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Considerations
The pattern of how a person walks is called the gait. Different types of walking problems occur
without a person's control. Most, but not all, are due to a physical condition.
Some walking abnormalities have been given names:
Propulsive gait -- a stooped, stiff posture with the head and neck bent forward
Scissors gait -- legs flexed slightly at the hips and knees like crouching, with the knees and
thighs hitting or crossing in a scissors-like movement
Spastic gait -- a stiff, foot-dragging walk caused by a long muscle contraction on one side
Steppage gait -- foot drop where the foot hangs with the toes pointing down, causing the
toes to scrape the ground while walking, requiring someone to lift the leg higher than normal
when walking
Waddling gait -- a duck-like walk that may appear in childhood or later in life
Abnormal gait may be caused by diseases in many different areas of the body.
General causes of abnormal gait may include:
Foot problems (such as a callus, corn, ingrown toenail, wart, pain, skin sore, swelling, or
spasms)
Fracture
Infection
Injury
Myositis
Shin splints
Shoe problems
Tendonitis
Propulsive gait:
o
Manganese poisoning
Parkinson's disease
Brain abscess
Brain tumor
Cerebral palsy
Cervical spondylosis with myelopathy (a problem with the vertebrae in the neck)
Liver failure
Multiple sclerosis
Pernicious anemia
Syphilitic meningomyelitis
Syringomyelia
Steppage gait:
o
Guillain-Barre syndrome
Multiple sclerosis
Peroneal neuropathy
Poliomyelitis
Waddling gait:
o
Muscular dystrophy
Alcohol intoxication
Brain injury
Stroke
Home Care
Treating the cause often improves the gait. For example, gait abnormalities from trauma to part of
the leg will improve as the leg heals.
Physical therapy almost always helps with short-term or long-term gait disorders. Therapy will
reduce the risk of falls and other injuries.
For an abnormal gait that occurs with conversion disorder, counseling and support from family
members are strongly recommended.
For a propulsive gait:
Allow plenty of time for daily activities, especially walking. People with this problem are likely
to fall because they have poor balance and are always trying to catch up.
People with a scissors gait often lose skin sensation. Skin care should be used to avoid skin
sores.
Leg braces and in-shoe splints can help keep the foot in the right position for standing and
walking. A physical therapist can supply these and provide exercise therapy, if needed.
Leg braces and in-shoe splints can help keep the foot in the right position for standing and
walking. A physical therapist can supply these and provide exercise therapy, if needed.
Get enough rest. Fatigue can often cause a person to stub a toe and fall.
Leg braces and in-shoe splints can help keep the foot in the right position for standing and
walking. A physical therapist can supply these and provide exercise therapy, if needed.
For a waddling gait, follow the treatment your health care provider prescribed.