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Gait abnormalities


Disorders of gait may be structural or neurological. When assessing gait, it is important to observe the whole patient and not merely the feet.

Causes

Structural

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    Pain – antalgic gait

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    Length discrepancies – short leg gait

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    Weak hip abductors – Trendelenburg or waddling gait

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    Femoral anteversion – intoe gait

Neurological

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    Stroke – hemiplegic gait

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    Parkinson’s disease – festinant gait

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    Multiple sclerosis – scissoring gait

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    Peripheral neuropathy – sensory ataxia

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    Cerebellar disease – cerebellar ataxia

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    Peroneal nerve palsy – foot drop gait

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    Cerebral palsy – scissoring gait

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    Frontal lobe lesions – apraxic gait

History

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