Posture and Gait

Posture and gait are one of the items of physical examination. The posture is what the body looks like. The abnormal posture is closely related to the health of the body and personal habits. Gait refers to the posture of the patient while walking, is a complex movement process, requires a high degree of coordination between the nervous system and muscles, and involves many spinal reflexes and adjustment of the large and cerebellum, as well as a complete, sensory system of various posture reflexes. Coordination with the movement system. Basic Information Specialist Category: Neurological Classification: Other examinations Applicable gender: whether men and women apply fasting: not fasting Tips: Actively cooperate with the doctor during the examination. Normal value There is no uniform standard in the normal range, and there are generally subjective factors, so it should be evaluated according to the doctor's personal criteria. Clinical significance Posture refers to the state of beinghave and can be affected by certain diseases. Observing gait often provides important clues to neurological diseases. Different diseases can have different special gaits, but gait is not the basis for diagnosis, but has a reference for diagnosis. Abnormal result The shoulders are different in height, the shoulder blades are raised (the most common on the right side), the breasts are asymmetrical, the waist is different, the hips are tilted, the lumbar spine is protruding, the head is tilted, the drunken gait, the sensory ataxia gait, the squat Sexual hemiplegic gait, paralytic paraplegia, gait gait, cross-threshold gait, swing gait, dance gait, star trail gait, gluteal muscle paralysis gait, intermittent break. People who need to be examined: people who have a general examination and a difference between posture and gait and normal people. Precautions Inappropriate crowd: None. Taboo before inspection: None. Requirements for inspection: The patient can be walked normally during the examination and closed eyes if necessary. Further examination can cause the patient to suddenly turn, stop, and so on. Pay attention to the conditions of starting and stopping, the posture of stretching and falling, the size of the steps, the rhythm and the direction. Inspection process 1, drunken gait with cerebellar lesions more common, clinical choice of brain CT or MRI, if you consider brain stem involvement should choose brain MRI, can also be supplemented with EEG. 2, sensory ataxia gait with greater possibility of spinal cord lesions should choose spinal MRI, cerebrospinal fluid examination, electromyogram and somatosensory evoked potential. 3, spastic hemiplegia gait with cerebrovascular disease sequelae can be selected brain CT or MRI. 4, spastic paraplegia gait according to the situation can choose spinal or brain CT or MRI examination. 5, panic gait can choose brain CT or MRI, EEG examination. 6, cross-threshold gait can do EMG examination. 7, swing gait can do EMG, myelopathy X-ray film. 8, dance gait can do brain CT or MRI, ESR, blood routine, anti-chain "O", autoantibody examination. 9, star trail gait can do vestibular function check. 10, spinal cord intermittent break should be used for spinal CT or MRI, spinal angiography, lower extremity arterial blood flow map. Not suitable for the crowd Generally there are no people who are not suitable. Adverse reactions and risks Generally no adverse reactions.

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