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review types of pathologic gait

Describe characteristics of Hemiplegic Gait? Pt has unilateral weakness and spasticity with the UE held in flexion and the LE in extension. The foot is in extension so the leg is "too long" therefore, the pt will have to circumduct to step forward. This type of gait is seen with a UMN lesion
Describe characteristics of Diplegic Gait Pt has spasticity in the LE's greater than the UE's. The hips and knees are flexed and adducted with the ankles extended and internally rotated. When the patient walks both LE's are circumducted and the UE's are held in a mid or low guard position.
Describe characteristics of Neuropathic Gait? This type of gait is most often seen in peripheral nerve disease where the distal lower extremity is most affected. Because the foot dorsiflexors are weak, the patient has a high stepping gait in an attempt to avoid dragging the toe on the ground.
Describe characteristics of Myopathic Gait? With muscular diseases, the proximal pelvic girdle muscles are usually the most weak. B/c of this the pt can't stabilize the pelvis as they lift their leg to step forward, so the pelvis tilts toward the non-wt bearing leg; results in waddle type of gait.
Describe characteristics of Parkinsonian Gait? This type of gait is seen with rigidity and hypokinesia from basal ganglia disease. The patient's posture is stooped forward. Gait initiation is slow and steps are small and shuffling; turning is en bloc like a statue. May have decreased facial expression
Describe characteristics of Choreiform Gait? This is a hyperkinetic gait seen with certain types of basal ganglia disorders. There is intrusion of irregular, jerky, involuntary movements in both the upper and lower extremities.
Describe characteristics of Ataxic Gait? The pt's gait is wide-based with truncal instability and irregular lurching steps which results in lateral veering and if severe, falling; seen in midline cerebellar disease. It can also be seen with severe loss of proprioception (sensory ataxia)
Created by: jasonsmithdc
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