Tuesday 6 - Small groups - gait and stuff

Question 1

nerves associated with deep tendon reflexes:

achilles
patellar
supinator
biceps
triceps

Answer 1

achilles - sacral 1
knee - lumbar 2,3,4
supinator - cervical 5,6
biceps - cevical 5,6
triceps - cervical 6,7

Question 2

unilateral arm flexed (may not be if mild)

unilateral foot circumducted and extended

Answer 2

Hemiplegic gait

contralateral pyramidal tract lesion

Question 3

universal flexion and small steps

may have associated tremor

Answer 3

parkinsonian gait or festinating gait

Question 4

broad stance, wide and staggering quality.

people tend to fall to the ______ side of the lesion

Answer 4

cerebellar or ataxic gait

fall towards the ipsilateral side of the lesion

trouble with proprioception

rhomberg test (closed eyes standing straight) has nothing to do with the cerebellum

Question 5

slamming foot down, may have problems in the dark

Answer 5

stamping gait

Question 6

commonly seen in cerebral palsy, walking on tip toe, lots of abductor spasm, can even have a scissors gait

Answer 6

diplegic gait

Question 7

Trendellenburg sign, hip cannot levetate. lean side to side when walking.

Answer 7

myopathic gait or wobble gait

Question 8

lifting of the legs high because foot is pointed down

Answer 8

steppage gait or equine gait

Question 9

writhing, bizzare movements.

Answer 9

choreiform “gait”

Sx happen without walking, may not be considered a gait at all/