When a patient walks into a clinic, the nurse notes a gait that is uncoordinated, stiff, and jerky. The patient is dragging a foot across the floor in a semicircle. What type of gait does this demonstrate?
a. spastic hemiplegia gait of cerebral palsy
b. festinating gait of Parkinson's disease
c. scissors gait of multiple sclerosis
d. antalgic gait of degenerative joint disease of the hip
C
The gait of a patient with multiple sclerosis is called a scissors gait: adduction at the knee level produces short, slow steps; gait is uncoordinated, stiff, and jerky; foot is dragged across the floor in a semicircle. Spastic hemiplegia gait of cerebral palsy consists of extension of one lower extremity with plantar flexion and foot inversion; arm is flexed at the elbow, wrist, and fingers and does not swing with the gait; patient walks by swinging the affected leg in a semicircle; foot is not lifted off the floor. Festinating gait of Parkinson's disease is characterized by the patient's having decreased step height and length, but increased step speed, resulting in shuffling; posture is stooped; hesitation to begin walking and to terminate walking. Antalgic gait of degenerative joint disease of the hip is characterized by limited weight bearing on the affected leg in an attempt to limit discomfort.
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Fill in the blank(s) with correct word
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