Steppage Gait: Causes & Reasons

Possible Causes for Steppage Gait

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

[…] 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]

Chronic Alcoholism

Of five chronic alcoholics with acute skeletal muscle necrosis (rhabdomyolysis) three developed acute heart failure with disturbances of rhythm and conduction. Symptoms came on abruptly after a period of intensified drinking. Myocardial infarction, thiamine deficiency, and cobalt intoxication were excluded. Probably[…] [ncbi.nlm.nih.gov]

Alcoholic Neuropathy

Abstract Purpose of review The concept of alcoholic neuropathy has been obscured because of an often undetected or overestimated influence of thiamine deficiency. We describe clinicopathologic features of alcoholic neuropathy, taking the effect of thiamine status into consideration, and recent progress[…] [dx.doi.org]

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]

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]

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]

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]

Charcot-Marie-Tooth Disease Type 2S

[…] disturbance Hyporeflexia Sensorimotor neuropathy Steppage gait Diagnosis Neuromuscul Disord 2018 Dec;28(12):1016-1021. [ncbi.nlm.nih.gov]

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]

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]

Tibial Muscular Dystrophy

gait IMPORTANT NOTE: NIH does not independently verify information submitted to the GTR; it relies on submitters to provide information that is accurate and not misleading [ncbi.nlm.nih.gov]

Summary: titin Show allHide all Abnormality of the musculoskeletal system EMG: myopathic abnormalities Muscular dystrophy Rimmed vacuoles Abnormality of the nervous system Steppage [ncbi.nlm.nih.gov]

Charcot-Marie-Tooth Disease Type 1A

Emplacement Établissement: Department of Neurology, Cedars-Sinai Medical Center | Los Angeles, California, 90048, United States Hospital for Special Care, New Britain | New Britain, Connecticut, 06053, United States Department of Neurology, McKnight Brain Institute | Gainesville, Florida, 32610, United States University[…] [ichgcp.net]

Sciatic Neuropathy

Sciatic neuropathy Olivia Tong MD ( Dr. Tong of Montefiore Medical Center has no relevant financial relationships to disclose. ) Steven Herskovitz MD (Dr. Herskovitz of the Montefiore Medical Center has no relevant financial relationships to disclose.) Randolph W Evans MD, editor. ( Dr. Evans of Baylor College of[…] [medlink.com]

Charcot-Marie-Tooth Disease Type 2T

gait High stepping 0003376 Showing of 15 | Last updated: 3/1/2020 If you need medical advice, you can look for doctors or other healthcare professionals who have experience [rarediseases.info.nih.gov]

[…] sensation in extremities 0006937 Impaired distal vibration sensation 0006886 Onion bulb formation 0003383 Peripheral axonal neuropathy 0003477 Pes cavus High-arched foot 0001761 Steppage [rarediseases.info.nih.gov]

Dominant Intermediate Charcot-Marie-Tooth Disease Type E

Charcot-Marie-Tooth Disease Type 2A1

Steppage gait MedGen UID: 98105 •Concept ID: C0427149 • Finding An abnormal gait pattern that arises from weakness of the pretibial and peroneal muscles due to a lower motor [ncbi.nlm.nih.gov]

gait Clinical prediction guides Rizzo F, Ronchi D, Salani S, Nizzardo M, Fortunato F, Bordoni A, Stuppia G, Del Bo R, Piga D, Fato R, Bresolin N, Comi GP, Corti S Hum Mol [ncbi.nlm.nih.gov]

[…] peripheral myelinated nerve fibers Distal sensory impairment Hyporeflexia Onion bulb formation Peripheral axonal atrophy Peripheral axonal neuropathy Peripheral neuropathy Steppage [ncbi.nlm.nih.gov]

Charcot-Marie-Tooth Disease Type 2B1

gait IMPORTANT NOTE: NIH does not independently verify information submitted to the GTR; it relies on submitters to provide information that is accurate and not misleading [ncbi.nlm.nih.gov]

These difficulties may cause a higher than normal step (steppage gait) and increase the risk of ankle injuries and tripping. [medlineplus.gov]

Congenital Vagal Hyperreflexivity

The abnormal gait disorders seen in older adults include antalgic gait, Trendelenburg gait, spastic gait, ataxic gait, extrapyramidal gait, high steppage gait and frontal [vdoc.pub]

falling to one side and wide-based steps are seen. • With frontal or apraxic gait, start and turn hesitation as well as magnetic gait is seen. • With high steppage gait, [vdoc.pub]

Fear of falling • With antalgic gait, limping, a limited range of motion, slow and short steps, unable to bear full weight are seen. • With ataxic gait, staggering, unsteady [vdoc.pub]

Welander Distal Myopathy

In the lower limb, the anterior tibial muscle and toe extensors are typically affected leading to walking difficulties and steppage gait. [rarediseases.info.nih.gov]

gait; Foot drop Hypotonia Weakness: Intrafamilial variation Legs Ankle dorsiflexion: Often severe with foot drop Hanging big toe Proximal muscles: Later in disease course [neuromuscular.wustl.edu]

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]

Charcot-Marie-Tooth Disease Type 2N

gait High stepping 0003376 Showing of 18 | Last updated: 2/1/2021 Diagnosis Diagnosis Making a diagnosis for a genetic or rare disease can often be challenging. [rarediseases.info.nih.gov]

These difficulties may cause a higher than normal step (steppage gait) and increase the risk of ankle injuries and tripping. [medlineplus.gov]

[…] cavus High-arched foot 0001761 Pes planus Flat feet Flat foot [ more ] 0001763 Sensory impairment 0003474 Sensory neuropathy Damage to nerves that sense feeling 0000763 Steppage [rarediseases.info.nih.gov]

X-Linked Charcot-Marie-Tooth Disease Type 5

Males have childhood onset of a slowly progressive motor and sensory neuropathy that is largely axonal (variable mild conduction slowing) with steppage gait and absent tendon [ncbi.nlm.nih.gov]

Charcot-Marie-Tooth Disease Type 2A

These difficulties may cause a higher than normal step (steppage gait) and increase the risk of ankle injuries and tripping. [medlineplus.gov]

Charcot-Marie-Tooth Disease Type 2L

These difficulties may cause a higher than normal step (steppage gait) and increase the risk of ankle injuries and tripping. [medlineplus.gov]

Charcot-Marie-Tooth Disease Type 4B2

gait Ear malformation Sensorineural hearing loss disorder IMPORTANT NOTE: NIH does not independently verify information submitted to the GTR; it relies on submitters to provide [ncbi.nlm.nih.gov]

These difficulties may cause a higher than normal step (steppage gait) and increase the risk of ankle injuries and tripping. [medlineplus.gov]

[…] velocity Decreased number of peripheral myelinated nerve fibers Distal sensory impairment Hyporeflexia Onion bulb formation Segmental peripheral demyelination/remyelination Steppage [ncbi.nlm.nih.gov]

Charcot-Marie-Tooth Disease Type 2A2

These difficulties may cause a higher than normal step (steppage gait) and increase the risk of ankle injuries and tripping. [medlineplus.gov]

Charcot-Marie-Tooth Disease Type 2D

These difficulties may cause a higher than normal step (steppage gait) and increase the risk of ankle injuries and tripping. [medlineplus.gov]

Patients had symmetric progressive weakness and atrophy of the lower limb muscles, resulting in foot drop and steppage gait. [emedicine.medscape.com]

Charcot-Marie-Tooth Disease Type 1D

These difficulties may cause a higher than normal step (steppage gait) and increase the risk of ankle injuries and tripping. [medlineplus.gov]

[…] sensory impairment Hypertrophic nerve changes Hyporeflexia Myelin outfoldings Onion bulb formation Peripheral neuropathy Segmental peripheral demyelination/remyelination Steppage [ncbi.nlm.nih.gov]

Distal Myopathy

In the lower limb, the anterior tibial muscle and toe extensors are typically affected leading to walking difficulties and steppage gait. [orpha.net]