Upper and Lower peripheral nerves

Question 1

What is a hemiplegia gait? What can cause it?

Answer 1

Foot is plantar flexed. Leg is swung in a lateral arc

Stroke

Question 2

What is a parkinsonian gait?

Answer 2

Shuffling, freezing, trouble turning around

Question 3

What is a cerebellar/ataxic gait?

Answer 3

Drunken gait that is wide based or reeling on a narrow base. Patient staggers towards affected side.

Question 4

What is a posterior column gait? What can cause it?

Answer 4

Clumsy slapping down of the feet on a broad base

B12 deficiency

Question 5

What is a foot drop gait?

Answer 5

High steppage gait

Question 6

Name the spinal levels involved with: hip flexion, hip extension, knee flexion, knee extension, plantar flexion, dorsiflexion

Answer 6

hip flexion - L1,2
Hip extension - L4,5
Knee flexion - L5,S1
Knee extension - L3,L4
Plantar flexion - S1,2
Dorsiflexion - L4,L5

Question 7

What would pronator drift mean?

Answer 7

Pyramidal lesion, e.g. in stroke

Question 8

What spinal level is involved in the knee and ankle reflex?

Answer 8

Knee - L3,4

Ankle - S1

Question 9

What spinal level is involved in the biceps, triceps and brachioradialis reflexes?

Answer 9

Biceps - C5,6
Triceps - C7
Brachioradialis - C5,6