritis or joint pains antalgic gait sometimes resolves spontaneously once the pain is gone 3 4 Hemiplegic persons have circumduction gait where the affected limb moves through an arc away from the body and those with cerebral palsy often have scissoring gait citation needed See also editAtaxia Foot drop Gait Abnormality Rating Scale LimpReferences edit Harrison s Principles of Internal Medicine 16th ed Ch 346 Approach to the Patient with Neurologic Disease Verghese Joe Ambrose Anne F Lipton Richard B Wang Cuiling 2010 03 01 Neurological gait abnormalities and risk of falls in older adults Journal of Neurology 257 3 392 398 doi 10 1007 s00415 009 5332 y ISSN 0340 5354 PMC 2838981 PMID 19784714 Gait Abnormality Coding Checklist by Jun Mapili PT MA13212503469Ed Selmanholman com Archived from the original on 2014 07 14 Retrieved 2014 06 10 ICD 9 cm Chrisenders Archived May 21 2005 at the Wayback MachineExternal links editVideos of various abnormal gaits Retrieved from https en wikipedia org w index php title Gait abnormality amp oldid 1191848890, wikipedia, wiki, book, books, library,

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