WordNet

a horses manner of moving
a persons manner of walking
inability to coordinate voluntary muscle movements; unsteady movements and staggering gait (同)ataxy, dyssynergia, motor_ataxia

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歩きぶり,足どり

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/07/11 12:14:34」(JST)

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Gait abnormality is a deviation from normal walking (gait). Watching a patient walk is the most important part of the neurological examination. Normal gait requires that many systems, including strength, sensation and coordination, function in an integrated fashion. Many common problems in the nervous system and musculoskeletal system will show up in the way a person walks.^[1]

Presentation and causes

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Quadrupedalism in an Iraqi family

Persons suffering from peripheral neuropathy experience numbness and tingling in their hands and feet. This can cause ambulation impairment, such as trouble climbing stairs or maintaining balance. Gait abnormality is also common in persons with nervous system problems such as Multiple sclerosis, Parkinson's disease, Alzheimer's disease, Myasthenia gravis, Normal Pressure Hydrocephalus, and Charcot-Marie-Tooth Disease. Orthopedic corrective treatments may also manifest into gait abnormality, such as lower extremity amputation, post-fracture, and arthroplasty (joint replacement). Difficulty in ambulation that results from chemotherapy is generally temporary in nature, though recovery times of six months to a year are common. Likewise, difficulty in walking due to arthritis or joint pains (antalgic gait) sometimes resolves spontaneously once the pain is gone.^[2]^[3] Hemiplegic persons have circumduction gait and those with cerebral palsy often have scissoring gait.

References

^ Harrison's Principles of Internal Medicine, 16th ed., Ch. 346, Approach to the Paitent with Neurological Disease
^ "Gait Abnormality Coding Checklist by Jun Mapili, PT, MA13212503469Ed". Selmanholman.com. Retrieved 2014-06-10.
^ ICD-9-cm Chrisenders^{[dead link]}

External links

Gait Abnormality Coding Checklist by Jun Mapili, PT, MAEd
Children's Hospital Boston
Classification
Case Study
Videos of various abnormal gaits

UpToDate Contents

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1. 成人における小脳性運動失調の概要 overview of cerebellar ataxia in adults
2. 急性運動失調を呈する小児に対するアプローチ approach to the child with acute ataxia
3. 遺伝性運動失調の概要 overview of the hereditary ataxias
4. 脊髄小脳変性症 the spinocerebellar ataxias
5. 小児における急性小脳性運動失調 acute cerebellar ataxia in children

English Journal

Gait analysis and the cumulative gait index (CGI): Translational tools to assess impairments exhibited by rats with olivocerebellar ataxia.

Lambert CS1, Philpot RM2, Engberg ME2, Johns BE2, Kim SH3, Wecker L4.
Behavioural brain research.Behav Brain Res.2014 Nov 1;274:334-43. doi: 10.1016/j.bbr.2014.08.004. Epub 2014 Aug 10.
Deviations from 'normal' locomotion exhibited by humans and laboratory animals may be determined using automated systems that capture both temporal and spatial gait parameters. Although many measures generated by these systems are unrelated and independent, some may be related and dependent, represe
PMID 25116252

Cerebellar ataxia and functional genomics: Identifying the routes to cerebellar neurodegeneration.

Smeets CJ1, Verbeek DS2.
Biochimica et biophysica acta.Biochim Biophys Acta.2014 Oct;1842(10):2030-2038. doi: 10.1016/j.bbadis.2014.04.004. Epub 2014 Apr 13.
Cerebellar ataxias are progressive neurodegenerative disorders characterized by atrophy of the cerebellum leading to motor dysfunction, balance problems, and limb and gait ataxia. These include among others, the dominantly inherited spinocerebellar ataxias, recessive cerebellar ataxias such as Fried
PMID 24726947

A home balance exercise program improves walking in people with cerebellar ataxia.

Keller JL1, Bastian AJ2.
Neurorehabilitation and neural repair.Neurorehabil Neural Repair.2014 Oct;28(8):770-8. doi: 10.1177/1545968314522350. Epub 2014 Feb 13.
Background. Physical therapy intervention is the primary treatment for gait ataxia and imbalance in individuals with cerebellar damage. Our aim was to determine if a home balance exercise program is feasible for improving locomotor and balance abilities in these individuals. Methods. A total of 14 p
PMID 24526707

Japanese Journal

Dumbbell-Shaped Abducens Schwannoma: Case Report

SHIBAO Shunsuke,HAYASHI Saeko,YOSHIDA Kazunari
Neurologia medico-chirurgica 54(4), 331-336, 2014
… Neurological examination showed left sensorineural hearing impairment, hypesthesia in the distribution of the left first and second branches of the trigeminal nerve, left curtain sign, and gait disturbance. … Postoperatively, hearing disturbance and ataxia were improved and complete abducens nerve paresis appeared. …
NAID 130003383236

A case of mediastinal lymph node cancer of unknown primary origin discovered in paraneoplastic neurological syndrome and positive for anti-Hu antibodies

植田真三久,岩永幸一郎,若原鉄平,吉村雅裕
日本呼吸器外科学会雑誌 27(1), 100-105, 2013
… A 71-year-old female was seen by a previous physician for gait disturbance that had worsened a month prior. … Neurological examination led to a diagnosis of sensory ataxia due to peripheral neuropathy. … Gait disturbance testing revealed cancer in the mediastinal lymph nodes that tested positive for anti-Hu antibodies, as reported here. …
NAID 130003368729