Table 4: Approach to the patient with a gait disorder.
History |
Nature of gait difficulty; onset and evolution; associated symptoms Medications
|
|
Physical Examination |
Vital signs (including orthostatic blood pressure check) Regional/Systemic Cognitive Evaluation (MoCA; Executive Clock Drawing)*
|
|
Qualitative Gait Assessment
|
Usual Gait |
Initiation |
Challenged Gait |
In subdued lighting |
|
Assisted Gait |
With Cane/Walker |
|
Quantitative Gait Assessment |
Gait Speed |
Gait as single task Cognitive-Motor Dual Tasking |
Timed Up-and-Go
|
|
|
Performance-Oriented Mobility Assessment |
* MoCA: Montreal Cognitive Assessment.