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Hemiplegic Gait Demonstration
The patient has unilateral weakness and spasticity with the upper extremity held in flexion and the lower extremity in extension. The foot is in extension so the leg is "too long" therefore, the patient will have to circumduct or swing the leg around to step forward. This type of gait is seen with a UMN lesion.
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more medical videos on : http://medicofiles.com
Hemiplegic Gait Demonstration
The patient has unilateral weakness and spasticity with the upper extremity held in flexion and the lower extremity in extension. The foot is in extension so the leg is “too long” therefore, the patient will have to circumduct or swing the leg around to step forward. This type of gait is seen with a UMN lesion.
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I have level 1 hemiplegia my arm stays up but is rarely in a fist and I walk on the outside of my foot
The Poisonwood Bible brought me here, out of curiosity.
Also called paretic – older term
always remind me with kevin spacy in the usual suspects
Thank you Dr ❤️
A photo of this doctor came in our OSPE exam. Lol.
You are the best
Thank you so much
https://youtu.be/oDfUqbdxSCo
Only in specific areas… labeled as agoraphobia. Thoughts????? Could use some help
Best gait demonstration ever! Thanks Dr!
This man is a legend.
You are a great
thanks doctor.
Great Thanks, Sir .
it's really helpful 🙂
Mr.Richard Harvey: do not be rude to this good doctor and intelligent teacher.Of course you see a lot patients with these ailments,however had you took the trouble to demonstrate them(the patients) to new and naive doctors and nurses!?I think i know the answer.
Please accept my apology. When i said ''you look silly'' i was referring to this fine doctor to his big glasses and big pants.
Sooo…. I look silly when I walk? I'm sure you weren't meant to be insensitive, but the comment was. I do have the exact same gait he demonstrated.
Esa es una Hemiparesia…. Title is wrong. Is Hemiparetic Gait.
Is this the same as dystonic gate?
It looks like the gait Kevin Spacey affected as Verbal Kint in The Usual Suspects.
upper limb recovery is disappointing. Less than 20% get good recovery. Ripe area for research.
@HilandboyUSD but aren't they frequently seen simultaneously? Not just coincidence…
@strokepmr In your experience w/ stroke pts,.. u see much upper extremity recovery? If yes how long after? thanks:)
First, when a patient with hemiplegia stands, they have a spastic dystonic posture with hip extension/adduction, knee extension and plantarflexion/inversion. To prevent the "tripping" they wear an AFO. Without an AFO, they step to their affected leg but not past to avoid getting stuck. I have been seeing patients with stroke a long time. I don't need to "look it up". I look at my patients.
@strokepmr How are you going to maintain any flexion/extension below the hip when the affected limb is paralyzed? Even if that were possible, if you maintain hip adduction, knee extension, and plantar flexion during a swing you're going to trip over yourself no matter how high you can hike your hip. Circumduction keeps you verticle and it even states that in the medical definition for hemiplegic gait….look it up?
@arezouaa -plegic & -paretic are both suffixes that specify "loss in movement of a limb". They can be used interchangeably.
@paulhodge2009 the position of the arm, whether pronated or supinated, isnt part of the gait pattern fyi.