Gait abnormality: Difference between revisions
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Patients with [[musculoskeletal]] pain, weakness or limited range of motion often present conditions such as [[Trendelenburg's sign]], [[limping]], [[myopathic gait]] and [[antalgic gait]].{{citation needed|date=August 2021}} |
Patients with [[musculoskeletal]] pain, weakness or limited range of motion often present conditions such as [[Trendelenburg's sign]], [[limping]], [[myopathic gait]] and [[antalgic gait]].{{citation needed|date=August 2021}} |
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Patients who have [[peripheral neuropathy]] also experience [[numbness and tingling]] in their hands and feet. This can cause ambulation impairment, such as trouble climbing stairs or maintaining [[Sense of balance|balance]]. Gait abnormality is also common in persons with nervous system problems such as [[cauda equina syndrome]], [[multiple sclerosis]], [[ |
Patients who have [[peripheral neuropathy]] also experience [[numbness and tingling]] in their hands and feet. This can cause ambulation impairment, such as trouble climbing stairs or maintaining [[Sense of balance|balance]]. Gait abnormality is also common in persons with nervous system problems such as [[cauda equina syndrome]], [[multiple sclerosis]], [[Parkinson's disease]], [[Alzheimer's disease]], [[Vitamin B12 deficiency|vitamin B<sub>12</sub> deficiency]], [[myasthenia gravis]], [[normal pressure hydrocephalus]], and [[Charcot–Marie–Tooth disease]]. Research has shown that neurological gait abnormalities are associated with an increased risk of falls in older adults.<ref>{{Cite journal|last1=Verghese|first1=Joe|last2=Ambrose|first2=Anne F.|last3=Lipton|first3=Richard B.|last4=Wang|first4=Cuiling|date=2010-03-01|title=Neurological gait abnormalities and risk of falls in older adults|journal=Journal of Neurology|language=en|volume=257|issue=3|pages=392–398|doi=10.1007/s00415-009-5332-y|pmid=19784714|issn=0340-5354|pmc=2838981}}</ref> |
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[[Orthopedic]] corrective treatments may also manifest into gait abnormality, such as lower extremity [[amputation]], healed [[fracture]]s, and [[arthroplasty]] (joint replacement). Difficulty in ambulation that results from [[chemotherapy]] is generally temporary in nature, though recovery times of six months to a year are common. Likewise, difficulty in walking due to [[arthritis]] or joint pains (antalgic gait) sometimes resolves spontaneously once the pain is gone.<ref>{{cite web |url=http://www.selmanholman.com/SHAweb_tools.htm |title=Gait Abnormality Coding Checklist by Jun Mapili, PT, MA13212503469Ed |publisher=Selmanholman.com |access-date=2014-06-10 |url-status=dead |archive-url=https://web.archive.org/web/20140714214636/http://www.selmanholman.com/SHAweb_tools.htm |archive-date=2014-07-14 }}</ref><ref>[http://icd9cm.chrisendres.com/index.php?action=child&recordid=7657 ICD-9-cm Chrisenders] {{webarchive |url=https://web.archive.org/web/20050521193314/http://icd9cm.chrisendres.com/index.php?action=child&recordid=7657 |date=May 21, 2005 }}</ref> [[Hemiplegia|Hemiplegic]] persons have circumduction gait, where the affected limb moves through an arc away from the body, and those with [[cerebral palsy]] often have [[scissoring gait]].{{citation needed|date=August 2021}} |
[[Orthopedic]] corrective treatments may also manifest into gait abnormality, such as lower extremity [[amputation]], healed [[fracture]]s, and [[arthroplasty]] (joint replacement). Difficulty in ambulation that results from [[chemotherapy]] is generally temporary in nature, though recovery times of six months to a year are common. Likewise, difficulty in walking due to [[arthritis]] or joint pains (antalgic gait) sometimes resolves spontaneously once the pain is gone.<ref>{{cite web |url=http://www.selmanholman.com/SHAweb_tools.htm |title=Gait Abnormality Coding Checklist by Jun Mapili, PT, MA13212503469Ed |publisher=Selmanholman.com |access-date=2014-06-10 |url-status=dead |archive-url=https://web.archive.org/web/20140714214636/http://www.selmanholman.com/SHAweb_tools.htm |archive-date=2014-07-14 }}</ref><ref>[http://icd9cm.chrisendres.com/index.php?action=child&recordid=7657 ICD-9-cm Chrisenders] {{webarchive |url=https://web.archive.org/web/20050521193314/http://icd9cm.chrisendres.com/index.php?action=child&recordid=7657 |date=May 21, 2005 }}</ref> [[Hemiplegia|Hemiplegic]] persons have circumduction gait, where the affected limb moves through an arc away from the body, and those with [[cerebral palsy]] often have [[scissoring gait]].{{citation needed|date=August 2021}} |
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{{Reflist}} |
{{Reflist}} |
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==External links== |
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{{Medical resources |
{{Medical resources |
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* [http://library.med.utah.edu/neurologicexam/html/gait_abnormal.html Videos of various abnormal gaits] |
* [http://library.med.utah.edu/neurologicexam/html/gait_abnormal.html Videos of various abnormal gaits] |
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* [https://physiotherapypedia.com/best-shoes-after-calcaneal-fracture/ Foot Abnormality] |
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{{Nervous and musculoskeletal system symptoms and signs}} |
{{Nervous and musculoskeletal system symptoms and signs}} |
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Revision as of 20:57, 13 August 2023
| Gait abnormality | |
|---|---|
| Other names | Abnormalities of gait |
| Quadrupedalism in a Kurdish family | |
| Specialty | Neurology, orthopedics |
Gait abnormality is a deviation from normal walking (gait). Watching a patient walk is the most important part of the neurological examination. Normal gait requires that many systems, including strength, sensation and coordination, function in an integrated fashion. Many common problems in the nervous system and musculoskeletal system will show up in the way a person walks.[1]
Presentation and causes
Patients with musculoskeletal pain, weakness or limited range of motion often present conditions such as Trendelenburg's sign, limping, myopathic gait and antalgic gait.[citation needed]
Patients who have peripheral neuropathy also experience numbness and tingling in their hands and feet. This can cause ambulation impairment, such as trouble climbing stairs or maintaining balance. Gait abnormality is also common in persons with nervous system problems such as cauda equina syndrome, multiple sclerosis, Parkinson's disease, Alzheimer's disease, vitamin B12 deficiency, myasthenia gravis, normal pressure hydrocephalus, and Charcot–Marie–Tooth disease. Research has shown that neurological gait abnormalities are associated with an increased risk of falls in older adults.[2]
Orthopedic corrective treatments may also manifest into gait abnormality, such as lower extremity amputation, healed fractures, and arthroplasty (joint replacement). Difficulty in ambulation that results from chemotherapy is generally temporary in nature, though recovery times of six months to a year are common. Likewise, difficulty in walking due to arthritis or joint pains (antalgic gait) sometimes resolves spontaneously once the pain is gone.[3][4] Hemiplegic persons have circumduction gait, where the affected limb moves through an arc away from the body, and those with cerebral palsy often have scissoring gait.[citation needed]
See also
References
- ^ Harrison's Principles of Internal Medicine, 16th ed., Ch. 346, Approach to the Paitent with Neurological Disease
- ^ Verghese, Joe; Ambrose, Anne F.; Lipton, Richard B.; Wang, Cuiling (2010-03-01). "Neurological gait abnormalities and risk of falls in older adults". Journal of Neurology. 257 (3): 392–398. doi:10.1007/s00415-009-5332-y. ISSN 0340-5354. PMC 2838981. PMID 19784714.
- ^ "Gait Abnormality Coding Checklist by Jun Mapili, PT, MA13212503469Ed". Selmanholman.com. Archived from the original on 2014-07-14. Retrieved 2014-06-10.
- ^ ICD-9-cm Chrisenders Archived May 21, 2005, at the Wayback Machine