Table 4: Approach to the patient with a gait disorder.

History

Nature of gait difficulty; onset and evolution; associated symptoms
Fall history; environmental context
Past medical and surgical history

Medications
Family history of movement or cognitive disorders Socio-functional history
Systemic review; non-gait features

 

Physical Examination

Vital signs (including orthostatic blood pressure check)

Regional/Systemic

Cognitive Evaluation (MoCA; Executive Clock Drawing)*

 

Qualitative Gait Assessment

 

 

 

 

 

 

 

 

Usual Gait

Initiation
Progression
Turn

Challenged Gait

In subdued lighting
Cognitive-Motor Dual Tasking

Assisted Gait

With Cane/Walker
On Swivel Chair

 

 

 

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.