Steppage Gait: Causes & Reasons

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Possible Causes for Steppage Gait

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]

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]

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]

Myotonic Dystrophy

Myotonic dystrophy is a kind of multisystem disease, which is inherited in nature. It is a chronic disease condition that gradually progresses, causing muscle wasting, myotonia, heart defects and development of cataracts. Myotonic dystrophy significantly affects multiple organs and systems involving the skeletal[…] [symptoma.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]

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]

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 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]

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]

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]

[…] while ambulant Waddling Waddling Waddling, steppage Normal Normal Steppage Waddling, steppage Wasted muscles Sterno-mastoid, trapezius Sterno-mastoid, trapezius Sterno-mastoid [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]

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 1C

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

Charcot-Marie-Tooth Disease Type 1A

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]

Sciatic Neuropathy

Sciatic neuropathy is a mononeuropathy caused by damage to the sciatic nerve following trauma, hematoma, injections, compression or surgical complications. Consequently, symptoms such as pain, paresthesias, and neurological deficits can develop. Electromyography and nerve conduction studies help in diagnosis and[…] [symptoma.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 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]

Charcot-Marie-Tooth Disease Type 4A

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

Charcot-Marie-Tooth Disease Type 4B2

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

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

Decreased motor nerve conduction velocity Decreased number of peripheral myelinated nerve fibers Distal sensory impairment Onion bulb formation Peripheral axonal atrophy Steppage [ncbi.nlm.nih.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 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 4D

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 1F

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

Charcot-Marie-Tooth Disease Type 2E

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