Possible Causes for steppage gait Chronic Alcoholism The concept of "structural plasticity" has emerged as a potential mechanism in neurodegenerative and psychiatric diseases such as drug abuse, depression, and dementia. Chronic alcoholism is a progressive neurodegenerative disease while the person continues to abuse alcohol, though clinical and imaging studies show[…] [ncbi.nlm.nih.gov] Peroneal Nerve Paralysis Subjects demonstrated a steppage gait during swing phase and increased inversion just prior to heelstrike (p less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS). [ncbi.nlm.nih.gov] Our patient underwent several rehabilitation sessions, but his steppage gait persisted. Nerve grafting may eventually be conducted to address his steppage gait. [jmedicalcasereports.biomedcentral.com] On clinical examination, the patient walked with a high-steppage gait with inability to dorsiflex the right foot. There was no visible swelling in the knee or the leg. [file.scirp.org] Charcot-Marie-Tooth Disease The clinical similarities between CMT and FRDA include a symmetrical neuropathy (axonal in FRDA), steppage gait, and eventually scoliosis. [ncbi.nlm.nih.gov] […] swing clearance ('steppage-gait'). [ncbi.nlm.nih.gov] This results in an abnormal "steppage" gait. [orthoinfo.aaos.org] Myotonic Dystrophy […] and people may adopt a steppage gait pattern[26] or ankle-foot-orthotics may be indicated.[9] Factors such as hand function, skin integrity, and comfort must be assessed [en.wikipedia.org] […] other physical exertion measurements.[26] Orthotics[edit] Muscular weakness of dorsiflexors (dorsiflexion) hinders the ability to clear the floor during the swing phase of gait [en.wikipedia.org] Alcoholic Neuropathy Abstract Characteristics of alcoholic neuropathy have been obscured by difficulty in isolating them from features of thiamine-deficiency neuropathy. We assessed 64 patients with alcoholic neuropathy including subgroups without (ALN) and with (ALN-TD) coexisting thiamine deficiency. Thirty-two patients with[…] [ncbi.nlm.nih.gov] Distal Hereditary Motor Neuropathy Type 1 Onset is typically in the first decade with leg are-flexia, gait disorder (toe walking or steppage gait), foot muscle atrophy or pes cavus, occasionally short Achilles tendons [academlib.com] Proprioceptive sensory loss can cause sensory ataxia and a steppage gait. Tasks involving fine motor control of the hands may also become progressively more difficult. [patient.info] gait. [journals.plos.org] Spinocerebellar Ataxia with Axonal Neuropathy Individuals with advanced disease develop a steppage gait and pes cavus; and later become wheelchair dependent. Affected individuals have normal intellect and longevity. [healthetreatment.com] SCAN1 is an autosomal recessive cerebellar ataxia (ARCA) associated with peripheral axonal motor and sensory neuropathy, distal muscular atrophy, pes cavus and steppage gait [genecards.org] In the advanced stages of the disease, affected persons develop a steppage gait and pes cavus. Other Intellect is normal. [ncbi.nlm.nih.gov] Distal Hereditary Motor Neuropathy Type 5A Proprioceptive sensory loss can cause sensory ataxia and a steppage gait. Tasks involving fine motor control of the hands may also become progressively more difficult. [patient.info] gait. [journals.plos.org] The degree of motor involvement is highly variable, even within families, and ranges from absent to severe distal muscle weakness and wasting of foot extensors leading to steppage [ojrd.biomedcentral.com] Peroneal Nerve Compression Neuropathy Because of weakness in the foot and ankle, the leg often has to be lifted in exaggerated fashion to clear the floor, resulting in a so-called steppage gait. [vermontspineworks.com] Affected patients show a steppage gait pattern in which the affected foot is lifted excessively from the ground during the swing phase to clear the foot from tripping, consistent [healio.com] On clinical examination, the patient walked with a high-steppage gait with inability to dorsiflex the right foot. There was no visible swelling in the knee or the leg. [file.scirp.org] Ganglion Cyst He visited the hospital due to a 4-month history of decreased sensitivity of the right instep and the outer surface of the leg, together with steppage gait. [elsevier.es] Distal Spinal Muscular Atrophy Type 5 Patients had symmetric progressive weakness and atrophy of the lower limb muscles, resulting in foot drop and steppage gait. [emedicine.medscape.com] gait. [ojrd.biomedcentral.com] gait, foot drop, mild sensory ataxia, weakness/wasting of hand intrinsic muscles, stocking-glove multimodal sensory loss. [neupsykey.com] Neuropathy Because of weakness in the foot and ankle, the leg often has to be lifted in exaggerated fashion to clear the floor, resulting in a so-called steppage gait. [vermontspineworks.com] Talipes Cavus Clinicians look for Steppage gait or foot drop (weak dorsiflexor tibialis anterior) Toe hyperextension (compensate with extensors for weak dorsiflexor tibialis anterior) in [now.aapmr.org] Steppage gait and foot drop are the first most common motor signs. Deep tendon reflexes are diminished or absent [14]. [ncbi.nlm.nih.gov] Clinical functional assessment: mobility, self care cognition/behavior/affective state Gait evaluation is essential especially in cavus feet of neurological etiology. [now.aapmr.org] Hypertrophic Interstitial Neuropathy Onset had occurred at 2 years of age with steppage gait. He showed pes cavus, hammertoes, progressive severe weakness and atrophy of the legs, and claw hands. [karger.com] Later on, the foot drops with each step, forcing the patient to lift the knee, thus resulting in steppage or equine gait. [scielo.br] Polyneuropathy Mees’ lines) Lymphatic: assess for lymphadenopathy Musculoskeletal: Gait assessment including heel walk, toe walk, monitor for pathology: steppage, vaulting, foot drop, [now.aapmr.org] […] ataxia, Trendelenburg Balance: single leg stance, Romberg, tandem gait Inspection for atrophy: foot intrinsics, calf (‘inverted champagne bottle’ shape), hand intrinsics, [now.aapmr.org] Entrapment Neuropathy Also, the patient may raise the foot of the unsupported side during ambulation as the leg swings forward, leading to a steppage gait. [ncbi.nlm.nih.gov] […] occurs, and the pelvis raises on the swing side, the deficit is known as the Duchenne limp — bilateral damage to the superior gluteal nerve results in a “waddling” or gluteal gait [ncbi.nlm.nih.gov] Distal Spinal Muscular Atrophy They had bilateral foot drop and steppage gait; however, no patient became wheelchair-bound. [spandidos-publications.com] gait. [journals.plos.org] The degree of motor involvement is highly variable, even within families, and ranges from absent to severe distal muscle weakness and wasting of foot extensors leading to steppage [ojrd.biomedcentral.com] Hereditary Proximal Myopathy with Early Respiratory Failure gait Weakness Distal Proximal Arms before Legs in some Finger extensors & Interossei Atrophy: Distal arms & legs Sensory: Loss in 40% Other Pes cavus (20%) Hypertension [neuromuscular.wustl.edu] Ankle dorsiflexion (anterior tibialis) 4 4 2 4 4 3 4 Ankle plantar flexion (gastrocnemius) 4 4 2 5 5 5 5 Toe dorsiflexion 4 4 2 4 5 3 2 Toe plantar flexion 4 4 4 5 5 5 5 Gait [bmcneurol.biomedcentral.com] […] attempting to dorsiflex toes Onset Age Common: Childhood or Young adult; 1.5 to 26 years Occasional: Neonatal or 6th decade Interfamilial variation Distal leg weakness: Steppage [neuromuscular.wustl.edu] Hip Contracture Compensatory is “steppage gait” with excessive hip and knee flexion or body shift to clear foot. [now.aapmr.org] Quadriceps strengthening. 4) Ankle dorsiflexion weakness (Steppage gait and foot slap) Pathomechanism: Unable to heel strike, leading to initial contact with toes. [now.aapmr.org] Lengthened side: hip hiking, circumduction, excessive hip and knee flexion (steppage gait), foot hyperpronation. Treatment10: For 2cm: shoe lift or consider surgery. [now.aapmr.org] Median Neuropathy When observed while walking, patients have a so-called "steppage gait" whereby they bring their knee up higher than usual so that the dropped foot clears the floor. [casemed.case.edu] Neurofibroma Treatment involved total removal of the tumor; however, our patient's steppage gait persisted. [ncbi.nlm.nih.gov] He developed functional impairment of his left lower limb during a football game, and examination revealed a steppage gait. [ncbi.nlm.nih.gov] Carpal Tunnel Syndrome gait. [doi.org] […] polyneuropathy, 9 with slowly progressive distal muscle weakness and atrophy (particularly peroneal muscular atrophy) resulting in foot dorsiflexor weakness, foot drop, and secondary steppage [doi.org] Relapsing Polychondritis A 59-year-old man exhibited a tremor of the right hand, small-steppage gait and bradykinesia. [ncbi.nlm.nih.gov] Limb-Girdle Muscular Dystrophy Type 1G […] disturbance Ptosis Ataxia Transient ischemic attack Myotonia Steppage gait Fasciculations Clumsiness Abnormality of the calf musculature Need help with a diagnosis? [mendelian.co] Behavioral abnormality Deposits immunoreactive to beta-amyloid protein Sensory impairment Morphological abnormality of the central nervous system Alzheimer disease Ranula Gait [mendelian.co] Sciatica See Foot Drop Symptoms, Steppage Gait & Other Warning Signs Numbness. Loss of sensation may occur when the nerve impulses are not able to pass through the sciatic nerve. [spine-health.com] Pseudohypoparathyroidism The patient presented with general fatigue, steppage gait, and myalgia. [ncbi.nlm.nih.gov] Déjerine-Sottas Disease Onset had occurred at 2 years of age with steppage gait. He showed pes cavus, hammertoes, progressive severe weakness and atrophy of the legs, and claw hands. [karger.com] Proprioceptive sensory loss can cause sensory ataxia and a steppage gait. Tasks involving fine motor control of the hands may also become progressively more difficult. [patient.info] Later on, the foot drops with each step, forcing the patient to lift the knee, thus resulting in steppage or equine gait. [anestesiarianimazione.com] Parkinson's Disease Type 3 She had mild stooped posture and steppage gait. [jamanetwork.com] Infantile Hemiplegia This gait is also sometimes referred to as a steppage gait (see neuropathic gait noted above) since patients may lift their legs very high to hit the ground hard. [web.archive.org] Neuropathic Gait (Steppage Gait, Equine Gait) Seen in patients with foot drop (weakness of foot dorsiflexion), the cause if this gait is due to an attempt to lift the leg [web.archive.org] A key to this gait involves its exacerbation when patients cannot see their feet (i.e. in the dark). [web.archive.org] Charcot-Marie-Tooth Disease Type 2S Proprioceptive sensory loss can cause sensory ataxia and a steppage gait. Tasks involving fine motor control of the hands may also become progressively more difficult. [patient.info] These difficulties may cause a higher than normal step (steppage gait) and increase the risk of ankle injuries and tripping. [ghr.nlm.nih.gov] Patients had symmetric progressive weakness and atrophy of the lower limb muscles, resulting in foot drop and steppage gait. [emedicine.medscape.com]
