Propulsive gait
Propulsive gait is a type of gait abnormality where the patient walks with their head and neck pushed forward. It is also known as a stooped gait or festination, and is commonly associated with Parkinson's disease.
Causes
The primary cause of propulsive gait is Parkinson's disease, a neurodegenerative disorder that affects movement control. Other potential causes include other neurological disorders, musculoskeletal disorders, and aging.
Symptoms
The main symptom of propulsive gait is a forward-leaning posture while walking, with the head and neck pushed forward. Other symptoms may include shuffling steps, difficulty starting or stopping walking, and a tendency to fall forward.
Diagnosis
Diagnosis of propulsive gait is typically based on a physical examination and observation of the patient's walk. Additional tests may be performed to rule out other potential causes of the gait abnormality, such as imaging studies or neurological tests.
Treatment
Treatment for propulsive gait primarily involves managing the underlying cause. In the case of Parkinson's disease, this may involve medication, physical therapy, and in some cases, surgery. Other treatment options may include assistive devices such as canes or walkers.
See also
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Contributors: Prab R. Tumpati, MD