What Is the Connection Between Gait and Posture?

Posture and gait are one of the items for a physical examination. Posture is what the body looks like. Abnormal posture is closely related to physical health and personal habits. Gait refers to the posture of the patient while walking. It is a complex motor process that requires a high degree of coordination between the nervous system and muscles. It also involves many spinal reflexes and the regulation of the large and small cerebellum, as well as a complete, sensory system of various posture reflexes. Coordination with the motion system.

Posture and gait are one of the items for a physical examination. Posture is what the body looks like. Abnormal posture is closely related to physical health and personal habits. Gait refers to the posture of the patient while walking. It is a complex motor process that requires a high degree of coordination between the nervous system and muscles. It also involves many spinal reflexes and the regulation of the large and small cerebellum, as well as a complete, sensory system of various posture reflexes. Coordination with the motion system.

Name

Posture and Gait

category

Special inspection

Normal posture and gait

There is no uniform standard for the normal range, and subjective factors generally exist. Therefore, it should be evaluated according to the doctor's personal standards.

Clinical Significance of Posture and Gait

Posture refers to how the body looks and can be affected by certain diseases. Observing gait often provides important clues to neurological diseases. Different diseases may have different special gaits, but gait is not the basis for diagnosis, but has reference significance for diagnosis. Abnormal results: Different shoulder heights, scapular bulges (most common on the right), chest and breast asymmetry, uneven waist height, oblique hip protrusion, lumbar lordosis, head tilt, drunk gait, sensory ataxia Gait, spastic hemiplegia gait, spastic paraplegia gait, panic gait, cross-threshold gait, swing gait, dance gait, star trail gait, gluteal palsy gait, intermittent break. People who need to be checked: People who have a whole body examination and posture and gait that are different from normal people.

Posture and Gait Considerations

Inappropriate crowd: No contraindications before inspection: No inspection required: Patients can be asked to walk normally during inspection, and eyes closed for inspection if necessary. During further examination, the patient can make sudden turns, stop, etc. Pay attention to the situation of starting and stopping, the posture of stretching and falling, the size of the pace, the rhythm and the direction of deviation.

Posture and gait examination process

(1) Drunk man's gait: Cerebellar lesions are more common, and clinical CT or MRI are more commonly used. If brain stem involvement is considered, brain MRI should be selected, which can be supplemented by EEG. (2) Sensory ataxia gait: Spinal cord MRI, cerebrospinal fluid examination, electromyography, and somatosensory evoked potentials should be selected for spinal cord disease. (3) Spastic hemiplegic gait: Brain CT or MRI can be selected as the sequelae of cerebrovascular disease. (4) Spastic paraplegia gait: CT or MRI examination of spinal cord or brain can be selected according to the situation. (5) Panic gait: brain CT or MRI, EEG examination can be selected. (6) Cross-threshold gait: EMG can be performed. (7) Swing gait: It can be used for electromyography and X-ray of the medullary joint. (8) Dance gait: Can be used for brain CT or MRI, ESR, blood routine, anti-chain "O", autoantibody examination. (9) Star trail gait: Vestibular function test can be done. (10) Intermittent spinal cord disruption: CT or MRI of the spinal cord, spinal angiography, and arterial blood flow diagram of the lower extremity should be performed.

Posture and gait- related symptoms

Drunk man gait, swing gait, gluteal palsy gait, star trail gait, rooster gait, panic gait, toddler gait, spastic paraplegia gait, spastic hemiplegia gait, sensory ataxia gait

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