Gait - Causes, Symptoms and Treatment .MF .
sure, you always pay attention to the beautiful figure, beautiful gait.And if you thought that it ensures our beautiful gait?
Central nervous system: cerebral cortex, pyramidal and extrapyramidal system of the brain stem, spinal cord, peripheral nerves, cerebellum, eye, the vestibular apparatus of the inner ear and of course the structure that it all runs - skeleton, bones, joints, muscles.Healthy listed structure, correct posture, smooth and symmetrical movements provide a normal gait.
formed gait since childhood.Congenital dislocation of the hip joints or joints can lead subsequently to a shortening of the limbs and gait disturbance.Hereditary, degenerative, infectious diseases of nervous system, manifesting muscle pathology, violation of tone (hypertonicity, hypotonia, dystonia), paresis, hyperkinesis also lead to disruption of gait - cerebral palsy, myopathy, myotonia, Friedreich's ataxia disease, Adolph Strümpell's disease, Huntington's disease, polio.
gait disturbance at myopathies
The formation of the correct gait will be affected correctly matched shoes.When tight shoes child will urge the fingers, breaking the formation of the arch can be deformed joints, as a result - arthrosis and gait disturbance.Flat feet, clubfoot break stride.Incorrect prolonged sitting at the table lead to curvature of the spine (scoliosis), and gait disturbance.
With proper walking body should be slightly leaning backward.The back should be kept straight, chest - straightened, buttocks tightened.At each step, the feet must be placed on one line, and the socks must be turned outwards.Keep head slightly elevated.Look straight ahead or slightly up.
Defeat of peripheral nerves - peroneal and tibial - lead to gait abnormalities."Stepazh" - walking foot "slaps", because it is impossible dorsiflexion (bending) and stop hanging.When walking the patient with a lesion of the peroneal nerve is trying to lift his leg higher (so as not to cling to the floor with your fingers), foot dangling at his feet lowering to a support on the heel - foot slaps the floor.Another such gait called "cock."Peroneal nerve is affected at compression - ischemic, traumatic, toxic neuropathies.Compression - this means that you are passing the nerves and / or blood vessels and developed ischemia - insufficient blood flow.This is possible, for example, prolonged sitting, "squatting" - repair, garden;in small buses on long journeys.Sporting activities are very deep sleep in an awkward position, tight bandages, plaster splints can cause circulatory disorders in the nerves.
dangle foot in the defeat of the peroneal nerve
defeat of the tibial nerve makes it impossible to plantar flexion of the foot and toes and feet turn inwards.In this case the patient can not stand on the heel of the foot arch deepens, formed stop "horse."
«Horsehead" foot in the defeat of the tibial nerve
ataxic gait - patient walks with legs wide apart, leaning to the side (usually the side of the affected hemisphere), as if balancing on an unstable deck, arm and leg movementsIt is not coordinated.Turns torso difficult.This is the "drunken gait."The emergence of ataxic gait may indicate a violation of the vestibular apparatus, a violation of circulation in the vertebrobasilar - basilar brain pool of the problems in the cerebellum.Vascular disease, intoxication, brain tumors can appear ataxic gait, and even frequent falls.
antalgic gait - with radicular pain syndromes of degenerative disc disease patient walks, bending the spine (scoliosis appears), reducing the load on the spine of the patient and thus the severity of the pain.When the pain in the joints of the patient spared them, adapting the gait to reduce pain - there is limp, and in coxarthrosis specific "duck" gait - the patient rolls over on his feet like a duck.
With the defeat of extrapyramidal system, in Parkinson develops akinetic - rigid syndrome - movement shackled, muscle tone increased, binocular movement disturbed, the patient is bent over, head bent forward, bending arms at the elbows, with small steps, slowly, "shuffling"the floor.The patient was difficult to start moving, "break up" and stop.When you stop it continues for a while erratic movement forward or to the side.
Gait Parkinson's patients
chorea develops hyperkinetic - hypotonic syndrome with violent movements in the muscles of the trunk and limbs, and periods of muscle weakness (hypotonia).The patient is, as it were, "tumbling" gait (Huntington's chorea, chorea).
With the defeat of the pyramidal system in various diseases of the nervous system arise paresis and paralysis of the limbs.For example, after a stroke hemiparesis formed a characteristic posture Wernicke - Mana: paralyzed hand is given to the body, bent at the elbow and the wrist-ray, fingers curled, paralyzed leg as much as possible to straighten the hip, knee, ankle joints.When walking, it seems "elongated" foot.The patient not to touch the floor with the toe describes a semicircle foot - such gait is called "tsirkumdutsiruyuschaya".In milder cases, the patient is lame in the affected limb increased muscle tone and therefore flexion in the joints when walking is done on a smaller scale.
Walk with central hemiparesis
In some diseases of the nervous system can develop lower paraparesis - weakness in both legs.For example, in multiple sclerosis, myelopathy, polyneuropathies (diabetic, alcoholic), Adolph Strümpell disease.In these diseases, too, disturbed gait.
Heavy gait - swelling of legs, varicose veins, poor circulation in the legs - a man heavily stomping, barely lifting his feet baking.
gait disturbances are always a symptom of - the disease.Even the common cold and fatigue alters gait.Lack of vitamin B12 can give numbness in the legs and prevent gait.
To which the doctor ask for gait
violations Any violation of gait should see a doctor - a neurologist, traumatologist, therapist, audiologist, optometrist, vascular surgeon.It is necessary to examine and treat the underlying disease that caused the disturbance of gait or correct way of life, the habit of sitting at the table "foot to foot" to diversify sedentary lifestyle physical training, swimming pool, gym, water aerobics, walking.Useful courses multivitamin B complex, massage.
Doctor's consultation on gait disturbance:
Q: how to properly sit at a computer that did not develop scoliosis of the spine?