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GAIT DISORDERS

Dr. Fariha Zulfiqar


GAIT
 A pattern of limb movement made during
locomotion
 or
 a person's manner of walking.
Gait disorder
 What is a gait disorder?

 Gait is a person’s pattern of walking. Walking


involves balance and coordination of muscles
so that the body is propelled forward in a
rhythm. There are numerous possibilities that
may cause an abnormal gait.
causes
 Some common causes are:
 A degenerative disease (such as arthritis)

 An inner ear disorder


 Stroke

 Foot conditions
 A neurologic condition
 Something as simple as ill-fitting shoes
Types of gait disorders

1,Propulsive gait :
 This type of gait that is seen in patients with

parkinsonism. It is characterized by a stooping, rigid


posture, and the head and neck are bent forward.
Steps tend to become]shorter.
Hemiplegic gait/ Spastic gait.
 Common to patients with cerebral palsy or
multiple sclerosis,
 spastic gait is a way of walking in which one

leg is stiff and drags in a semicircular motion


on the side most affected by long-term
muscle contraction.
Hemiplegic gait
Scissors gait
 This type of gait gets its name because the knees and
thighs hit or cross in a scissors-like pattern when
walking. The steps are slow and small. This type of gait
occurs often in patients with spastic cerebral palsy.
Myopathic Gait

 Hip girdle muscles are responsible for keeping the pelvis


level when walking. If you have weakness on one side,
this will lead to a drop of the pelvis while walking
(Trendelenburg sign). With bilateral weakness, you will
have dropping of the pelvis on both sides during walking
leading to waddling. This gait is seen in patient with
myopathies, such as muscular dystrophy.
Myopatic gait
Ataxic Gait

Most commonly seen in cerebellar disease, this gait is


described as clumsy movements with a wide-based gait.

Ataxia is typically defined as the presence of abnormal,


uncoordinated movements.

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