Dystonic Gait and Foot Posture Quiz

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What is the huffing and puffing sign highly specific for?

Orthostatic tremor

Functional gait disorders (correct)

Myoclonus

Parkinson's disease

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 (correct)

Periodic paralysis

Episodic ataxias

Cautious gait

What is the drug of choice for the treatment of the gait disorder of Parkinson's disease?

Orthostatic tremor

Myoclonus

Levodopa (correct)

Cervical spondylotic myelopathy

What is a potential precursor of falls in elderly persons?

Gait disorders Signup and view all the answers

What is a fundamental function that determines human life beyond early infancy?

Bipedal gait Signup and view all the answers

What should be considered as a surgical treatment in normal pressure hydrocephalus and hip or knee osteoarthritis?

Surgical treatment should be considered Signup and view all the answers

What are patients with gait disorders not amenable to specific treatment likely to benefit from?

Multimodal rehabilitation Signup and view all the answers

What type of training can improve habitual and maximum gait speed in elderly subjects?

Power training Signup and view all the answers

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 Signup and view all the answers

What is the swivel chair sign indicative of?

Functional gait disorders Signup and view all the answers

What should the prevention and treatment of iatrogenic gait disorders focus on, especially in the geriatric population?

Reducing medication-induced gait disorders Signup and view all the answers

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 Signup and view all the answers

What is the main characteristic of orthostatic tremor?

Tremor of very high frequency upon standing up Signup and view all the answers

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 Signup and view all the answers

Which medication shows at least mild benefits in the majority of patients with orthostatic tremor?

Clonazepam Signup and view all the answers

What type of gait disorder may cause a consistent deviation from a straight line while walking?

Vestibulopathic gait Signup and view all the answers

What are the main features of myoclonus?

Involuntary jerks resulting in the movement of a joint and sudden loss of muscle tone Signup and view all the answers

Which area is implicated in thalamic astasia?

Thalamus or lenticular nucleus Signup and view all the answers

What is the characteristic feature of acute peripheral vestibular dysfunction on one side?

Feeling of being pulled to the ipsilateral side Signup and view all the answers

What may cause marked impairment of balance and gait initiation?

Lesions of the pontomesencephalic area involving the pedunculopontine nucleus Signup and view all the answers

What is a common characteristic of psychogenic gait disorders?

Inconsistencies in clinical neurological findings Signup and view all the answers

What is a typical cause of myoclonic gait disorder in older age groups?

Generalized cerebral ischemia or hypoxia Signup and view all the answers

Which gait disorder mainly affects standing more than walking?

Orthostatic tremor Signup and view all the answers

What is a possible associated problem with thalamic astasia?

Motor neglect of the contralateral side of the body Signup and view all the answers

What is the most common abnormal posture of the foot in dystonic gait?

Inversion, plantar flexion, and tonic extension of the big toe Signup and view all the answers

Which type of walking may be paradoxically less impaired than walking forward in patients with dystonic gait?

Walking backwards Signup and view all the answers

What might improve or even normalize dystonic gait in some patients?

Resting one's hand on one's neck Signup and view all the answers

Which movement disorder is characterized by cognitive decline and psychiatric disturbance and also affects the patients’ gait?

Huntington’s disease Signup and view all the answers

In which condition may choreatic gait disorders occur as a side effect?

Parkinson's disease Signup and view all the answers

What are the typical characteristics of choreatic gait in patients?

Impaired by sudden involuntary movements, irregular, dance-like, and swaying Signup and view all the answers

What do patients with choreatic gait do to compensate for intrusive movements?

They widen their stance base and walk more slowly Signup and view all the answers

In which condition may stereotypical or bizarre dyskinesia appear?

Tardive dyskinesia Signup and view all the answers

What type of inheritance pattern does Huntington's disease have?

Autosomal dominant inheritance pattern Signup and view all the answers

Which part of the body does choreatic movement disorder also affect in Huntington's disease?

Legs and feet Signup and view all the answers

In which condition may choreatic gait disorders occur less frequently?

Hypoxic lesions in the basal ganglia following cardiopulmonary bypass surgery Signup and view all the answers

When do falls typically occur in patients with typical choreatic gait?

Falls typically occur only in severe cases Signup and view all the answers