Gait Disorders Evaluation and Management docx

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Gait Disorders Evaluation and Management docx

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[...]... motor control, physiology and biomechanics of walking; review the current understanding of how iii iv Preface and why gait and balance often change with aging and neurological disease; and describe gait disorders that are common in older adults and in patients with neurological disease Section II examines clinical tools available for the evaluation of gait disorders and falls and provides a detailed,... detailed, practical plan for the evaluation and assessment of gait disorders and fall risk In Section III, experts describe the current state-of-the-art of management of gait disorders in general and offer a guide to the management of certain specific problems that commonly affect gait in older adults, in patients with foot and ankle disorders, hip fracture and replacement, and neurological disease Describing... the mechanisms underlying gait disorders and how to best manage these disorders To a large extent, the content in this book is self-contained and assumes minimal pre-requisite understanding of motor control and gait As such, it should also prove helpful to patients and their caregivers who want to better understand and manage their own gait disorders as well as to students and investigators in a variety... diagnostic evaluation strategics, and clinical approaches to gait, this reference:  introduces as new classification scheme to encompass the full range of mobility capacity in all older adults  reviews the physiology and biomechanics of gait and common gait disorders  covers cognitive and behavioral influences on gait and falling  details clinical and evidence-based methods for gait disorder and fall... for gait optimization in patients with neurological disorders, foot and ankle disorders, and post-hip surgery,  presents a state-of-the-art strategy for multidimensional fall risk assessment and fall reduction  features a detailed review of exercise strategies including Tai Chi to improve balance and gait People of all ages may have gait disorders While there is much overlap in the evaluation and management. .. special focus on the gait disorders of older adults and in patients with common neurological diseases, but note of course, that much of the presentation may be applicable to other populations as well Gait is influenced by many factors and can be studied from multiple perspectives One key to successful evaluation and management of gait disorders is appreciation of this diversity and the interaction among... References 14 2 Clinical Evaluation of Gait Disorders: No-Tech and Low-Tech Neil B Alexander I Self-Report Measures 19 II Performance-Based Measures 20 III Summary 29 References 30 ix 19 x Contents 3 Laboratory-Based Evaluation of Gait Disorders: High-Tech 37 Patrick O Riley and D Casey Kerrigan I Introduction 37 II Gait Analysis Laboratory... 219 Section III Gait Disorders in Specific Disease Groups: Assessment and Intervention 13 Clinical Gait Analysis in Neurology 247 Meg Morris, Belinda Bilney, Karen Dodd, Sonia Denisenko, Richard Baker, Fiona Dobson, and Jennifer McGinley I Gait Analysis in People with CP 248 II Classifications of Gait Patterns Using Gait Analysis in CP 251 III Gait Analysis in PD and HD 254... admission, and loss of independence Fortunately, when a gait disorder appears, a diagnostic and management strategy can be developed that may limit the extent of the disorder and its functional impact When properly managed, the risk of falling, for example, can often be reduced A major goal of this book is to provide clinicians, therapists and others treating gait disorders with an understanding of... walk safely, easily, and in an aesthetically pleasing manner is a skill learned early and highly prized Although it is typically taken for granted, gait is key to mobility and functional independence and at the core of our ability to carry out many activities of daily living In older adults and patients with neurological deficits, ease and safety in walking may become compromised, and gait is often viewed . Revised and Expanded, edited by William C. Koller and George Paulson 35. Evaluation and Management of Gait Disorders, edited by Barney S. Spivack 36. Handbook. the evaluation of gait disorders and falls and provides a detailed, practical plan for the evaluation and assessment of gait disorders and fall risk. In

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  • Preface

  • Acknowledgments

  • Contents

  • Contributors

  • 1 Gait, Mobility, and Function: A Review and Proposed Classification Scheme

    • I. INTRODUCTION

    • II. EPIDEMIOLOGY

      • A. Prevalence and Incidence

      • B. Natural History

      • III. THE LANGUAGE OF MOBILITY ASSESSMENT

        • A. Self-Report

        • B. Professional Rating

        • C. Performance Measures

        • D. Capturing the Range of Mobility

        • E. Interpreting Measures of Mobility

        • IV. AN OVERVIEW OF APPROACHES TO THE CAUSES OF MOBILITY DISABILITY

        • V. TREATMENT OF DYSMOBILITY TO IMPROVE FUNCTION OR PREVENT DISABILITY

        • VI. SUMMARY

        • REFERENCES

        • 2 Clinical Evaluation of Gait Disorders: No-Tech and Low-Tech

          • I. SELF-REPORT MEASURES

          • II. PERFORMANCE-BASED MEASURES

            • A. Gait Speed

            • B. Sets of Multiple Tasks

            • C. Dual Task Walking

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