Balance/Gait Disorder

Question 1

What is the TIMED get-up-and-go test?

Answer 1

10 ft turning

Question 2

Test for balances

Answer 2

• side-by-side
• semi-tandem
• full tandem
• Berg balance scale (picking something off floor)

Question 3

Test for mobility

Answer 3

• if using assistive device
  CANE
  Walker

Question 4

Parkinsonian gait

Answer 4

• bradykinesia, rigidity, tremor, postural instability

- “shuffling”“freezing” gait

Question 5

If Parkinsonian-like movement disorder but lack of response to levodopa

Answer 5

Think:

• MSA
• Progresive supranuclear palsy
• Corticobasal degeneration

Question 6

Gait: stumbling, lurching, staggering, wide-based, drunken

Answer 6

Cerebellar ataxia

Question 7

Deviated/veering walk

Answer 7

Vestibular dysfunction

Question 8

Myoclonus occurs with upright posture (leg jerking when upright)

Answer 8

Orthostatic myoclonus

Question 9

MCC of gait disorders

Answer 9

• Sensory deficits

Question 10

Top 3 MCC of gait disorder

Answer 10

• Sensory deficits
• Myelopathy
• Multiple Infarction

Question 11

UMN weakness

Answer 11

[-] toe clearance [+] hip flexor weakness

Question 12

LMN weakness

Answer 12

[+] toe clearance [-] hip flexor weakness

Question 13

Waddling gait, abnonral pelvic tilt

Answer 13

Myopathic gait disorder

Question 14

Antalgic gait

Answer 14

OA, Fx, tendinitis

Question 15

Best Cane position

Answer 15

top of cane at top of greater trochanter or at break of wrist, when held there is 15-degree bend at elbow, best for balance aid