GAIT NEURO EXAM Flashcards
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Q: What are the six phases of the normal gait cycle?
A: Heel-strike, Foot flat, Mid-stance, Heel-off, Toe-off, and Swing.
Q: What is the initial contact of the heel with the floor in the gait cycle called?
A: It’s called Heel-strike.
Q: Which phase of the gait cycle involves the weight being aligned and balanced on one leg?
A: That would be the Mid-stance phase.
Q: What happens during the Heel-off phase of the gait cycle?
A: The heel lifts off the floor as the foot rises but the toes remain in contact with the floor.
Q: In which phase of the gait cycle do the toes lift off the floor?
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A: This happens in the Toe-off phase
Q: How can one potentially identify more subtle ataxia in a patient’s gait?
A: By asking the patient to walk heel to toe, or tandem gait, which can exacerbate underlying unsteadiness.
Q: What type of gait is typically associated with midline cerebellar pathology?
A: A broad-based ataxic gait is typically associated with midline cerebellar pathology.
Q: What could be an indication of a lesion in multiple sclerosis or degeneration of the cerebellar vermis secondary to chronic alcohol excess?
A: A broad-based ataxic gait could indicate such conditions.
Q: How is a gait typical of cerebellar pathology characterized?
A: It is characterized as staggering, slow, and unsteady.
Q: In cases of unilateral cerebellar disease, towards which side do patients usually veer?
A: Patients will veer towards the side of the lesion.
Q: What maneuver might patients with cerebellar disease find particularly difficult?
A: They often find the turning maneuver particularly difficult.
Q: Why is it useful for patients to walk on their tiptoes and then their heels during a neurological assessment of the motor system?
A: This exercise can help identify problems with balance and coordination that may not be evident in normal walking.
