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Gait disorders: search for multiple causes.

Neil B Alexander1, Allon Goldberg

  • 1Institute of Gerontology, Division of Geriatric Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109-0926, USA. nalexand@umich.edu

Cleveland Clinic Journal of Medicine
|July 28, 2005
PubMed
Summary
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Gait disorders in older adults signal future functional decline. Comprehensive assessment and interventions like exercise, medical treatments, and mobility aids can manage symptoms, though some impairment may persist.

Area of Science:

  • Gerontology
  • Neurology
  • Physical Therapy

Background:

  • Gait disorders are significant predictors of functional decline in the elderly population.
  • Multiple underlying causes contribute to gait disturbances, necessitating a holistic evaluation approach.

Purpose of the Study:

  • To emphasize the importance of a comprehensive assessment for gait disorders in older adults.
  • To highlight effective interventions for managing gait disorders and their impact on functional decline.

Main Methods:

  • Assessment involves evaluating sensorimotor levels, performing focused physical examinations, and assessing functional performance.
  • Interventions considered include exercise, medical treatments, surgical options, orthoses, and mobility aids.

Main Results:

Related Experiment Videos

  • Exercise, medical, and surgical interventions demonstrate effectiveness in reducing gait disorder severity.
  • While interventions improve gait, some residual functional impairment often remains.

Conclusions:

  • A thorough, multi-faceted assessment is crucial for understanding and addressing gait disorders in older adults.
  • A combination of therapeutic interventions, including assistive devices, can mitigate functional decline associated with gait impairments.