Gait Flashcards
What age should gait start to resemble that of an adult?
3 years
How is the gait of a toddler described?
Broad based High-stepped Flat-footed Legs = externally rotated Arms outstretched
What age does heel strike develop?
15-18 months
What are normal gait variants?
Toe walking - up to 3 years
In-toeing - 3-8 years
Metatarsus adductus - up to 6 years
Bow legs - up to 18 months
Knock-knees - up to 7 years
Flat feet - up to 6 years
What are the abnormal gaits in children?
Antalgic gait Circumduction gait Spastic gait Ataxic gait Trendelenburg gait Stepping gait
What is an antagic gait?
‘Limp’
Reduced time spent weight bearing on affected side
What may cause an antalgic gait?
Trauma
Juvenile idiopathic arthritis
What is a circumduction gait?
Excessive hip abduction as the leg swings forward
What may cause a circumduction gait?
Leg length discrepancy
JIA
Unilateral spasticity
What is a spastic gait?
Stiff
Foot-dragging
Foot inversion
When is a spastic gait seen?
UMN disease
What is an ataxic gait?
Instability with an alternating narrow to wide base
What can cause an ataxic gait?
Ataxic cerebral palsy affecting the cerebellum
What is a Trendelenburg gait?
While weight bearing on ipsilateral side, contralateral pelvis drops
What can cause a Trendelenburg gait?
Hip abductor weakness
Hip pain
Perthes disease
SUFE
Developmental dysplasia
