Gait Flashcards

1
Q

What is an apraxic gait and when would it be seen?

A

Marche a petit pas (small shuffling, broad based)

Frontal lobe damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is a waddling gait and when would it be seen?

A

Bends pelvis forward and walks with a waddle (muscle/ hip disease)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is a crossing over/ scissoring gait and when would it be seen?

A

Both feet turned in, walking stiffly on toe, caused by bilateral spasticity (cerebral palsy/ MS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a parkinsonian gait?

A

Small paces, slow and shuffling. Stooped posture, reduced arm swinging (Basal ganglia dysfunction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a hemiplegic gait and when would it be seen?

A

Flexed upper limb and extended lower limb on affected side, patient has to slightly circumduct the foot. Unilateral upper motor neuron lesion (MS/ stroke)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is an ataxic (cerebellar) gait?

A

Broad based with swaying from side to side (drunk)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a high stepping/ footdrop gait and when would it be seen?

A

Patient over flexes hip, lifts knee high and slaps foot down on walking. Possible peripheral neuropathy or peroneal nerve lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is Romberg’s test?

A

Ask P to stand still, feet together, first with eyes open then closed.
Closed: +ve (falling) indications defect in proprioception
Open: +ve (falling) indicates cerebellar lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What should you observe for when assessing gait?

A

Pace size
Foot separation (wide/ narrow/ crossing over)
Coordination of legs
Posture and arm swing
Knee alignment (does one life higher than the other?)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What steps should you take when assessing a patients gait?

A

Ask subject to walk in line
Ask if in pain
If gait normal ask to walk heel to toe
Perform Romberg test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly