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InsightHorizon Digest

What are the causes of abnormal gait

Author

Andrew Mccoy

Updated on April 05, 2026

Arthritis of the leg or foot joints.Conversion disorder (a mental disorder)Foot problems (such as a callus, corn, ingrown toenail, wart, pain, skin sore, swelling, or spasms)Broken bone.Injections into muscles that causes soreness in the leg or buttocks.Infection.Injury.

What are the types of abnormal gait?

There are eight basic pathological gaits that can be attributed to neurological conditions: hemiplegic, spastic diplegic, neuropathic, myopathic, Parkinsonian, choreiform, ataxic (cerebellar) and sensory.

What is gait imbalance?

Gait disorders include imbalance, shuffling, frequent falls, staggering, and freezing. Gait disorders are very common in the adult population, increasing with age. Sixty-two-percent of patients over the age of 80 have a gait disorder, whether from neurological or non-neurological cause.

What can affect gait?

  • joint pain or conditions, such as arthritis.
  • multiple sclerosis (MS)
  • Meniere’s disease.
  • brain hemorrhage.
  • brain tumor.
  • Parkinson’s disease.
  • Chiari malformation (CM)
  • spinal cord compression or infarction.

Can gait be corrected?

In most cases, gait can be corrected by engaging in certain exercises to improve your coordination and balance.

How do you test gait?

Gait is evaluated by having the patient walk across the room under observation. Gross gait abnormalities should be noted. Next ask the patient to walk heel to toe across the room, then on their toes only, and finally on their heels only. Normally, these maneuvers possible without too much difficulty.

How do you fix gait abnormalities?

Physical therapy can also be used to help treat walking abnormalities. During physical therapy, you’ll learn exercises designed to strengthen your muscles and correct the way you walk. People with a permanent walking abnormality may receive assistive devices, such as crutches, leg braces, a walker, or a cane.

What is neurologic gait dysfunction?

A functional gait or movement disorder means that there is abnormal movement of part of the body due to a malfunction in the nervous system. This type of movement is involuntary and the symptoms cannot be explained by another neurological disease or medical condition.

What kind of doctor helps with gait problems?

If you are having difficulty walking, you should speak to a doctor. You may need to see a specialist such as a neurologist, orthopedist, or podiatrist to determine the cause of your gait disorder. Diagnosis could include physical exams, blood tests, and imaging such as x-rays or MRI.

What causes shuffling gait?

Parkinsonian gait is a defining feature of Parkinson’s disease, especially in later stages. It’s often considered to have a more negative impact on quality of life than other Parkinson’s symptoms. People with Parkinsonian gait usually take small, shuffling steps. They might have difficulty picking up their feet.

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What neurological disorders cause balance problems?

  • Benign paroxysmal positional vertigo.
  • Labyrinthitis.
  • Meniere’s disease.
  • Vestibular neuronitis.
  • Perilymph fistula.

What are gait exercises?

Gait training is a set of exercises that are specifically implemented by your physical therapist to help you walk better. The exercises involve improving motion in your lower extremity joints, improving strength and balance, and mimicking the repetitive nature of your legs that occur while walking.

Can anxiety cause gait problems?

Researchers agree that gait changes in anxiety disorders are a secondary component of the illness, not indicating a different or more severe state [28,29]. In conclusion, people who suffer from anxiety disorders are mainly characterized by deficiencies in the balance system [25-27].

What does a normal walking gait look like?

The normal adult gait cycle involves heel strike, stance and then toe-off. The stance phase is the foot in contact with the ground and the swing phase is the foot off the ground.

Can physical therapy fix gait?

Gait training is a type of physical therapy. It can help improve your ability to stand and walk. Your doctor may recommend gait training if you’ve had an illness or injury that affects your ability to get around. It may help you gain independence in walking, even if you need an adaptive device.

What happens when your gait is off?

An unsteady gait can increase your risk for falls and injury, so it’s important to seek medical help for more serious causes of this symptom. Doctors may also describe an unsteady gait as an ataxic gait. This means the person is walking in an abnormal, uncoordinated, or unsteady manner.

What is a normal gait?

Normal gait is a ‘normal’ walking pattern. Normal gait requires strength, balance, sensation and coordination. Heel strike to heel strike or one stride length is known as a gait cycle. There is always a slight variation in everyone’s pattern of gait.

Why do I walk with my feet outwards?

Out-toeing is a type of torsional deformity. It typically occurs when one of the leg’s two longest bones turn toward the outside of the leg, causing the foot to jut out: tibia: located between the knee and ankle.

What are the signs and symptoms of neurological disorder?

  • Persistent or sudden onset of a headache.
  • A headache that changes or is different.
  • Loss of feeling or tingling.
  • Weakness or loss of muscle strength.
  • Loss of sight or double vision.
  • Memory loss.
  • Impaired mental ability.
  • Lack of coordination.

What is gait ataxia?

An unsteady, staggering gait is described as an ataxic gait because walking is uncoordinated and appears to be ‘not ordered’. Many motor activities may be described as ataxic if they appear to others, or are perceived by patients, as uncoordinated.

What neurological disorders cause unsteady gait?

Neurologic Disease The weakness of the hip and lower extremity muscles commonly cause gait disturbances. Cerebral palsy, muscular dystrophy, Charcot Marie Tooth disease, ataxia-telangiectasia, spinal muscular atrophy, peroneal neuropathy, and microvascular white-matter disease all cause significant gait disabilities.

What is a hemiplegic gait?

Hemiplegic gait (circumduction or spastic gait): gait in which the leg is held stiffly and abducted with each step and swung around to the ground in front, forming a semicircle.

What is Hypokinetic gait?

Hypokinesia is when your movements are not as wide-ranging as they normally should be. It is often considered part of bradykinesia — a condition in which your movements are very slow. Bradykinesia can also include akinesia, where there is no movement.

What is a Circumduction gait?

Circumduction gait –> hemiplegic gait. gait in which the leg is stiff, without flexion at knee and ankle, and with each step is rotated away from the body, then towards it, forming a saemicircle. Synonym: circumduction gait, spastic gait.

What vitamin is good for balance?

Vitamin D may improve muscle strength and function, as well as balance due to the improved strength.

What medication causes balance problems?

  • Antidepressants.
  • Anti-seizure drugs (anticonvulsants)
  • Hypertensive (high blood pressure) drugs.
  • Sedatives.
  • Tranquilizers.
  • Anxiolytics (anti-anxiety drugs)
  • Antihistamines prescribed to relieve allergy symptoms.
  • Aminoglycosides (a type of antibiotic)

Can a neurologist treat balance problems?

Our neurologists and neurosurgeons diagnose and treat balance dysfunction that is the result of neurologic disorders or neurologic impairment. While the vast majority of balance problems are caused by problems with the inner ear, there may be neurological causes for balance disorders which require neurological care.

How can I train my brain to walk again?

Swing your other leg up to the side, then balance yourself for about 10 seconds, using the chair as support. Repeat this and switch your legs as many times as possible. Once you feel confident, you can try this same exercise to relearn walking without the support of the chair.

Can depression cause gait problems?

For example, depression may not only lead to a slowed gait, but it could induce gait unsteadiness and a reduction in the ability to maintain a stable walking pattern. Cross-sectional studies suggest that individuals who report more signs of depression tend to be less steady on their feet [12,13].

What are the symptoms of anxiety?

  • Feeling restless, wound-up, or on-edge.
  • Being easily fatigued.
  • Having difficulty concentrating; mind going blank.
  • Being irritable.
  • Having muscle tension.
  • Difficulty controlling feelings of worry.
  • Having sleep problems, such as difficulty falling or staying asleep, restlessness, or unsatisfying sleep.

Can stress affect the way you walk?

Over time, constant stress can contribute to mid-back and low-back pain. Back pain can affect your posture and the way you walk, which can lead to pain in the hips, knees, and feet.