Neuromusculoskeletal diagnosis Flashcards
Antalgic gait
Patient favors one leg by putting as little weight as possible on it, in order to reduce pain on that side.
Hip, knee, ankle, or foot pathology
Choreic gait
Jerky twitching and dancing gait;
Huntington’s disease, rheumatic fever
Deteriorating tandem gait
Worsening tandem walk while counting from 50 backwards.
early sign of alzheimer’s disease
Drunken gait
classic wide based staggering gait seen in cerebellar disease
Hemiplegia
Spastic leg is extended and rotated internally, the foot is inverted, and plantar flexed.
The limb is swung outward to keep foot from hitting the ground
Cerebrovascular accidents
Scissor gait
stiff shuffling movement with the legs crossing over due to increased adductor tone.
Seen in cerebral palsy or paraplegia
Sensory ataxic gait
wide based uneven gait with high steps and slapping of the feet on the ground.
seen in patients with dorsal column pathology
Tabes dorsalis, vitamin b12 deficiency, and diabetes mellitus
Steppage gait
Patient has to excessively flex the hip and knee to allow the drop foot to clear the ground when walking
Seen with foot drop or peripheral neuropathy
External Rotators of the hip Joint
Psoas and Piriformis
Hip Flexor
Psoas
Plantar flexors of the ankle joint
Gastrocnemius, Posterior Tibialis, Peroneus
Dorsiflexor of the ankle joint
Anterior Tibialis