Sunday, December 20, 2009

From the walk to see the disease profile

1. Protection of claudication:Walking, ipsilateral to the contralateral foot just 1:00 off the feet to move forward quickly; Kin feet hit the ground a long time suffering from foot point to a short time; suffering from leg move is small, Kin-leg large strides; suffering from leg load is small, Kin - a significant negative leg. This protection of the affected foot point to limp, more common lower limb injuries.

2. Drag leg claudication:Walking, fitness legs legs in front of patients delayed, limb before the foot touched the ground to bring the performance of heel rub for the mop to limp legs. Can be seen in children with acute hip sprain, early hip hip joint tuberculosis, or periostitis, etc..



3.Intermittent claudication:Start walking gait normal, but could not walk far (less than 100 meters severe) patients owing to the lateral calf and foot swelling after Ma was nearly stopped the pain required to squat down a short break until the relief of symptoms after a new start. A walk take a rest, it is called intermittent claudication. Commonly found in lumbar spinal stenosis, sciatic nerve involvement, and thromboangiitis obliterans in patients with localized insufficiency.



4. Waddling gait:Patients on both sides of the trunk when you're walking through swing. Contralateral pelvis to raise, to bring forward enough to mention lower extremities. Therefore, every pre-step, swing the trunk to look at the opposite side, looking like a duck walk, so called "duck-line step." Common in children with congenital bilateral hip dislocation, progressive muscular dystrophy and serious "O"-type legs, as well as the superior gluteal nerve damage in patients.



5. High leg lift gait:Walking, suffering from leg Gaotai, while suffering from foot drop, small stride claudication, such as the threshold of the cross-shaped, so called "cross-gait." Mainly due to paralysis of leg extensor, foot droop can not be made Beishen state. In order to avoid walking on toes while rubbing to raise awareness of the legs, commonly found in sciatic nerve, common peroneal nerve palsy or trauma.



6. Heel gait:Sufficient to follow the way when you're walking, gait instability, performance around the body gently swaying, foot Beishen, a high arch. Can be found in the tibial nerve palsy, Achilles tendon rupture in patients with hereditary ataxia and so on.



7. Circled gait:Walking performance of infestation Tuixi stiffness, internal rotation, and mild enough to droop, toe under the hook. Got started, first contralateral turn, will raise the affected side in order to bring the pelvic limb, and then to ipsilateral hip axis, straight legs and rub to a uniform semi-circle to the outside of the former step. As common in the lower limbs in patients with spastic hemiplegia, so called "imitation palsy gait."



8.Panic gait:More common in cerebral arteriosclerosis, brain tumors, head trauma old;

9, drunken gait:Mainly seen in the cerebellum or vestibular disorders;

10, stepping in gait:Common in multiple neuritis, medullary type of cervical disease and in patients with spinal tuberculosis, etc.;

11, cross-gait:More common in large cerebral palsy, paraplegia and other patients.

No comments:

Post a Comment