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Musculoskeletal
Abnormal Gait Patterns - (PTA - irongirl)
| Question | Answer |
|---|---|
| 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. |