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Flashcards in Gait Examination Deck (19)
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1

What are the steps in gait examination?

1. General observation
2. Inspection
3. Ask child to walk across room
4. Heel-toe walk
5. Fog's test
6. Ask child to run across room
7. Squat-stand
8. Trendelenburg's sign
9. Gower's sign

2

What position should child be inspected in gait examination?

Standing

3

What should be looked for on inspection in gait examination?

- Posture
- Contactures
- Muscle bulk, wasting, and (pseudo)hypertrophy
- Involuntary muscle movements and fasciculations
- Scars
- Limb shortening
- Spine
- Shoes

4

What should be looked for on the spine in gait examination?

Scars or lesions, e.g. overlying tuft of hair

5

Why should you examine in shoes in gait examination?

To look for evidence of abnormal wear and tear

6

What should be looked for when asking the child to walk in gait examination?

- Assess for normal heel-stroke/toe-off phases
- Foot position (varus/valgus)
- Noise of the walk
- Limp
- Arm position and swing
- Abnormal movements

7

Give an example of when the noise of the walk can give a clue?

Slapping gait is associated with foot drop

8

What is assessed when asking the child to walk heel-toe?

Cerebellar pathways

9

What is Fog's test?

Asking child to walk on outsides of their feet

10

What is the purpose of Fog's test?

Exacerbates the signs of subtle hemiplegia

11

What is the purpose of asking the child to run across the room?

Exacerbates the signs of subtle hemiplegia

12

What is the purpose of assessing squat-stand?

Assesses for proximal myopathy

13

What does Trendelenburg's sign assess for?

Proximal hip muscle weakness

14

How should Trendelenburg's sign be elicited?

Ask child to stand in front of you but facing away, and get them to lift one foot off the ground

15

What normally happens in Trendelenburg's test?

The pelvis rises on the side of the lifted leg

16

What is abnormal (a positive) Trendenelenburg's test?

If the pelvis sags on the side of the lifted leg

17

How is Gower's sign elicited?

Asking the child to stand from lying supine

18

What does Gower's sign assess for?

Proximal muscle weakness

19

What is a positive Gower's sign?

When the child is unable to stand without turning prone and then bracing their hands on their knees, or 'walking' their hands up their legs to get upright