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Related Experiment Videos

Gait disorders.

Frank A Rubino1

  • 1Department of Neurology, Mayo Clinic, Jacksonville, Florida 32224, USA. rubino.frank@mayo.edu

The Neurologist
|June 14, 2003
PubMed
Summary
This summary is machine-generated.

Gait disorders in aging are complex, often requiring clinical evaluation beyond specialized tests. Identifying treatable causes and utilizing physical therapy are key to managing mobility impairments.

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Area of Science:

  • Neurology
  • Geriatrics
  • Movement Science

Background:

  • Gait and mobility disorders are prevalent in aging, with multifactorial etiologies.
  • Distinguishing normal aging from disease-related changes in gait is challenging.

Purpose of the Study:

  • To review the classification and diagnostic approaches to gait disorders in the elderly.
  • To highlight the importance of clinical assessment in identifying treatable causes.

Main Methods:

  • Review of clinical history and physical examination findings.
  • Observation of gait parameters: posture, stride length, base width, speed, fluidity, arm swing, symmetry, and neurologic signs.
  • Classification of gait disorders into lowest, middle, and highest levels based on affected systems and complexity.

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Main Results:

  • Gait evaluation, while providing physiological insights, can be effectively complemented by experienced clinical judgment.
  • Gait disorders are categorized based on underlying pathophysiology, ranging from sensory system deficits to complex neurological impairments.
  • Specific examples include myelopathy, spastic hemiparesis, movement disorders, and various highest-level gait disturbances like freezing gait and psychogenic gait.

Conclusions:

  • Treatable causes for gait disorders are frequently identifiable.
  • Physical therapy, incorporating gait evaluation and training, is a recommended intervention.
  • Pharmacological treatments should be minimized.