Assessment of the Geriatric Patient: Gait and Balance

Mark E. Williams, MD; Angela Gentili, MD

Disclosures

November 16, 2009

In This Article

Gait Observations and Clinical Pearls

There are a number of gait observations, but the fundamental question to answer is, "Does the gait look safe?" The following video clips first show an example of normal gait, followed by 2 examples of gaits caused by pain

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Figure 1. Normal gait

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Figure 2. Gait in a patient who has a painful hip

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Figure 3. Gait in a patient who has a painful knee
• The patient who walks with toes turned out implies fallen arches.
• Waddling like a duck suggests proximal muscle weakness or hip dislocation.
• A marching gait implies foot drop (or anything that affects the tibialis anterior muscle).

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