Gait disorders

Gait disorders


GaitDescriptionAssociated conditions
FestinatingPosture is stooped forward. Gait initiation is slow and steps are small and shufflingParkinson's disease
AtaxicGait is wide-based with truncal instability and irregular lurching steps which results in lateral veering and if severe, fallingCerebellar disease, e.g. Wernicke's
AntalgicStance phase of gait is abnormally shortened relative to the swing phase, usually done to minimise painLower limb trauma
Spastic (scissor or diplegic)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, and contractures of all spastic musclesCerebral palsy
Steppage (neuropathic or equine)High-stepping gait so as to prevent scraping of the toe on the groundFoot drop
Myopathic (waddling)A broad-based gait with a duck-like waddle to the swing phase, the pelvis drops to the side of the leg being raised with forward curvature of the lumbar spine, and a marked body swingProximal myopathy
PigeonToe(s) point(s) inwards when walkingStructural abnormalities
TrendelenburgDuring the stance phase, the weakened abductor muscles allow the pelvis to tilt down on the opposite side. To compensate, the trunk lurches to the weakened side to attempt to maintain a level pelvis throughout the gait cyclePoliomyelitis or muscular dystrophy
StompingBilateral high steppage due to lack of proprioceptionFriedreich's ataxia
MagneticFeet seem as if magnetically attracted to the floorNormal pressure hydrocephalus
Choreiform (hyperkinetic)Irregular, jerky, involuntary movements in all extremities. Walking may accentuate their baseline movement disorderSydenham chorea, Huntington's
SensoryIn an effort to know when the feet land and its location, the patient will slam the foot hard onto the ground in order to sense itproprioceptive loss e.g. diabetes, B12 deficiency
HemiplegicUnilateral weakness on the affected side, arm flexed, adducted and internally rotated. Leg on same side is in extension with plantar flexion of the foot and toes. When walking, the patient will hold his or her arm to one side and drags his or her affected leg in a semicircle (circumduction) due to weakness of leg flexors and extended footStroke