Abnormal Gait Syndromes

Question 1

results from numerous causes including going inflammation or injury to muscles, tendon and ligaments of LE

• DECREASE in stance period on involved side in an attempt to eliminate the weight from involved leg and use of injured body part

Answer 1

anatalgic gait

Question 2

toe walking

• patients with SPASTIC DIPLEGIA*
• premature plantar flexion in early stance to midstance

Answer 2

equinus gait

Question 3

results from weakness of gluteus maximus; POSTERIOR THRUSTING of trunk; FORWARD tilt of pelvis and HYPERLORDOSIS OF SPINE

Answer 3

gluteus maximus gait

Question 4

quadriceps weakness from PERIPHERAL NERVE LESION or ______ N, a _____ N root lesion, trauma, etc.

Answer 4

quadricep gait
femoral N
spinal N

Question 5

quadricep weakness requires forward motion to be propagated by ______ each leg; patient leans body toward ____ side to balance the COG

Answer 5

circumducting

other

Question 6

stiff, foot-dragging walk from contracture

-may be unilateral or bilateral UMN lesions

Answer 6

spastic gait

Question 7

UNILATERAL UMN lesion, frequently seen after stroke

Answer 7

spastic hemiplegic gait

Question 8

BILATERAL UMN lesions, (cervical myopathy)

Answer 8

spastic paraplegic gait

Question 9

ataxic gait – unsteady, uncoordinated walk, wide base – is seen in 2 disorders:

Answer 9

cerebellar disease

posterior column disease (sensory ataxic gait)

Question 10

patients with foot drop; weakness or paralysis of the DORSIFLEXOR muscles; patient lifts leg high and then slaps the foot on the floor

Answer 10

steppage gait

Question 11

due to weakness of HIP ABductors (gluteus minimum and medium)
- trunk is thrust laterally in an attempt to keep the COG over stance leg

Answer 11

trendelenburg gait

Question 12

festinating gait; flexed and stooped posture w/ flexion of neck, elbows, etc.
-patient has difficulty initiating movements and walks w/ short steps
“shuffling gait”

Answer 12

parkinsonian gait

Question 13

• non-specific and bizarre gait

- doesn’t conform to any specific organic pattern

Answer 13

hysterical gait

Question 14

calcaneus rests in INVERTED position; _____ contact at heel strike causes ____ joint to rapidly PRONATE

Answer 14

rearfoot varus deformity
lateral
subtalar

Question 15

deformity causes subtalar pronation throughout ______ phase; GREATER ROM; rearfoot is _____ during heel lift; WINDLASS Mechanism DOES NOT happen

Answer 15

forefoot varus deformity
stance
everted