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Musculoskeletal

Abnormal Gait Patterns - (PTA - irongirl)

QuestionAnswer
Antalgic Decreased step length to avoid weight bearing on one side secondary to pain.
Ataxic Staggering, unsteadiness usually wide BOS with exaggerated mvts.
Cerebellar Staggering pattern secondary to cerebellar disease.
Double step Alternate steps are of different length or at different rate.
Equine High step gait pattern...excessive activity of the Gastrocnemius.
Festinating Walk on toes as though pushed, starts slowly, increases, and continues until pt grasps an object in order to stop.
Hemiplegic Pt abduct the paralyzed limb, swing it around, and bring it forward so foot hits the ground in front of them.
Parkinsonian Forward flexion of trunk & knees, gait is shuffling w/quick small steps; festinating may occur.
Scissor Legs cross the midline upon advancement.
Spastic Stiff mvt., toes catch and drag, legs held together, hip and knee jt. flexed. Commonly seen in spastic paraplegia.
Steppage Feet & toes are lifted through hip & knee flexion to excessive heights; secondary to DF weakness...foot slap at initial contact.
Tabetic High stepping ataxic gait in which feet slap ground.
Trendelenburg Excessive lateral trunk flexion and wt. shifting over the stance leg. Gluteus medius weakness
Vaulting Gait pattern where the swing leg advances by compensating through a combination of elevation of the pelvis and PF of the stance leg.
Created by: irongirl on 2009-04-29



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