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Related Experiment Video

Updated: Dec 20, 2025

Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder
06:54

Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder

Published on: March 4, 2018

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Functional gait disorders: A sign-based approach.

Jorik Nonnekes1, Evžen Růžička2, Tereza Serranová2

  • 1From the Department of Rehabilitation (J.N.), Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Centre of Expertise for Parkinson & Movement Disorders; Department of Rehabilitation (J.N.), Sint Maartenskliniek, Nijmegen, the Netherlands; Department of Neurology and Centre of Clinical Neuroscience (E.R., T.S.), First Faculty of Medicine and General University Hospital, Charles University, Prague, Czech Republic; Department of Neurology (S.G.R.), The University of Maryland School of Medicine, Baltimore, MD; Department of Neurology (B.R.B.), Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Centre of Expertise for Parkinson & Movement Disorders, Nijmegen, the Netherlands; andNational Institute of Neurological Disorders and Stroke (M.H.), Bethesda, MD. jorik.nonnekes@radboudumc.nl.

Neurology
|June 3, 2020
PubMed
Summary

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This summary is machine-generated.

Diagnosing functional gait disorders requires recognizing positive clinical signs, not just excluding organic causes. This study presents a sign-based approach to identify inconsistencies and incongruities for improved diagnostic accuracy.

Area of Science:

  • Neurology
  • Clinical Medicine

Background:

  • Functional gait disorders are common and disabling.
  • Diagnosis is challenging due to overlapping features with organic gait disorders.

Purpose of the Study:

  • To present a sign-based approach for diagnosing functional gait disorders.
  • To improve diagnostic accuracy by identifying key clinical features.

Main Methods:

  • Utilized a sign-based approach supported by video examples.
  • Identified 7 groups of supportive gait signs.
  • Highlighted clinical tests to elicit inconsistencies and incongruities.

Main Results:

  • Positive clinical features can resemble organic gait disorders.
  • Inconsistency and incongruity are crucial diagnostic indicators.

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  • Potential pitfalls in interpreting these features were addressed.
  • Conclusions:

    • A systematic, sign-based approach aids in diagnosing functional gait disorders.
    • Recognizing inconsistencies and incongruities is key.
    • This method helps differentiate functional from organic gait issues.