- Gait abnormality
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Abnormalities of gait and mobility ICD-10 R26 ICD-9 781.2 DiseasesDB 15409 MedlinePlus 003199 eMedicine pmr/225 MeSH D020233 Gait abnormality is a deviation from normal walking (gait). Watching a patient walk is the most important part of the neurological examination. Normal gait requires that many systems, including strength, sensation and coordination, function in an integrated fashion. Many common problems in the nervous system and musculoskeletal system will show up in the way a person walks.[1]
Contents
Presentation and causes
Persons suffering from peripheral neuropathy experience numbness and tingling in their hands and feet. This can cause ambulation impairment, such as trouble climbing stairs or maintaining balance. Gait abnormality is also common in persons with nervous system affections such as Multiple sclerosis, Parkinson's disease, Alzheimer's disease, Myasthenia gravis, and Charcot-Marie-Tooth Disease. Orthopedic corrective treatments may also manifest into gait abnormality, such as lower extremity amputation, post-fracture, and arthroplasty (joint replacement). Difficulty in ambulation that results from chemotherapy is generally temporary in nature, though recovery times of six months to a year are common. Likewise, difficulty in walking due to arthritis or joint pains (antalgic gait) sometimes resolves spontaneously once the pain is gone.[2][3]
Types
- Scissor gait
- Antalgic gait
- Cerebellar ataxia
- Festinating gait
- Pigeon gait
- Propulsive gait
- Steppage gait
- Stomping gait
- Spastic gait
- Myopathic gait
- Magnetic gait
- Trendelenburg gait
- Waddling gait
- Freezing gait
See also
References
- ^ Harrison's Principles of Internal Medicine, 16th ed., Ch. 346, Approach to the Paitent with Neurological Disease
- ^ Gait Abnormality Coding Checklist by Jun Mapili, PT, MAEd
- ^ ICD-9-cm Chrisenders
External links
- Gait Abnormality Coding Checklist by Jun Mapili, PT, MAEd
- Children's Hospital Boston
- Classification
- Case Study
- Videos of various abnormal gaits
Symptoms and signs: nervous and musculoskeletal systems (R25–R29, 781.0, 781.2–9) Primarily nervous system Primarily CNSGait abnormalityLack of coordinationOtherPerceptual disorder: Hemispatial neglectPrimarily PNSGait abnormalityPrimarily muscular Movement disordersGait abnormalityOtherPrimarily skeletal Primarily joint Joint lockingM: JNT
anat(h/c, u, t, l)/phys
noco(arth/defr/back/soft)/cong, sysi/epon, injr
proc, drug(M01C, M4)
Categories:- Gait abnormalities
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