Gait Disorders

Contributed by Nir Giladi, MD
Director, Movement Disorder Unit
MD Unit, Department of Neurology
Tel Aviv, Israel


Click here to view videos depicting gait disorders (Members Only)

Gait disorders are a common and significant cause of reduced quality of life and independence. Falls are one of the most important consequences of gait disorders, but slow and insecure gait and ‘fear of falling’ also have great clinical significance.

Gait disorders can be classified according to the system responsible for the abnormal locomotion, according to the underlying disease associated with the abnormal gait or by its phenomenology. Parkinsonian gait disturbances may also be sub-classified as continuous (appearing whenever the patient walks) and episodic (lasting seconds).

Most gait disorders can be diagnosed and classified after obtaining a good history and a detailed physical and neurological exam. Detailed assessment with ambulatory gait monitoring devices or in a sophisticated gait laboratory are justified prior to surgery, to help document or identify impairments, subtle changes over time and therapeutic effects, and research.

Increased attention has recently been given to the cognitive aspects of gait. These also should be assessed as part of the routine evaluation of gait disturbances. Fall risk assessment is an essential part of the evaluation of a patient with gait disturbance including internal and external risk factors.

Treatment of gait disturbances should include an active intervention to decrease fall risk as well as medical, surgical and physical interventions which usually are given simultaneously.

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Journal CME
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International Congress

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Scientific Program
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2017 and 2018
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Movement Disorders Journal
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Movement Disorders Clinical Practice
Movement Disorders Clinical Practice is an online journal committed to publishing high-quality, peer reviewed articles related to clinical aspects of movement disorders.

Video Library
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Reviews & Position Papers
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Moving Along
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Movement Disorders Books
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