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 (A)</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 (A)</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 (A)</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 (D)</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 (D)</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 (B)</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 (C)</p> Signup and view all the answers

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

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

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

<p>Gait disorders (B)</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 (A)</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 (B)</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 (B)</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 (C)</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 (C)</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 (B)</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 (D)</p> Signup and view all the answers

What should be documented regarding the use of walking aids?

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

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

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

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