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Topic: Gait abnormalities


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In the News (Sun 12 Feb 12)

  
  gait analysis   (Site not responding. Last check: 2007-10-16)
Abnormal segment position may be seen in gait such as asymmetrical pelvic rotation with one side of the pelvis retracted or externally rotated and the contralateral pelvis protracted or internally rotated.
During observational gait analysis, the focus for identifying rotational abnormalities is usually on foot progression (the orientation of the foot to the direction of progression) and the position of the knees.
During observational gait analysis, when a drop foot is suspected, all too often, the observer concentrates on the orientation of the foot in late swing and at initial contact, (the foot is pointed downward in swing resulting in a toe contact).
www.other.pwp.blueyonder.co.uk /altcamden/gaitanalysis   (8568 words)

  
 Neurologic Disease: Current Topics In-Depth
Gait deficits are most often observed in horses with brainstem lesions that are in the region from the 7th to 10th cranial nerves.
Abnormal postural reactions are sometimes difficult to interpret in horses that are well trained, making it very important to use gait abnormalities to help localize a lesion.
Gait abnormalities that are commonly observed in horses with neurological disease include ataxia, spasticity, and weakness or paresis.
www.ivis.org /proceedings/AAEP/2003/reed/chapter_frm.asp?LA=1   (11588 words)

  
 - Northwestern Memorial Hospital - Chicago
Walking or gait abnormalities are unusual and uncontrollable problems with walking.
Abnormal gait may be caused by disease in many different areas of the body.
For an abnormal gait that occurs with conversion disorder, psychiatric counseling as well as comfort and love from family members is strongly recommended.
www.heart.nmh.org /nmh/adam/adamencyclopedia/HIEArticles/003199.htm   (874 words)

  
 Normal and Abnormal Gait
With symmetric gaits such as the walk, trot, and pace, the movement of the limbs on one side of the dog's body repeats the motion of the limbs on the opposite side with the intervals between foot falls being nearly evenly spaced.
During the swing phase of this gait, a small initial flexion of the shoulder joint allows the limb to be lifted from the ground, followed by gradually increasing extension concurrent with increasing flexion of the elbow, carpal, and metacarpophalangeal joints.
It is a gait commonly used in long-legged dogs with close-coupled bodies and allows the animal to move in a straight, forward direction without the interference between front and hind legs that may occur at a trot.
www.ivis.org /special_books/ortho/chapter_91/91mast.asp   (6555 words)

  
 Clinical Geriatrics   (Site not responding. Last check: 2007-10-16)
Thus, many gait disorders, particularly those which are classical and discrete (such as stroke and osteoarthritis) and those which are mild or may relate to irreversible disease (such as multiinfarct dementia), or both, were presumably diagnosed and treated without a referral.
Classical gait patterns appear when the spasticity is sufficient to cause leg circumduction and fixed deformities (such as equinovarus), when the Parkinson's produces shuffling steps and reduced arm swing, and when the cerebellar ataxia increases trunk sway sufficiently to require a broad base of gait support.
A disordered gait appears to differ from "normal" gait, and the clinician seeks to identify the mechanisms underlying the disorder.31 Because there are no clearly accepted standards for normal gait in older adults, an abnormal gait may be one that appears aesthetically abnormal or that suggests residual disability.
www.mmhc.com /cg/displayArticle.cfm?articleID=cgac1231   (2412 words)

  
 Gait Analysis Benefits
Gait abnormalities are a combination of deviations imposed by the neurological system and the secondary adaptations that the child must make to circumvent them.
For the child with a neurological disease, gait analysis will precisely measure the abnormalities of gait at a specific point in time and accurately assess the outcome of a particular treatment or intervention.
Human gait is complex and a thorough understanding of it is only possible with the assistance of technology and an understanding of biomechanics.
www.emgsrus.com /gait_analysis_benefits.htm   (689 words)

  
 AOFAS - MDs who specialize in the foot and ankle.   (Site not responding. Last check: 2007-10-16)
Decreased sagittal, coronal, and transverse motion plane motions, and abnormal ground reaction forces and time-related factors were demonstrated in ankle arthritis patients.
The absolute duration of gait cycle (p=0.003) and stance phase (p=0.009) was higher, but relative duration of stance phase expressed in percentage of the gait cycle did not differ from the normals.
The decreased sagittal, coronal and transverse hindfoot motion, abnormal vertical force and decreased fore-aft force at the early stance as well as reduced vertical and aft forces at the late stance phase illustrate the disabling influence of ankle arthritis on foot function in load response and push-off.
www.aofas.org /displayindustryarticle.cfm?articlenbr=13347   (573 words)

  
 LITERATURE MONITOR: RECENT ARTICLES OF INTEREST IN NEUROLOGY
RTICLES OF Gait abnormalities in the elderly may be a predictor of non-Alzheimer’s dementia, according to a study in the November 28 New England Journal of Medicine.
Investigators observed that specific subtypes of gait abnormalities (hemiparetic, unsteady, and frontal) were associated with an increased risk of dementia.
In addition, researchers were surprised to find that “the presence of abnormal gaits predicted the risk of non-Alzheimer’s dementia well into the future,” suggesting a long prodrome that only later progresses to dementia.
www.neurologyreviews.com /jan03/litmon.html   (1327 words)

  
 Medicine and Health Rhode Island: GAIT ABNORMALITIES ARE TOO HARD TO EVALUATE, SO WHY BOTHER?
I have always found it perturbing that a problem so common and so serious as a gait abnormality would not even be assessed, and I always assumed that this was a universal problem, but I didn't have support for this until recently.
I'm not advocating that gait diagnoses be made by interns, but I am advocating that gait abnormalities should be identified as being present or absent by primary care providers, interns and residents.
It is more likely that a gait abnormality will turn up on a routine evaluation of an elderly person than a new heart sound, and it is certainly more likely that an intervention, often as benign as physical therapy, will improve safety, hence quality of life.
www.findarticles.com /p/articles/mi_qa4100/is_200502/ai_n10298124   (1047 words)

  
 WSAVA 2001 - The Neurological Examination
The evaluation of the gait and posture is crucial in determining if the nature of the gait abnormalities is related to the nervous system or to a musculo-skeletal problem.
The abnormalities of the mental status relate to the brainstem or to the thalamocortex.
The clinician observes the front limb gait as the animal is coming toward him/her and the hind limb gait as the animal is going away from him/her.
www.vin.com /VINDBPub/SearchPB/Proceedings/PR05000/PR00160.htm   (1462 words)

  
 Gait   (Site not responding. Last check: 2007-10-16)
Problems with gait or difficulty in walking are among the most common mobility limitations in MS.
Drop foot is further characterized by an inability to point the toes toward the body (dorsiflexion) or move the foot at the ankle inward or outward.
Most gait problems can be helped to some extent by physical therapy (including exercises and gait training), by the use of appropriate assistive devices and, in some cases, by medications.
www.mi.mun.ca /~ldunphy/msnewfoundland/gait.htm   (458 words)

  
 GAIT ABNORMALITIES IN PATIENTS WITH LUMBAR DISC HERNIATION   (Site not responding. Last check: 2007-10-16)
Gait analysis can provide quantitative information regarding the dynamic function of specific muscle groups, by analysis of net joint moments, and is sensitive enough to potentially identify subclinical deficits in muscle function in HNP patients (Schipplein et al., 1992).
Neurologically, herniation of the L5-S1 disc is associated primarily with weakness of the plantar flexors of the ankle (and to a lesser degree with weakness of the dorsi flexors).
Therefore, we conclude that objective differences in gait are present in HNP subjects, and that the obtained abnormalities are consistent with the neurological lesion for the L5-S1 group.
www.asb-biomech.org /onlineabs/abstracts97/115   (910 words)

  
 [No title]
Gait analysis can be assessed by various techniques but is most commonly performed by clinical evaluation incorporating the individual's history, physical examination, and functional assessment.
Gait abnormalities can be more precisely examined through the use of gait laboratories.
While some clinical impressions have been shown to be incorrect by the use of gait lab technology, the clinical evaluation still remains the essential component in determining the etiology and the treatment plan for gait problems.
www.freewebs.com /shirazrehab/GAIT_CLINIC.htm   (250 words)

  
 Differentiation between musculoskeletal and neurologic causes of lameness in horses:   (Site not responding. Last check: 2007-10-16)
The purposes of the study reported here were to determine the prevalence of EPM in cases examined for gait abnormality in which the origin of the abnormality (musculoskeletal vs neurologic system) could not be clearly determined on initial examination, and to identify any characteristics unique to this group.
Within Group 2, presenting gait abnormalities were observed in the hind limb(s) in 18 cases, forelimb(s) in 2 cases, both fore and hind limbs in one case, and in neither in one case.
All of the horses presented for lameness or for gait abnormality of uncertain origin which subsequently tested positive on WB analysis of CSF were in Group 2.
www.neosoft.com /~iaep/pages/protected/jissues/j1801/j1801p56.html   (2646 words)

  
 Gait characteristics of individuals with multiple sclerosis before and after a 6-month aerobic training program   (Site not responding. Last check: 2007-10-16)
No significant changes in subject gait were found; however, the intensity of the exercise program was not monitored closely, disability level in the sample was very low, and the type of exercise performed varied among subjects.
The purpose of this study was to examine the influence of an aerobic exercise program on lower extremity kinematics and kinetics during gait in patients with MS who demonstrate a range of disability.
Compared to gait velocities reported for able-bodied adults (13-16), the mean cadence and velocity values found in this MS group were low both pre- and post-training.
www.vard.org /jour/99/36/3/rodgers.htm   (2739 words)

  
 Gait and Motion Analysis
Using a series of computerized tests, the gait or walking motion of children and adults can be studied.
The test is used by the physician in diagnosis and treatment of various gait abnormalities associated with cerebral palsy, congenital malformations, as well as sports injuries.
Motion abnormalities include complex alterations imposed by the skeletal and neuromuscular systems, as well as secondary adaptations that the patient makes in order to function.
healthlink.mcw.edu /article/912279885.html   (257 words)

  
 MedlinePlus Medical Encyclopedia: Walking/gait abnormalities
Scissors 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
Steppage gait -- foot drop where the foot hangs with the toes pointing down, causing the toes to scrape the ground while walking
For a waddling gait, follow the prescribed therapy.
www.nlm.nih.gov /medlineplus/ency/article/003199.htm   (953 words)

  
 Neuroexam.com - Gait
Test tandem gait by asking the patient to walk a straight line while touching the heel of one foot to the toe of the other with each step.
To bring out subtle gait abnormalities or asymmetries, it may be appropriate in some cases to ask the patient to walk on their heels, their toes, or the insides or outsides of their feet, to stand or hop on one leg, or to walk up stairs.
Gait apraxia is a perplexing (and somewhat controversial) abnormality in which the patient is able to carry out all of the movements required for gait normally when lying down, but is unable to walk in the standing position, thought to be associated with frontal disorders or normal pressure hydrocephalus (KCC 5.7).
www.neuroexam.com /38.html   (382 words)

  
 Equine Chiropractic Questions and Answers by Dr. Jim Ennis
Chiropractic adjustments have proven to be invaluable in detecting and treating gait abnormalities and other performance-robbing problems in the athletic horse.
Symptoms such as lameness, stiffness, lack of impulsion or power, difficulty in obtaining or maintaining collection, poor attitude, gait abnormalities, being cold-backed or cinchy, or the presence of muscle atrophy are commonly associated with spinal misalignments.
An example of this might be an acute lower limb injury causing the horse to later his gait and carry the affected leg abnormally.
www.avcadoctors.com /equinechiropracticquestion.htm   (828 words)

  
 What people said...
Although gait overall is an active process, patient strategies often reflect weakness, or an attempt to put one foot in front of the other without the strength necessary to have a "normal" gait.
Gait is all about efficency with all of the eccentric contractions, and momentum generated events such as the first 40 degrees of preswing that is mostly passive on the swing limb.
It seems to me that the problem with "pathological" gait patterns is often the fact that the manifestation of a single problem is not always stereotypical, and also that several different disorders can produce quite a similar output, therefore the observed limitation is not, in itself, diagnostic.
www.univie.ac.at /cga/faq/observe.html   (8432 words)

  
 Abstract - Gait characteristics of individuals with multiple sclerosis before and after a 6-month aerobic training ...   (Site not responding. Last check: 2007-10-16)
Gait characteristics of individuals with multiple sclerosis before and after a 6-month aerobic training program
The aim of this study was to determine whether a 6-mo exercise program designed for aerobic conditioning might also affect gait abnormalities in individuals with MS.
Passive range of motion (PROM) in the lower limbs was measured and gait analyzed before and after exercise conditioning.
www.vard.org /jour/99/36/3/absrodgers.htm   (212 words)

  
 Gait Abnormalities In Multiple Sclerosis
Subclinical evidence of Gait abnormalities were identified in a group of seven patients with Multiple Sclerosis, EDSS scored 0 - 2, without functional limitations.
The Gait analysis procedure was able to provide the clinician with evidence of Motor abnormalities prior to functional disturbance observable by a trained physician.
Gait speeds (spontaneous and maximal) and peak torques of quadriceps and hamstring were similar in the three groups.
members.tripod.com /thjuland/gait.html   (1254 words)

  
 Tishya Wren, PhD - Childrens Hospital Los Angeles   (Site not responding. Last check: 2007-10-16)
Using modern imaging techniques such as CT and DXA, we are identifying children who are likely to have a high risk for fractures in the future, and we are testing possible interventions that may improve skeletal strength and thereby prevent future osteoporosis and fractures.
A second area of research focuses on motion analysis and modeling of gait abnormalities, primarily for children with neurologic deficits such as cerebral palsy.
We are also developing musculoskeletal models to elucidate the anatomical causes of the gait abnormalities.
www.childrenshospitalla.org /1748.cfm   (449 words)

  
 Article   (Site not responding. Last check: 2007-10-16)
These gait abnormalities can be subtle abnormalities that may not be seen easily when walking in a straight line or, may result in an inability to maintain a proper center of mass over the legs during turns.
In addition, with an ever-increasing diabetic population in the world, the influence of diabetes on gait is also becoming of great importance.
The problem with the gait platform is that steps are usually small, and the individual has to time their steps so that they step on specific places of platform.
sjdr.net /July02/july02137.htm   (2709 words)

  
 ENLmedical.com: Conditions And Concerns: Medical Encyclopedia
Furthermore, the causes may vary based on age and gender of the affected person, as well as on the specific characteristics of the symptom such as quality, time course, aggravating factors, relieving factors, and associated complaints.
A scissors gait is caused by muscle and nerve disorders, usually caused by a specific (focal) neurological condition (such as infections or tumors of the brain or spinal cord, head trauma, multiple sclerosis, or stroke).
A spastic gait is caused by muscle spasms and nerve damage, usually caused by a specific (focal) neurological condition (such as brain abscess, brain tumor, head trauma, multiple sclerosis, or stroke).
www.enlmedical.com /article/003199.htm   (999 words)

  
 MCO - Center for Creative Instruction   (Site not responding. Last check: 2007-10-16)
The Observational Gait Analysis project is a means of teaching observational skills to Physical Therapy and Allied Health students.
The user can access 11 patients with gait abnormalities, as well as 1 normal for comparison, and observe each individualís gait.
The user may also turn on the graphic overlay which shows leg extension assisting the user in detecting the gait abnormality.
www.mco.edu /cci/projects/gait.html   (162 words)

  
 NEJM -- Abnormality of Gait as a Predictor of Non-Alzheimer's Dementia
gait (in 8 subjects), and spastic gait (in 2 subjects).
Conclusions The presence of neurologic gait abnormalities in
Impaired Gait Is a Risk Factor for Vascular Dementia.
content.nejm.org /cgi/content/abstract/347/22/1761   (657 words)

  
 The way they walk: gait abnormalities - Horse&Hound Online
If they are still going strong at the end of the day's hunting, such an abnormality may not actually be that important to the horse.
This is a hind limb gait abnormality with an exaggerated bending of one or both hindlegs, almost like a goose-stepping march.
In the UK, the exact cause of stringhalt is unknown, but it is due to a motor nerve abnormality rather than a disorder of the musculoskeletal system.
www.horseandhound.co.uk /care/402/58699.html   (861 words)

  
 * Walking - (Disease): Definition
A person who is sleepwalking walks and does other seemingly purposeful movements in a state of partial awakening from deep sleep...
The normal heel-toe gait is also absent in most Parkinson’s patients,...
Difficulties in walking, stumbling, uneven gait, feeling of numbness or pin prick sensations in the arms and legs, a decrease in vision, and pain in the eyes usually due to inflammation of the optic nerve...
en.mimi.hu /disease/walking.html   (1872 words)

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