gait analysis in neurology part 2

Question 1

before assessing gait, what things would you look at?

Answer 1

-observe the patient
-measure - tone, ROM, power
-feel
-neuro ax- proprioception, sensation+ co-ordination
-outcome measures

Question 2

what are the 4 purposes of trunk lean as a compensation in gait?

Answer 2

-compensate for LL weakness
-decrease in joint + muscle pain
-compensate for contracture
-a motor for advancement where there is global weakness

Question 3

what are the features o drop foot?

Answer 3

-lack of heel strike - foot makes a slapping noise when it hits the ground
- toes can drag on the floor when walking

Question 4

what are some examples of causes of drop foot?

Answer 4

-stroke
-peripheral nerve damage

Question 5

what clinical tests would verify drop foot?

Answer 5

strength test - DF and PF strength
-sensation testing
-compare muscle bulk on both legs - the foot with the drop could have less muscle

Question 6

what is an example of a compensation might occur?

Answer 6

-circumduction

Question 7

what are features of a stiff knee?

Answer 7

• lack of knee flexion
  -very extended knee

Question 8

what are the causes of stiff knee?

Answer 8

-spasticity
-stroke
-TBI
-MS

Question 9

What clinical tests could we do if we see a stiff knee gait?

Answer 9

-ROM
-Tone

Question 10

what is dystonia?

Answer 10

sustained or intermittent muscle contractions causing abnormal movement patterns or postures

Question 12

what are examples of equipment for gait in neurology?

Answer 12

-mobility aids eg 4ww
-AFO
-dictus splint
-functional electrical stimulation