Gait

Question 1

Cause of Shuffling & Festinating Gait (1).

Answer 1

Parkinsonism.

Question 2

Pathophysiology of High-Stepping Gait.

Answer 2

Lower Motor Neurone lesion - high-stepping gait and foot drop.

Question 3

Give 4 causes of a unilateral high-stepping gait.

Answer 3

1. Radiculopathy at L5 Root.
2. Neuropathy of Sciatic Nerve.
3. Neuropathy of Common Peroneal Nerve.
4. Polio at Anterior Horn.

Question 4

Give 3 causes of a bilateral high-stepping gait.

Answer 4

1. Cauda Equina.
2. Peripheral Neuropathy.
3. Polyneuropathies e.g. GBS, CMTD.

Question 5

Gait in Cerebellar Disease.

Answer 5

Broad-Based Ataxic Gait.

Question 6

Give 3 causes of Spastic & Circumducting Gait.

Answer 6

They are usually accompanied by other UMN signs.

1. Multiple Sclerosis.
2. Space-Occupying Lesions (SOLs).
3. Tumours.

Question 7

Give 2 causes of Spastic & Scissoring Gait.

Answer 7

1. Cord Lesions - due to Trauma, Compression, Syringomyelia or Transverse Myelitis.
2. Bihemispheric Brain Lesions - due to Cerebral Palsy or Multiple Sclerosis.