Spastic hemiplegic gait

Introduction Spastic hemiplegic hemiplegic refers to the lower limbs of the affected side due to the high muscle tension of the extensor muscles, and the patients with flexion difficulties disappeared during the walking of the hemiplegic side of the upper limbs, showing a pre-rotation flexion posture, lower extremity straightening and external rotation When the step is raised, the pelvis is raised. In order to avoid the toe towing the ground and then move outward and then move to the front, it is also called a circle-like gait. It is caused by a lesion of one side of the pyramidal tract and is more common in cerebrovascular diseases.

Cause

Found in cerebrovascular disease encephalitis and other sequelae of brain trauma.

an examination

Related inspection

Brain CT examination brain MRI examination EEG examination brain nerve examination

The upper limb of the patient is adducted, pronation, flexion, no normal swing, lower extremity straight and external rotation, the pelvis is raised when the step is raised, the toe is dragged, the outer rotation is rotated and then moved forward.

Differential diagnosis

Identify with the following gaits:

1 The drunken gait is difficult to control because of the center of gravity. When walking, the distance between the legs is widened. After lifting the leg, the body swings to the sides. The upper limb often shakes in the horizontal direction or before or after, sometimes it cannot stand, and the instability is more obvious when changing the position. Can not take a straight line, this gait is also called "".

2. Ataxia gait: When walking, the two feet are separated, because the center of gravity is not easy to control, so the swing is unstable, such as drunkenness, called "drunk gait", more common in cerebellar lesions. For those caused by deep sensory disturbances, the two feet should be separated for balance when walking. The two eyes should look at the ground and lower limbs. If the feet are too high, the lower ground will be uneven, and the stride length will be uneven.

3 sacral paraplegia gait, due to the increased tension of the lower extremity adductor muscle group, the two legs crossed to the inside when walking, such as scissors, also known as scissors gait, seen in the transverse spinal cord damage cerebral palsy.

The upper limb of the patient is adducted, pronation, flexion, no normal swing, lower extremity straight and external rotation, the pelvis is raised when the step is raised, the toe is dragged, the outer rotation is rotated and then moved forward.

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