Small gait

Introduction The small gait is to walk slowly, and walk on both feet. Small steps, towing, slow start or turn, unstable gait. Gait is the posture that is expressed when walking. When walking, the affected side just a little bit of the foot will quickly move forward and move forward; the foot touches the ground for a long time, and the time of the foot is short.

Cause

Found in the frontal lobe (cortex or white matter) lesions.

an examination

Related inspection

Brain Doppler Ultrasound (TCD)

Small steps, towing, slow start or turn, unstable gait. Misdiagnosed as Parkinson's disease gait, but small gait is the base width. The upper limbs have a swinging motion, with cognitive impairment, frontal lobe release symptoms, pseudobulbaric paralysis, pyramidal tract signs, and sphincter dysfunction.

Differential diagnosis

(1) spastic hemiplegic gait: a unilateral lesion. The upper limbs of the diseased side are usually flexed and adducted, the waist is inclined to the healthy side, the lower limbs are straight and externally rotated, and the front swings outward (compensating for the hip, knee flexor and dorsiflexion caused by weakness), while walking A circled gait; mild patients only show lower limb towing gait. Found in the sequela of stroke and so on.

(2) sacral paraplegia gait: bilateral severe sacral muscle tension increased, patients with lower extremity tonic adduction, with compensatory trunk movement, walking effort, scissor-like gait. Common in children with cerebral palsy, spinal cord trauma and so on.

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