Gait

Question 0

Antalgic gait - cause, observation

Answer 0

Cause - pain

Observation - less time spend on painful leg

Question 1

Gait types

Answer 1

DAFT CHAP

1. Diplegic
2. Ataxic
3. Footdrop
4. Trendelenburg
5. Choreiform
6. Hemiplegic
7. Antalgic
8. Parkinsonian

Question 2

Ataxic gait - cause, observation

Answer 2

Cause - cerebellum injury or sensory deficit
Observation - unsteady trunk, broad base
Exacerbate with heel-toe walking

Question 3

Choreiform gait - cause, observation

Answer 3

Cause - HD, Sydenham’s chorea (in RF)

Observation - jerky, involuntary movements of all extremities

Question 4

Diplegic gait - cause, observation

Answer 4

Cause - cerebral palsy
Observation - bilateral spasticity in all extremities, very narrow base, adduction of knees, dragging of both legs and scraping of toes

Question 5

Drop foot - cause, observation

Answer 5

Cause - dorsiflexor weakness/damaged peroneal nerve

Observation - forefoot cannot be raised, high stepping gait to clear toes. Foot may slap the ground

Question 6

Trendelenburg gait - cause, observation

Answer 6

Cause - weakness of gluteus medius

Observation - lurching toward affected hip

Question 7

Hemiplegic gait - cause, observation

Answer 7

Cause - stroke

Observation - unilateral weakness, leg in extension and foot plantarflexed. Weak leg circumducts due to foot drop

Question 8

Parkinsonian/festinating gait - cause, observation

Answer 8

Cause - PD, other basal ganglia disease
Observation - bradykinesia, tremor, rigidity, small shuffling steps with difficulty initiating. Difficulty with stopping as well, tendency to accelerate (festinating)