For Gait examination, see GALS.
Patient avoids putting weight on the affected side, showing a rapid, heavy step with a shortened stance phase.
This indicates pain with weight bearing
- Slipped upper femoral epiphysis
Asymmetric, stiff circumduction of the legs. Scuffing of the foot along the ground
Flexed posture, shuffling, Bradykinesia, postural instability
Short steps, with broad-based unsteady gait.
- Multi-infarct states
Broad-based gait, cannot walk heel-to-toe. Often stumbles or falls.
Sensory (Proprioceptive) vs Cerebellar:
- Sensory- Romberg's test shows the patient is more unsteady with their eyes closed than open.
- Cerebellar lesions
- Multiple Sclerosis
- Sensory neuropathies
'Waddle' gait due to hip girdle muscle weakness. Exaggerated circumduction. Cannot climb steps.
- Congenital hip dysplasia
- Muscular Dystrophy
High Stepping/ Foot drop
Cannot dorsiflex the foot- in order to avoid tripping over one's own feet, the patient has to take a high step.
Bizarre, fluctuating gait, not conforming to any known patterns. There may be inability to stand, but normal examination on the bed.