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Name of Symptom/Sign:
Abnormalities of gait and mobility

[[Image:|190px|center|]]
ICD-10	R26
ICD-O:
ICD-9	781.2
OMIM	[1]
MedlinePlus	003199
eMedicine	pmr/225
DiseasesDB	15409

Gait abnormality typically results from affections of nervous and musculoskeletal systems. Persons suffering from peripheral neuropathy experience numbness and tingling in their hands and feet. This can cause ambulation impairment, trouble in climbing stairs and maintaining balance. Gait abnormality is also common in persons with nervous system affections such as Multiple sclerosis, Parkinson's disease, Alzheimer's disease, Myasthenia gravis among others. Orthopedic corrective treatments may also manifest into gait abnormality, such as lower extremity amputation, post-fracture, 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, joint pains (antalgic gait) sometimes resolve spontaneously once the pain is gone.^[1][2].

Contents 1 Specific abnormalities and examples of causes 1.1 Antalgic gait 1.2 Drunken gait/Cerebellar ataxia 1.3 Festinating gait/Parkinsonian gait 1.4 Pigeon gait 1.5 Propulsive gait 1.6 Steppage gait/High stepping gait 1.7 Scissor gait 1.7.1 See also 1.8 Sensory ataxia gait/Stomping gait 1.9 Spastic gait 1.10 Trendelenburg gait 1.11 Waddling/Myopathic gait 1.12 Magnetic gait 2 See also 3 External links 4 References

[edit] Specific abnormalities and examples of causes

[edit] Antalgic gait

User favors certain motions to avoid acute pain. ^[3]

• Trauma
• Osteoarthritis
• Pelvic girdle pain

[edit] Drunken gait/Cerebellar ataxia

Reeling in a style like that of an intoxicated person. ^[4]

• Ataxia
• Cerebellar lesions
• Cerebellar degeneration
• Intoxications

[edit] Festinating gait/Parkinsonian gait

Patient moves with short, jerky steps. Term derives from Latin "festino", or "to hurry". ^{[5] [6][7]}

• Parkinson's disease

[edit] Pigeon gait

Torsional abnormalities. ^[8]

• Hip dysplasia

[edit] Propulsive gait

Stiff, with head and neck bent. ^[9]

• Carbon monoxide poisoning
• Parkinson's disease

[edit] Steppage gait/High stepping gait

Toes point down. ^[10][11][12]

• Polio
• Multiple sclerosis
• Guillian-Barre
• Disk herniation
• Peroneal Muscle Atropy
• peroneal Nerve Injury

[edit] Scissor gait

Legs flexed slightly at the hips and knees, giving the appearance of crouching, with the knees and thighs hitting or crossing in a scissors-like movement. Often mixed with or accompanied by spastic gait, a stiff, foot-dragging walk caused by one-sided, long-term muscle contraction. Most common in patients with spastic cerebral palsy, usually diplegic and paraplegic varieties. The individual is forced to walk on tiptoe unless the dorsiflexor muscles are released by an orthaepedic surgical procedure. Muscle contractures of the adductors result in thighs and knees rubbing together and crossing in a manner analogous to scissors.

These features are typical, and usually result in some form and to some degree regardless of the mildness or severity of the spastic CP condition.

• rigidity and excessive adduction of the leg in swing
• plantar flexion of the ankle
• flexion at the knee
• adduction and internal rotation at the hip
• contractures of all spastic muscles
• complicated assisting movements of the upper limbs when walking ^[13].^[14]

[edit] See also

• Spastic diplegia
• Pernicious anemia
• Spastic paraplegia

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Gait abnormality/doc </noinclude

[edit] Sensory ataxia gait/Stomping gait

Uncoordinated walking ^{[15][16][17][18]}

• Friedreich's ataxia
• Pernicious anemia
  
• Tabes Dorsalis (Syphilis)

[edit] Spastic gait

Asymmetric foot dragging. ^[19][20]

• Brain tumor
• Sturge-Weber syndrome
• Cerebral palsy

[edit] Trendelenburg gait

• weakness of the abductor muscles of the lower limb, principally gluteus medius

[edit] Waddling/Myopathic gait

Walking like a duck. ^[21][22]

• Pregnancy

[edit] Magnetic gait

Feet seem attached to floor as if by a magnet. In magnetic gait, each step is initiated in a "wresting" motion carrying feet upward and forward. Magnetic gait can be visualized in terms of a powerful magnet being forcefully pulled from a steel plate.

• Normal pressure hydrocephalus (NPH)

[edit] See also

• Ataxia
• Limp
• Foot drop
• Gait Abnormality Rating Scale

[edit] External links

• Gait Abnormality Coding Checklist by Jun Mapili, PT, MAEd
• Children's Hospital Boston
• Classification
• Case Study
• Utah

[edit] References

This box: view • talk • edit Symptoms and signs (R)
Circulatory and respiratory systems	Tachycardia - Bradycardia - Palpitation - Nosebleed - Hemoptysis - Cough - Dyspnea - Orthopnoea - Stridor - Wheeze - Cheyne-Stokes respiration - Hyperventilation - Mouth breathing - Hiccup - Chest pain - Asphyxia - Pleurisy - Respiratory arrest - Sputum - Bruit
Digestive system and abdomen	Abdominal pain - Acute abdomen - Nausea - Vomiting - Heartburn - Dysphagia - Flatulence - Burping - Fecal incontinence - Encopresis - Hepatomegaly - Splenomegaly - Hepatosplenomegaly - Jaundice - Ascites - Halitosis
Skin and subcutaneous tissue	Hypoesthesia - Paresthesia - Hyperesthesia - Rash - Cyanosis - Pallor - Flushing - Petechia - Desquamation - Induration
Nervous and musculoskeletal systems	Tremor - Spasm - Fasciculation - Gait abnormality - Ataxia - Tetany - Meningism - Hyperreflexia
Urinary system	Dysuria - Vesical tenesmus - Urinary incontinence - Urinary retention - Oliguria - Polyuria - Nocturia
Cognition, perception, emotional state and behaviour	Anxiety - Somnolence - Coma - Anterograde amnesia - Retrograde amnesia - Dizziness - Anosmia - Parosmia - Parageusia
Speech and voice	Dysarthria - Alexia - Agnosia - Apraxia - Dysphonia

This page uses content from the English-language version of Wikipedia. The original article was at Gait abnormality. The list of authors can be seen in the page history. As with Psychology Wiki, the text of Wikipedia is available under the GNU Free Documentation License.