Gait Abnormalities Assessment

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What medication is commonly used to treat Parkinson's disease and other Parkinsonian disorders?

Aspirin

Ibuprofen

Levodopa (correct)

Amoxicillin

In the context of gait disorders, what may play a pharmacologic role in reducing the risk of falls in older persons?

Using over-the-counter pain relief medication

Increasing medication dosage

Starting a new medication

Deprescribing (correct)

For which conditions may surgical treatment be considered in the context of gait disorders?

Rheumatoid arthritis

Hypertension

Osteoarthritis and lumbar spinal stenosis (correct)

Alzheimer's disease

What is the recommended course of action when normal pressure hydrocephalus is suspected?

Spinal tap test for diagnostic purposes Signup and view all the answers

Which older people may benefit from physiotherapy and occupational therapy in the context of gait disorders?

Those with certain neuromuscular conditions and frontal gait disorders Signup and view all the answers

What type of exercise interventions can improve habitual and maximum gait speed in older people?

Muscle strength, power and resistance training, and coordination training Signup and view all the answers

What are gait disorders caused by?

Neurological, orthopedic, and medical conditions Signup and view all the answers

What level of gait disorder is associated with frontal gait, psychogenic gait disorders, and cerebrovascular disorders?

Higher level Signup and view all the answers

What does the term 'gait' refer to?

Manner or style of walking Signup and view all the answers

What is a potential non-pharmacologic method for reducing the risk of falls in older persons with gait disorders?

Use of assistive devices and fall prevention measures Signup and view all the answers

What system does gait depend upon?

Interaction of the nervous, musculoskeletal, and cardiorespiratory systems Signup and view all the answers

What is the most likely cause of the patient's unsteady gait and reduced confidence in walking?

Parkinson's disease Signup and view all the answers

What best describes the observed gait pattern in the patient?

Shuffling gait with reduced step length and height Signup and view all the answers

What is the significance of the absent heel strike observed during the patient's gait?

Is a typical finding in Parkinson's disease Signup and view all the answers

What is the most appropriate next step in the management of the patient's condition?

Further diagnostic evaluation by a neurologist or geriatrician Signup and view all the answers

What is the significance of the patient's difficulty in walking and talking at the same time (dual-tasking)?

Suggests impaired executive function Signup and view all the answers

Which examination finding is most consistent with a hypo-kinetic-rigid gait associated with Parkinson's disease?

Reduced step length and height Signup and view all the answers

What is the recommended interval for reassessment of the patient?

1 year Signup and view all the answers

What are the typical signs of Parkinson's disease observed during neurological examination?

'Resting' tremor and bradykinesia Signup and view all the answers

What is the significance of the patient's difficulty initiating/starting to walk when getting up from a chair?

Typical of individuals with Parkinson's disease Signup and view all the answers

What is a potential treatment approach for the gait disorder associated with Parkinson's disease?

Physiotherapy to improve physical capacity and function Signup and view all the answers