36 Questions
What is the huffing and puffing sign highly specific for?
Functional gait disorders
What is a potential clinical sign pointing towards a functional nature of a gait disorder?
Fixed plantar flexion and inversion of one foot or both feet
What is the drug of choice for the treatment of the gait disorder of Parkinson's disease?
Levodopa
What is a potential precursor of falls in elderly persons?
Gait disorders
What is a fundamental function that determines human life beyond early infancy?
Bipedal gait
What should be considered as a surgical treatment in normal pressure hydrocephalus and hip or knee osteoarthritis?
Surgical treatment should be considered
What are patients with gait disorders not amenable to specific treatment likely to benefit from?
Multimodal rehabilitation
What type of training can improve habitual and maximum gait speed in elderly subjects?
Power training
What is characterized by manipulation-resistant dorsiflexion of the first toe, fixed plantar flexion, and inversion of one foot or both feet?
Functional gait disorders
What is the swivel chair sign indicative of?
Functional gait disorders
What should the prevention and treatment of iatrogenic gait disorders focus on, especially in the geriatric population?
Reducing medication-induced gait disorders
What should be considered as an important measure to reduce the burden of falls in the geriatric population?
Prevention and treatment of iatrogenic gait disorders
What is the main characteristic of orthostatic tremor?
Tremor of very high frequency upon standing up
What may lead to confusion with a functional disorder in patients with orthostatic tremor?
The long average latency period between disease onset and the correct diagnosis
Which medication shows at least mild benefits in the majority of patients with orthostatic tremor?
Clonazepam
What type of gait disorder may cause a consistent deviation from a straight line while walking?
Vestibulopathic gait
What are the main features of myoclonus?
Involuntary jerks resulting in the movement of a joint and sudden loss of muscle tone
Which area is implicated in thalamic astasia?
Thalamus or lenticular nucleus
What is the characteristic feature of acute peripheral vestibular dysfunction on one side?
Feeling of being pulled to the ipsilateral side
What may cause marked impairment of balance and gait initiation?
Lesions of the pontomesencephalic area involving the pedunculopontine nucleus
What is a common characteristic of psychogenic gait disorders?
Inconsistencies in clinical neurological findings
What is a typical cause of myoclonic gait disorder in older age groups?
Generalized cerebral ischemia or hypoxia
Which gait disorder mainly affects standing more than walking?
Orthostatic tremor
What is a possible associated problem with thalamic astasia?
Motor neglect of the contralateral side of the body
What is the most common abnormal posture of the foot in dystonic gait?
Inversion, plantar flexion, and tonic extension of the big toe
Which type of walking may be paradoxically less impaired than walking forward in patients with dystonic gait?
Walking backwards
What might improve or even normalize dystonic gait in some patients?
Resting one's hand on one's neck
Which movement disorder is characterized by cognitive decline and psychiatric disturbance and also affects the patients’ gait?
Huntington’s disease
In which condition may choreatic gait disorders occur as a side effect?
Parkinson's disease
What are the typical characteristics of choreatic gait in patients?
Impaired by sudden involuntary movements, irregular, dance-like, and swaying
What do patients with choreatic gait do to compensate for intrusive movements?
They widen their stance base and walk more slowly
In which condition may stereotypical or bizarre dyskinesia appear?
Tardive dyskinesia
What type of inheritance pattern does Huntington's disease have?
Autosomal dominant inheritance pattern
Which part of the body does choreatic movement disorder also affect in Huntington's disease?
Legs and feet
In which condition may choreatic gait disorders occur less frequently?
Hypoxic lesions in the basal ganglia following cardiopulmonary bypass surgery
When do falls typically occur in patients with typical choreatic gait?
Falls typically occur only in severe cases
Test your knowledge about dystonic gait and the abnormal posture of the foot associated with it. Explore the complexities of walking patterns, sensory tricks, and potential confusion with psychogenic gait disorders.
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