Abnormal Gait Exam : Hemiplegic Gait Demonstration

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Hemiplegic Gait Demonstration
The patient has unilateral weakness and spasticity with the upper extremity held in flexion and the lower extremity in extension. The foot is in extension so the leg is "too long" therefore, the patient will have to circumduct or swing the leg around to step forward. This type of gait is seen with a UMN lesion.

Category:

Education

Tags:

• Hemiplegic Gait Demonstration
• Hemiplegic
• UMN lesion
• spasticity
• UMN
• lesion

[onlinemedicalvideo]

You Welcome

[strokepmr]

First, when a patient with hemiplegia stands, they have a spastic dystonic posture with hip extension/adduction, knee extension and plantarflexion/inversion. To prevent the "tripping" they wear an AFO. Without an AFO, they step to their affected leg but not past to avoid getting stuck. I have been seeing patients with stroke a long time. I don't need to "look it up". I look at my patients.

[0aiwas0]

thanks this is a great video

[HilandboyUSD]

@strokepmr How are you going to maintain any flexion/extension below the hip when the affected limb is paralyzed? Even if that were possible, if you maintain hip adduction, knee extension, and plantar flexion during a swing you're going to trip over yourself no matter how high you can hike your hip. Circumduction keeps you verticle and it even states that in the medical definition for hemiplegic gait....look it up?

[HilandboyUSD]

@arezouaa -plegic & -paretic are both suffixes that specify "loss in movement of a limb". They can be used interchangeably.

[HilandboyUSD]

@paulhodge2009 the position of the arm, whether pronated or supinated, isnt part of the gait pattern fyi.

[arezouaa]

"Hemiplegic" or "Hemiparetic"? the title is hemiplegic but he says hemiparetic .

[paulhodge2009]

wrist is usually supinated, fyi

[strokepmr]

People with stroke and hemiplegia actually don't circumduct the hip commonly. More often they hike the hip. This is because along with a tendancy to maintain knee extension and ankle plantarflection/inversion during swing, they also adduct the hip. You will note this if you watch a person from behind. Some do circumduct, but this is an exception to the rule.

[kwaiii333]

I hope that one day I become like you :)

[taleb47]

thank you