Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
Content updated on Nov 7, 2023
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Abnormal gait
Shuffle when I walk
Difficulty walking in a straight line with one foot directly in front of the other
Transient gait disturbance
Walking difficulties
Drop foot
Need to hold into something for supoport while walking
Shuffling when walking
Gait is too unstable to walk following a straight line (e.g. like a tightrope)
Waddling gait
Cannot walk properly transiently
Trouble walking
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Difficulty walking generally describes a person's inability to walk normally. Normal walking consists of a repeated shifting of weight from leg to leg, a back and forth arm swing on both sides, and a typically narrow space between the feet. Most cases of difficulty walking are related to a medical problem.
Seek professional care if you experience any of the following symptoms
Generally, Difficulty walking can be related to:
Sydenham chorea is a rare neurological disorder characterized by sudden onset abnormal movements that occur after infection with group A streptococcus bacteria. Most people are affected during childhood. Movements are random, continuous, and involuntary, sometimes affecting the entire body. The disease is thought to occur because antibodies against group A streptococcus cross-react with nerve cells in the basal ganglia, a structure in the brain that fine-tunes voluntary movements.
These tumors are tumor found in the cerebellum, which is located in the back of the brain. They can cause increased intracranial pressure and headache, and difficulties with balance or coordination. They can arise from brain cells or they may have spread from a tumor found in another part of the body.
This neurological disorder is caused by a disruption in the connection between two brain areas - the striatum and the substantia nigra. These areas work together to maintain balance and movement. It can be caused by other neurological disorders like Parkinson's or cocaine abuse.
Sometimes, Difficulty walking may be related to these serious diseases:
A break in the proximal femur at the level of the hip. This fracture is associated with a high risk of complications
Your doctor may ask these questions to check for this symptom:
Thompson PD, Nutt JG. Gait disorders. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley and Daroff's Neurology in Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 25.
Magee DJ, Manske RC. Assessment of gait. In: Magee DJ, Manske RC, eds. Orthopedic Physical Assessment. 7th ed. St Louis, MO: Elsevier; 2021:chap 14.
Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
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Aug 30, 2024 (Female, 40s)
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