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Knowledge base for diagnostic gait assessments

D A Winter1

  • 1Department of Kinesiology, University of Waterloo, ONT, Canada.

Medical Progress Through Technology
|January 1, 1993
PubMed
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Properly conducted clinical gait assessments provide crucial diagnostic information for surgical planning, rehabilitation, and prosthetic evaluation. This review highlights their value and presents a generalized strategy for gait pathology assessment.

Area of Science:

  • Biomechanics
  • Clinical assessment
  • Orthopaedics

Background:

  • The proliferation of clinical gait laboratories has led to increased research on pathological gait.
  • Criticisms exist regarding the value of many gait assessments due to superficial literature reviews.

Observation:

  • This review aims to demonstrate the diagnostic value of properly executed clinical gait assessments.
  • It emphasizes understanding walking's fundamental goals, normal gait synergies, and the importance of normalized databases.

Findings:

  • Clinical gait assessments, when performed correctly, yield valuable diagnostic information.
  • Specific examples of pathological gait assessment are presented to illustrate key principles.
  • A generalized diagnostic strategy using a checklist for all gait pathologies is demonstrated.

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Implications:

  • Properly conducted gait assessments significantly aid surgeons in planning orthopaedic procedures.
  • These assessments are vital for effective rehabilitation planning and prosthetic device evaluation.
  • A generalized strategy can address the logistical and financial challenges of running diagnostic gait services.