Neurogenic Claudication and Lumbar Spinal Stenosis

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What is the defining characteristic of spastic paraparetic gait?

Broad-based, short-stepped, irregular walking

Narrow step width and inwards rotation (correct)

Shortened and mildly irregular step length

Broadened base and marked irregularity

What distinguishes cerebellar ataxic gait from other gait disorders?

Narrow step width and inwards rotation

Broad-based, short-stepped, irregular walking

Broadened base and marked irregularity (correct)

Shortened and mildly irregular step length

What is the characteristic feature of parkinsonian gait?

Shortened and mildly irregular step length (correct)

Broad-based, short-stepped, irregular walking

Narrow step width and inwards rotation

Broadened base and marked irregularity

How does frontal gait disorder differ from other gait disorders?

Broad-based, short-stepped, irregular walking Signup and view all the answers

What are the most common reasons for non-neurological gait disorders in adults?

Osteoarthritis and skeletal deformities Signup and view all the answers

What is the defining characteristic of antalgic gait?

Walking as if there were a thorn in the sole of the foot Signup and view all the answers

Why do patients with antalgic gait carry walking aids on the unaffected side?

To reduce load on the affected leg Signup and view all the answers

What are typical causes of antalgic gait?

Painful conditions in the lower extremities Signup and view all the answers

What type of gait disorder is characterized by a wider base than normal, reduced arm swing, and a slightly stooped posture?

Cautious gait Signup and view all the answers

What may be tolerated better than walking downhill for individuals with lumbar spinal stenosis?

Walking uphill Signup and view all the answers

What is the main clinical manifestation of cervical spondylotic myelopathy?

Stiff and paraparetic spastic gait Signup and view all the answers

What characterizes spastic hemiparetic gait?

Dominance of the tonus in the upper limb flexor muscles Signup and view all the answers

What non-surgical treatment method is mentioned for individuals with lumbar spinal stenosis?

Training how to lift the pelvis while standing and walking Signup and view all the answers

What type of gait disorder is a relatively common cause of gait disturbance in the elderly due to degenerative changes in the cervical spine?

Cervical spondylotic myelopathy Signup and view all the answers

What condition can result in a reduction of the diameter of the spinal canal and dural sac when the spine is extended?

Lumbar lordosis Signup and view all the answers

What can be considered the maximum variant of cautious gait?

Phobic gait disorder Signup and view all the answers

What is the characteristic movement of the paretic leg during the swing phase in Wernicke-Mann gait?

Circumduction Signup and view all the answers

What type of gait disorder is observed when the muscle tone in the adductors causes a dragging movement of each leg?

Scissor gait Signup and view all the answers

Which region of the cerebellum is predominantly responsible for the control of balance in humans?

Vermis Signup and view all the answers

What test can be used to distinguish between sensory ataxia and cerebellar ataxia based on the loss of proprioception?

Romberg’s test Signup and view all the answers

Which type of gait disorder may appear as broad based, insecure, and wobbly with irregular and variable leg movements?

Cerebellar ataxic gait Signup and view all the answers

What type of gait disorder may have a stomping quality and may involve lifting the feet high due to a loss of proprioception?

Sensory ataxic gait Signup and view all the answers

What type of treatment may be helpful for spastic paraparetic gait involving local botulinum toxin injections?

Botulinum toxin injections Signup and view all the answers

What type of gait disorder may worsen on attempts to walk faster?

Spastic gait problems Signup and view all the answers

What term is used to describe gait problems which are not explained by peripheral, pyramidal, cerebellar or basal ganglia lesions?

Higher level gait disorder Signup and view all the answers

What may lead to a misdiagnosis of Parkinson’s disease, particularly if tremor is also present?

Lower body parkinsonism Signup and view all the answers

What might cause gait problems by disrupting interhemispheric communication?

Lesions in the corpus callosum Signup and view all the answers

What is a common cause of frontal gait disorders in older individuals?

Vascular lesions Signup and view all the answers

What is a characteristic feature of patients with frontal gait disorders?

Broad step length Signup and view all the answers

Which region of the brain is associated with grey matter atrophy in patients with higher level gait disorders?

Midbrain Signup and view all the answers

What kind of walking aids need to be considered for patients with ataxic gait?

Customized canes Signup and view all the answers

What kind of clinical tests increase insecurity in sensory ataxic gait?

Tandem walk and walking on uneven surfaces Signup and view all the answers

What is the characteristic feature of Duchenne sign as a consequence of gluteus medius muscle weakness?

Dropping of the contralateral hemipelvis during the stance phase on the affected side Signup and view all the answers

What type of gait disorder is observed when the muscles extending the hip joint are affected and the posture in that joint becomes flexed with increased lumbar lordosis?

Waddling gait Signup and view all the answers

What is a common cause of intermittent claudication, where patients experience pain or cramps in the calves, feet, or thighs after walking a certain distance?

Neurogenic claudication Signup and view all the answers

What is the distinguishing characteristic of steppage gait?

Inability to stand or walk on heels Signup and view all the answers

Which orthopedic condition can cause a similar gait pattern as observed in Duchenne sign due to gluteus medius muscle weakness?

Posttraumatic elevation of the trochanter Signup and view all the answers

What is a characteristic feature of patients with lumbar spinal stenosis related to neurogenic claudication?

Increased difficulty walking downhill compared to walking uphill Signup and view all the answers

What is the distinguishing characteristic of spinal pain-related inhibited gait?

Avoidance of heel strike during early stance phase Signup and view all the answers

What might be helpful for patients with pareses of the plantar flexors muscles?

Peroneal splints and orthopedic footwear Signup and view all the answers

Neurogenic Claudication and Lumbar Spinal Stenosis

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Questions and Answers

What is the defining characteristic of spastic paraparetic gait?

What distinguishes cerebellar ataxic gait from other gait disorders?

What is the characteristic feature of parkinsonian gait?

How does frontal gait disorder differ from other gait disorders?

What are the most common reasons for non-neurological gait disorders in adults?

What is the defining characteristic of antalgic gait?

Why do patients with antalgic gait carry walking aids on the unaffected side?

What are typical causes of antalgic gait?

What type of gait disorder is characterized by a wider base than normal, reduced arm swing, and a slightly stooped posture?

What may be tolerated better than walking downhill for individuals with lumbar spinal stenosis?

What is the main clinical manifestation of cervical spondylotic myelopathy?

What characterizes spastic hemiparetic gait?

What non-surgical treatment method is mentioned for individuals with lumbar spinal stenosis?

What type of gait disorder is a relatively common cause of gait disturbance in the elderly due to degenerative changes in the cervical spine?

What condition can result in a reduction of the diameter of the spinal canal and dural sac when the spine is extended?

What can be considered the maximum variant of cautious gait?

What is the characteristic movement of the paretic leg during the swing phase in Wernicke-Mann gait?

What type of gait disorder is observed when the muscle tone in the adductors causes a dragging movement of each leg?

Which region of the cerebellum is predominantly responsible for the control of balance in humans?

What test can be used to distinguish between sensory ataxia and cerebellar ataxia based on the loss of proprioception?

Which type of gait disorder may appear as broad based, insecure, and wobbly with irregular and variable leg movements?

What type of gait disorder may have a stomping quality and may involve lifting the feet high due to a loss of proprioception?

What type of treatment may be helpful for spastic paraparetic gait involving local botulinum toxin injections?

What type of gait disorder may worsen on attempts to walk faster?

What term is used to describe gait problems which are not explained by peripheral, pyramidal, cerebellar or basal ganglia lesions?

What may lead to a misdiagnosis of Parkinson’s disease, particularly if tremor is also present?

What might cause gait problems by disrupting interhemispheric communication?

What is a common cause of frontal gait disorders in older individuals?

What is a characteristic feature of patients with frontal gait disorders?

Which region of the brain is associated with grey matter atrophy in patients with higher level gait disorders?

What kind of walking aids need to be considered for patients with ataxic gait?

What kind of clinical tests increase insecurity in sensory ataxic gait?

What is the characteristic feature of Duchenne sign as a consequence of gluteus medius muscle weakness?

What type of gait disorder is observed when the muscles extending the hip joint are affected and the posture in that joint becomes flexed with increased lumbar lordosis?

What is a common cause of intermittent claudication, where patients experience pain or cramps in the calves, feet, or thighs after walking a certain distance?

What is the distinguishing characteristic of steppage gait?

Which orthopedic condition can cause a similar gait pattern as observed in Duchenne sign due to gluteus medius muscle weakness?

What is a characteristic feature of patients with lumbar spinal stenosis related to neurogenic claudication?

What is the distinguishing characteristic of spinal pain-related inhibited gait?

What might be helpful for patients with pareses of the plantar flexors muscles?

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