Abnormal Gait

Neurological gait
Muscular weakness gait
Leg length discrepancy gait
Joint or muscular limitation gait
Painful gait

1. GAIT Maham Yousuf

2. Abnormal Gait

3. Neurological gait

4. 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

5. Hemiplegic gait Pt rotates the hip sideways during swing phase due to hip flexor tightness Absence of heel strike

6. Ataxic Gait Lacking coordination Resembles drunken gait If cerebral lesion in on one side the other side movement will be normal

7. Scissoring Gait (crossed leg gait) Seen in cerebral palsy and paraplegia Legs are crossed due to adductor tightness

8. Muscular Weakness Gait

9. 1. Gluteus medius gait One side gluteus medius paralysis results in Trendelenburg gait Both the side paralysis results in duck walking

10. Duck Walking Gait Both abductors of hip paralyzed The patient bends his trunk towards the stance phase

11. 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’

12. 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

13. 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,

14. 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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