Abnormal Gait Exam : Hemiplegic Gait Demonstration
Vložit
- čas přidán 9. 06. 2010
- more medical videos on : medicofiles.com
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.
This man is a legend.
Paul D. Larsen, M.D.
The University of Nebraska, College of Medicine . Dr Larsen is a brilliant doctor.
Best gait demonstration ever! Thanks Dr!
Mr.Richard Harvey: do not be rude to this good doctor and intelligent teacher.Of course you see a lot patients with these ailments,however had you took the trouble to demonstrate them(the patients) to new and naive doctors and nurses!?I think i know the answer.
I thank you sooo much!! I have a nurse extern exam in the morning and I'm going to have to demo 8 gaits--thanks to YOU, I believe I will do well!! Thank you again, sooooo much!!!
Did you do well?
Thank you Dr ❤️
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.
Thank you so much
thanks doctor.
thanks Doc
@arezouaa -plegic & -paretic are both suffixes that specify "loss in movement of a limb". They can be used interchangeably.
Great Thanks, Sir .
You are the best
thank you
Any body know the name of this doctor? I see him in many videos! He is amazing!
Thanks dr
You are a great
it's really helpful :)
@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?
A photo of this doctor came in our OSPE exam. Lol.
@strokepmr In your experience w/ stroke pts,.. u see much upper extremity recovery? If yes how long after? thanks:)
Good
@paulhodge2009 the position of the arm, whether pronated or supinated, isnt part of the gait pattern fyi.
@HilandboyUSD but aren't they frequently seen simultaneously? Not just coincidence...
amazing :)
thnx
I have level 1 hemiplegia my arm stays up but is rarely in a fist and I walk on the outside of my foot
Is this the same as dystonic gate?
Also called paretic - older term
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.
if If you don't have to "look it up" why are you here?
That was 5 years ago, lol
Please accept my apology. When i said ''you look silly'' i was referring to this fine doctor to his big glasses and big pants.
It looks like the gait Kevin Spacey affected as Verbal Kint in The Usual Suspects.
always remind me with kevin spacy in the usual suspects
upper limb recovery is disappointing. Less than 20% get good recovery. Ripe area for research.
Sooo.... I look silly when I walk? I'm sure you weren't meant to be insensitive, but the comment was. I do have the exact same gait he demonstrated.
The Poisonwood Bible brought me here, out of curiosity.
Esa es una Hemiparesia.... Title is wrong. Is Hemiparetic Gait.