GAIT

Maham Yousuf

Abnormal Gait

Neurological gait

Muscular weakness gait

Leg length discrepancy

gait

Joint or muscular

limitation gaitPainful gait

Neurological gait

Parkinsons gait

Hemiplegic gait

Ataxic gait –cerebral ataxia

-Sensory ataxia

Scissoring Gait (crossed leg gait)

Parkinsons Gait (shuffling gait)

• Flex posture of neck, trunk hip and knee due to rigidity

• COG falls anteriorly

• Short steps lacking heel strike and toe off, loss of arm

swing and pelvic rotation.

• Parkinsons disease, willson disease, cerebral

atherosclorosis

Hemiplegic gait

Pt rotates the hip sideways during swing phase due to hip flexor tightness

Absence of heel strike

Ataxic Gait

• Lacking coordination

• Resembles drunken gait

• If cerebral lesion in on one side the other side

movement will be normal

Scissoring Gait (crossed leg gait)

• Seen in cerebral palsy and paraplegia

• Legs are crossed due to adductor tightness

Muscular Weakness Gait

1. Gluteus medius gait

• One side gluteus medius paralysis results in

Trendelenburg gait

• Both the side paralysis results in duck walking

Duck Walking Gait

• Both abductors of hip paralyzed

• The patient bends his trunk towards the stance phase

2. Gluteus Maximus Gait

• If paralyzed, posterior tilting

• COG shifts towards to stance hip

• So, while walking forward and backward

movement of the trunk occurs is called as

‘rocking horse gait’

Quadricep(hand to knee gait)

• Quadricap paralysis

• During midstance , to transmit the weight on the stance lowe leg

• The knee should be locked

• This knocking is not possible if the quadriceps are paralyzes

High Steping Gait (foot drop gait)

• During heel strike the ankle goes for dorsiflexion

• If the dorsiflexors are paralyzed the planter flexor overacts

• Foot drops and toes strike the ground first,

Genu Recruvatum Gait

• Hamstring muscle paralyzes,

• Knee goes off for hyperextension in mid stance while trans

Mitting the weight on stance leg, the knee goes in hyperextention

Due to lack of counter effect of hamstrings

Commonly seen in polio.

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