Evaluating Gait Disorders in Older People
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Questions and Answers

Which of the following is not a part of the physical examination for evaluating a patient's medication?

  • Conducting a gait analysis (correct)
  • Checking vision, hearing, and vital signs
  • Evaluating the patient's cognitive disorders
  • Assessing for signs of cardiovascular disease
  • What are the parameters that should be clinically examined during gait analysis?

  • Cognitive disorders, orthostatic hypotension, proprioception
  • Arrhythmias, limited range of motion, reflexes
  • Step length, stride length, step width (correct)
  • Blood pressure, joint swelling, muscle strength
  • What level of gait disorder may improve with a specific intervention such as physiotherapy?

  • Low-level gait disorder (correct)
  • Advanced-level gait disorder
  • Medium-level gait disorder
  • High-level gait disorder
  • Which type of gait disorder is characterized by short, shuffling steps and reduced arm-swing?

    <p>Parkinsonian gait</p> Signup and view all the answers

    What are the common elements of high-level gait disorders?

    <p>Poor balance with falls, problems with gait initiation</p> Signup and view all the answers

    What does the assessment of Parkinson's disease include?

    <p>Observation of gait for speed, balance, and symmetry</p> Signup and view all the answers

    Which type of gait disorder has deficits distal to the central nervous system?

    <p>Low-level gait disorder</p> Signup and view all the answers

    What is the purpose of a screening tool like the TUG (Timed Up and Go) test?

    <p>To assess gait and balance performance</p> Signup and view all the answers

    What is the term used to describe gait abnormalities that cannot be explained by deficits in the pyramidal, extrapyramidal, sensory, or cerebellar systems?

    <p>High-level gait disorders</p> Signup and view all the answers

    What does the assessment of Parkinson's disease include?

    <p>Investigation of Joan's normal level of function and use of walking stick or aids</p> Signup and view all the answers

    What type of problems fall under low-level gait disorders?

    <p>Peripheral musculoskeletal problems and sensory disturbances</p> Signup and view all the answers

    What is a significant risk factor for falls in older people?

    <p>Gait disorders</p> Signup and view all the answers

    Apart from the neurological system, what other systems need to be considered when evaluating gait and balance disorders?

    <p>Musculoskeletal and sensory systems</p> Signup and view all the answers

    What kind of history is essential when evaluating an older person for a gait disorder?

    <p>Neurological, orthopedic, and medical history</p> Signup and view all the answers

    What kind of collateral history may caregivers provide when evaluating a gait disorder in older people?

    <p>Falls or walking difficulties history</p> Signup and view all the answers

    What information should be documented when evaluating an older person for a gait disorder?

    <p>Maximum walking distance and number of rests needed</p> Signup and view all the answers

    Which system is NOT mentioned as a factor to consider when evaluating gait and balance disorders in older people?

    <p>Endocrine system</p> Signup and view all the answers

    What should be reviewed when evaluating an older person's usual level of function?

    <p>Mobility and activity level</p> Signup and view all the answers

    What should be inquired about when asking about the nature of the problems with walking?

    <p>Nature of pain or discomfort</p> Signup and view all the answers

    What should be documented regarding the use of walking aids?

    <p>Types of walking aids used</p> Signup and view all the answers

    What should be established regarding the patient's usual level of function?

    <p>Mobility and activity level</p> Signup and view all the answers

    What is the similarity between the evaluation of gait disorders and falls?

    <p>Both involve assessing cognitive functions</p> Signup and view all the answers

    What information should be included in the history when evaluating an older person for a gait disorder?

    <p>Patient medication and detailed questioning about falls</p> Signup and view all the answers

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