Published on: 5/26/2025
Abnormal gait means walking in a way that is different from normal. There are many types, including Trendelenburg, hemiplegic, Parkinsonian, ataxic, spastic, and others.
When a person walks abnormally, it can show us where there might be weakness, pain, or coordination problems. One type is Trendelenburg gait, which happens when the hip muscles are weak and the pelvis drops on the opposite side during walking. Hemiplegic gait is common in people who have had a stroke; one side of the body moves differently or less than the other. Parkinsonian gait is another type where steps become short and shuffling, making starting and stopping hard. Ataxic gait, seen in problems with the cerebellum, makes it difficult to control balance so walking is unsteady. Spastic gait occurs with increased muscle tone from conditions like multiple sclerosis or spinal cord injuries, leading to stiff and jerky movements. Other descriptions include antalgic gait, where pain causes someone to limp, or apraxic gait, where the brain struggles to plan and execute walking smoothly. Each pattern helps doctors understand where problems might lie and guides treatment or therapy.
(References)
Gandbhir VN, Lam JC, Lui F, et al. Trendelenburg Gait. [Updated 2024 Feb 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541094/
Baker JM. Gait Disorders. Am J Med. 2018 Jun;131(6):602-607. doi: 10.1016/j.amjmed.2017.11.051. Epub 2017 Dec 27. PMID: 29288631.
Motoya R, Yamamoto S, Naoe M, Taniguchi R, Kawahara A, Iwata T. Classification of abnormal gait patterns of poststroke hemiplegic patients in principal component analysis. Jpn J Compr Rehabil Sci. 2022 Jan 28;12:70-77. doi: 10.11336/jjcrs.12.70. PMID: 37860207; PMCID: PMC10545050.
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