Gait and balance - Revision history

wikademia>Wikademia: moved Gait and Balance to Gait and balance

2009-04-23T05:16:34Z

moved Gait and Balance to Gait and balance

← Older revision	Revision as of 05:16, 23 April 2009
(No difference)

wikademia>Wikademia at 01:19, 21 April 2009

2009-04-21T01:19:22Z

← Older revision		Revision as of 01:19, 21 April 2009
Line 6:		Line 6:
	**arise from chair in single movement without using arms		**arise from chair in single movement without using arms
	**sit down in a smooth motion without falling		**sit down in a smooth motion without falling
			{{ntnes}}
	==Stance==		==Stance==
	*patient to place feet together without any support		*patient to place feet together without any support

wikademia>Wikademia: moved Gait and Balance (OSCE) to Gait and Balance

2009-04-21T01:19:10Z

moved Gait and Balance (OSCE) to Gait and Balance

← Older revision	Revision as of 01:19, 21 April 2009
(No difference)

wikademia>Wikademia: 4 revisions

2009-04-21T01:14:52Z

4 revisions

← Older revision	Revision as of 01:14, 21 April 2009
(No difference)

wikademia>Donek at 00:40, 25 June 2008

2008-06-25T00:40:14Z

← Older revision		Revision as of 00:40, 25 June 2008
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	==Other OSCE modules==		==Other OSCE modules==
	{{OSCE2}}		{{OSCE2}}
	[[Category:~~Medicine~~]][[Category:OSCE]]		[[Category: Clinical Skills]][[Category:OSCE]]

wikademia>Koppertone: /* Pathological Gaits */

2007-05-18T03:09:33Z

Pathological Gaits

← Older revision		Revision as of 03:09, 18 May 2007
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	*'''antalgic''' → painful, short contralateral step		*'''antalgic''' → painful, short contralateral step

			==Other OSCE modules==
	{{OSCE2}}		{{OSCE2}}
	[[Category:Medicine]][[Category:OSCE]]		[[Category:Medicine]][[Category:OSCE]]

wikademia>Koppertone at 02:43, 18 May 2007

2007-05-18T02:43:21Z

← Older revision		Revision as of 02:43, 18 May 2007
Line 1:		Line 1:
			==Balance==
			*patient to sit in a chair with back straight against the back of the chair
			*keep arms folded while standing
			*note:
			**sit without leaning or sliding
			**arise from chair in single movement without using arms
			**sit down in a smooth motion without falling

			==Stance==
			*patient to place feet together without any support
			*note:
			**stand for > 30sec
			**stand without loss of balance with eyes closed ('''Romberg’s Test''')
			**turn head to both sides and look up without losing balance
			**maintain balance when nudged gently (nudge 3 times on the sternum)
			**stand on one leg
			**reach up to get an object and down to get an object without loss of balance

			==Gait==
			*patient to walk across room, turn and walk back as quickly as possible
			*note:
			**INITIATE gait immediately (if no, dopamine deficiency/ substantia nigra lesion)
			**maintain normal step HEIGHT, clearing the floor with their feet (maximum of 5 cm)
			*** > 5 cm → high stepping
			**maintain a step LENGTH between stance toe and swinging heel that is length of foot
			** step symmetry and CONTINUITY (raises heel of one foot as other foot touches down)
			**maintain a straight path and normal truncal STABILITY (no swaying back, knee flexion or arm abduction)
			*observed from behind: normal walk stance with feet almost touching

			*STOP without difficulty
			*TURN without discontinuity of steps


			==Pathological Gaits==
			*'''Parkinsonian''' → shuffling gait, lack of arm swinging, difficulty initiating/stopping.
			*'''foot drop''' → compensate with high-stepping.
			*'''spastic hemiparesis''' → leg is extended, foot is plantarflexed
			*'''sensory ataxia''' → wide, unsteady gait that is worse with eyes closed.
			*'''cerebellar ataxia''' → unsteady, wide based gait, difficulty with turns, veers towards side of lesion
			*'''antalgic''' → painful, short contralateral step

	{{OSCE2}}		{{OSCE2}}
	[[Category:Medicine]][[Category:OSCE]]		[[Category:Medicine]][[Category:OSCE]]

wikademia>Koppertone: New page: {{OSCE2}} Category:MedicineCategory:OSCE

2007-05-18T02:31:14Z

New page: {{OSCE2}} Category:Medicine Category:OSCE

New page

{{OSCE2}}
[[Category:Medicine]][[Category:OSCE]]