23 Questions
Which of the following is not a part of the physical examination for evaluating a patient's medication?
Conducting a gait analysis
What are the parameters that should be clinically examined during gait analysis?
Step length, stride length, step width
What level of gait disorder may improve with a specific intervention such as physiotherapy?
Low-level gait disorder
Which type of gait disorder is characterized by short, shuffling steps and reduced arm-swing?
Parkinsonian gait
What are the common elements of high-level gait disorders?
Poor balance with falls, problems with gait initiation
What does the assessment of Parkinson's disease include?
Observation of gait for speed, balance, and symmetry
Which type of gait disorder has deficits distal to the central nervous system?
Low-level gait disorder
What is the purpose of a screening tool like the TUG (Timed Up and Go) test?
To assess gait and balance performance
What is the term used to describe gait abnormalities that cannot be explained by deficits in the pyramidal, extrapyramidal, sensory, or cerebellar systems?
High-level gait disorders
What does the assessment of Parkinson's disease include?
Investigation of Joan's normal level of function and use of walking stick or aids
What type of problems fall under low-level gait disorders?
Peripheral musculoskeletal problems and sensory disturbances
What is a significant risk factor for falls in older people?
Gait disorders
Apart from the neurological system, what other systems need to be considered when evaluating gait and balance disorders?
Musculoskeletal and sensory systems
What kind of history is essential when evaluating an older person for a gait disorder?
Neurological, orthopedic, and medical history
What kind of collateral history may caregivers provide when evaluating a gait disorder in older people?
Falls or walking difficulties history
What information should be documented when evaluating an older person for a gait disorder?
Maximum walking distance and number of rests needed
Which system is NOT mentioned as a factor to consider when evaluating gait and balance disorders in older people?
Endocrine system
What should be reviewed when evaluating an older person's usual level of function?
Mobility and activity level
What should be inquired about when asking about the nature of the problems with walking?
Nature of pain or discomfort
What should be documented regarding the use of walking aids?
Types of walking aids used
What should be established regarding the patient's usual level of function?
Mobility and activity level
What is the similarity between the evaluation of gait disorders and falls?
Both involve assessing cognitive functions
What information should be included in the history when evaluating an older person for a gait disorder?
Patient medication and detailed questioning about falls
This quiz covers the assessment of gait and balance disorders in older individuals, taking into account multiple factors such as the neurological, musculoskeletal, and sensory systems, as well as extrinsic factors in the home environment. It also discusses the significance of gait disorders as a risk factor for falls.
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