Unusual gait disorders: a phenomenological approach and classification

Paramanandam, Vijayashankar; Lizárraga, Karlo J.; Soh, Derrick; Algarni, Musleh; Rohani, Mohammad; Fasano, Alfonso

doi:10.1080/14737175.2019.1562337

Cited by 7 publications

(12 citation statements)

References 90 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Common patterns are limb weakness causing foot drop and steppage gait, dystonic gait, and choreiform leg movements in levodopa-associated dyskinesia or Huntington's disease. 7,8 Beyond observation of the legs, the gait examination also focuses on other parts of the body. Arm swing is usually reduced in parkinsonism.…”

Section: Gait Examination In the Officementioning

confidence: 99%

“…Additionally, some hyperkinetic conditions may present with strange gait pat-terns that imitate functional phenomenology (e.g., taskspecific dystonia, levodopa-associated dyskinesia, neuroacanthocytosis syndromes). 8 Video recordings have revealed that excessive slowness, knee buckling, and astasia-abasia with near-falls are the most common features of functional gait disorders. 49 Patients may also have other functional movements observable on their neurological exam.…”

Section: Specific Gait Patternsmentioning

confidence: 99%

“…Multiple classification systems can be used to characterize disorders of gait based on age of onset, localization, exam features (phenomenology), time course, or pathophysiology (►Table 1). [6][7][8] While each has its own utility, here we will focus on a chief complaint-based phenomenological characterization as the principal method to differentiate gait disturbances, as this relies primarily on the neurological history and exam. Once appropriately characterized, the neurologist can narrow down the potential localization and generate an appropriate differential diagnosis to guide ancillary testing and management.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Approach to the Patient with Gait Disturbance

Tarolli

Lizárraga

2021

Semin Neurol

Self Cite

View full text Add to dashboard Cite

The assessment of patients presenting with disorders of gait can be a daunting task for neurologists given the broad potential localization and differential diagnosis. However, gait disorders are extremely common in outpatient neurology, and all neurologists should be comfortable with the assessment, triage, and management of patients presenting with difficulty walking. Here, we aim to present a manageable framework for neurologists to approach the assessment of patients presenting with gait dysfunction. We suggest a chief complaint-based phenomenological characterization of gait, using components of the neurological history and examination to guide testing and treatment. We present the framework to mirror the outpatient visit with the patient, highlighting (1) important features of the gait history, including the most common gait-related chief complaints and common secondary (medical) causes of gait dysfunction; (2) gait physiology and a systematic approach to the gait examination allowing appropriate characterization of gait phenomenology; (3) an algorithmic approach to ancillary testing for patients with gait dysfunction based on historical and examination features; and (4) definitive and supportive therapies for the management of patients presenting with common neurological disorders of gait.

show abstract

Section: Gait Examination In the Officementioning

confidence: 99%

Section: Specific Gait Patternsmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Approach to the Patient with Gait Disturbance

Tarolli

Lizárraga

2021

Semin Neurol

Self Cite

View full text Add to dashboard Cite

show abstract

“…ein plötzliches Nachgeben der Beine ohne Bewusstseinsverlust können z. B. bei Schlaganfällen (von Mittelhirn, Thalamus, Kleinhirn oder Basalganglien), bei Parkinson-Erkrankungen oder Schäden des Frontallappens auftreten, aber auch spinale Prozesse wie eine spinale TIA anzeigen [5]. Ein Abfall des arteriellen Blutdrucks im Stehen führt nicht selten zu einem Unsicherheitsgefühl, das bis zum Kollaps reichen kann.…”

Section: Anamnese Bei Gangstörungenunclassified

Akute Gangstörungen erkennen und verstehen

Eberhardt¹

2020

retten!

View full text Add to dashboard Cite

“…Normal gait is achieved when the multiple body systems function properly and harmoniously, including visual, vestibular, proprioceptive, musculoskeletal, cardiopulmonary, nervous systems, etc. Injury or disease of any system may result in abnormal gait with symptoms and dysfunction of joints and muscles [3][4][5]. Therefore, gait performance is considered to be an indicator and predictor of overall health and functional status of individuals [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Applications of MEMS Gyroscope for Human Gait Analysis

Zhao¹,

Qiu²,

Wang³

et al. 2020

Gyroscopes - Principles and Applications

View full text Add to dashboard Cite

After decades of development, quantitative instruments for human gait analysis have become an important tool for revealing underlying pathologies manifested by gait abnormalities. However, the gold standard instruments (e.g., optical motion capture systems) are commonly expensive and complex while needing expert operation and maintenance and thereby be limited to a small number of specialized gait laboratories. Therefore, in current clinical settings, gait analysis still mainly relies on visual observation and assessment. Due to recent developments in microelectromechanical systems (MEMS) technology, the cost and size of gyroscopes are decreasing, while the accuracy is being improved, which provides an effective way for qualifying gait features. This chapter aims to give a close examination of human gait patterns (normal and abnormal) using gyroscope-based wearable technology. Both healthy subjects and hemiparesis patients participated in the experiment, and experimental results show that foot-mounted gyroscopes could assess gait abnormalities in both temporal and spatial domains. Gait analysis systems constructed of wearable gyroscopes can be more easily used in both clinical and home environments than their gold standard counterparts, which have few requirements for operation, maintenance, and working environment, thereby suggesting a promising future for gait analysis.

show abstract

Unusual gait disorders: a phenomenological approach and classification

Cited by 7 publications

References 90 publications

Approach to the Patient with Gait Disturbance

Approach to the Patient with Gait Disturbance

Akute Gangstörungen erkennen und verstehen

Applications of MEMS Gyroscope for Human Gait Analysis

Contact Info

Product

Resources

About