{"id":16739,"date":"2022-05-05T19:42:27","date_gmt":"2022-05-05T17:42:27","guid":{"rendered":"https:\/\/neurologiaclinica.es\/neurological-diseases-and-disorders\/gait-disturbances\/"},"modified":"2025-04-28T12:28:12","modified_gmt":"2025-04-28T10:28:12","slug":"gait-disturbances","status":"publish","type":"page","link":"https:\/\/neurologiaclinica.es\/en\/neurological-diseases-and-disorders\/gait-disturbances\/","title":{"rendered":"Gait disturbances"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"16739\" class=\"elementor elementor-16739\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7b77917c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7b77917c\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-39b4485b\" data-id=\"39b4485b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ce7aeb8 elementor-widget elementor-widget-heading\" data-id=\"5ce7aeb8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Gait disturbances<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-81dc2d2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"81dc2d2\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c3702f9\" data-id=\"c3702f9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-729e145 elementor-widget elementor-widget-text-editor\" data-id=\"729e145\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>GENERAL ASPECTS<\/h2><p><strong> <\/strong>Gait control involves multiple functional systems (cerebral cortex, medulla, roots, peripheral nerves and muscles; as well as the cerebellum, vestibular system, sensory system and vision) that coordinate with each other, so the cause of the disorder can be very diverse, depending on the location where the lesion occurs.<\/p><p>Some gait disturbances are mainly neurological and others are not, but a proper study is a priority because some of them appear as symptoms of potentially serious diseases.<\/p><h2><strong>CAUSES OF GAIT DISORDERS<\/strong><strong> <\/strong><\/h2><p>Depending on the location of the alteration, the causes will be very diverse.<\/p><ul><li><h6><strong>Non-neurological causes<\/strong><\/h6><\/li><\/ul><p>For example, an antalgic gait where the gait is disordered due to pain, or in the case of arthritis due to pain generated by the deformity. Also when there is an alteration of the vestibular system in the ear, which is generally accompanied by vertigo and in which patients describe that &#8221;they go down the street as if floating and get dizzy when they move their head&#8221;. Anxiety can also sometimes cause similar symptoms. In addition, a gait characteristic of the elderly patient may be observed, walking cautiously and with fear of falling, with short strides and with minimal support they walk much better.   <\/p><ul><li><h6><strong>Cerebral cortex pathology<\/strong><\/h6><\/li><\/ul><p>It generally affects only one leg and is characterized by an increase in the tone of the leg, which does not bend at the knee and moves forward straight, &#8221;like a stick&#8221;. The causes can be multiple: cerebral infarcts, intracranial lesions, autoimmune origin&#8230; <\/p><ul><li><h6><strong>Pathology of the spinal cord or nerve roots.<\/strong><\/h6><\/li><\/ul><p>For example, a lumbosacral radiculopathy can cause weakness due to pain and loss of leg strength, and similarly, spinal disorders due to multiple causes (trauma, infarction, spinal stenosis, etc.) can cause gait disturbance and loss of strength.<\/p><ul><li><h6><strong>Alteration of the sensory system<\/strong><\/h6><\/li><\/ul><p>Gait disturbances occur when the nervous system is deprived of sensory information, especially proprioceptive sensitivity, which is the one that informs us of the perception of body position in space. This alteration of proprioceptive sensitivity may be due to diseases affecting the posterior part of the medulla or due to peripheral nerve involvement. Structural causes, vitamin deficiencies, or systemic diseases such as diabetes should be ruled out. If the cause is peripheral nerve involvement, it is sometimes accompanied by a burning, sharp &#8221;needle-like&#8221; pain sensation and lack of sensation in the soles of the feet.   <\/p><ul><li><h6><strong>Parkinsonian syndromes<\/strong><\/h6><\/li><\/ul><p>In early stages the patient shuffles somewhat, takes short steps, breaks the turn into two or three movements and goes with the head and trunk somewhat inclined, with little brachiation. In more advanced stages, there will be gait blocks, imbalance and falls. It may be due to Parkinson&#8217;s disease or, less frequently, to another group of similar diseases called parkinsonisms.  <\/p><ul><li><h6><strong>Cerebellar alterations<\/strong><\/h6><\/li><\/ul><p>It is characterized by imbalance with both open and closed eyes, widening the separation between the two legs in order to have greater stability. The causes can be multiple, from genetic, to structural or metabolic. <strong> <\/strong><\/p><h2><strong>DIAGNOSIS<\/strong><\/h2><p>Due to the great complexity and the multiple systems involved in gait control, the initial diagnosis is based on the orientation of the disorder by a specialist according to the patient&#8217;s complaint and the examination data, who will request the relevant studies, from analytical tests to neuroimaging studies, such as a brain and\/or spinal cord MRI, or neurophysiology studies, such as nerve conduction studies.<\/p><h2><strong>TREATMENT  <\/strong><\/h2><p>Similarly, there are various treatments that will be determined according to the type of gait disorder that the patient presents.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-873dc7f elementor-author-box--layout-image-left elementor-author-box--align-center elementor-widget elementor-widget-author-box\" data-id=\"873dc7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"author-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-author-box\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/neurologiaclinica.es\/en\/who-are-we\/\" class=\"elementor-author-box__avatar\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/neurologiaclinica.es\/wp-content\/uploads\/Dra.-Almarcha-fondo-blanco-.jpg\" alt=\"Picture of Dr. Marisa Almarcha Menargues  \" loading=\"lazy\">\n\t\t\t\t<\/a>\n\t\t\t\n\t\t\t<div class=\"elementor-author-box__text\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/neurologiaclinica.es\/en\/who-are-we\/\">\n\t\t\t\t\t\t<h4 class=\"elementor-author-box__name\">\n\t\t\t\t\t\t\tDr. Marisa Almarcha Menargues  \t\t\t\t\t\t<\/h4>\n\t\t\t\t\t<\/a>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-author-box__bio\">\n\t\t\t\t\t\t<p>Date of issue 08\/18\/2023<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<a 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d=\"M19.5,12.9c0-0.4-0.2-0.6-0.6-0.6c-0.8,0-1.6,0-2.4,0c-0.3,0-0.3,0-0.3-0.3c0-0.8,0-1.6,0-2.4 c0-0.5-0.1-0.7-0.7-0.7c-0.5,0-1,0-1.4,0c-0.5,0-1,0-1.5,0c-0.5,0-0.6,0.2-0.6,0.6c0,0.8,0,1.6,0,2.4c0,0.2,0,0.2-0.2,0.2 c-0.8,0-1.6,0-2.4,0c-0.5,0-0.6,0.2-0.6,0.6c0,1,0,2,0,2.9c0,0.5,0.2,0.6,0.6,0.6c0.8,0,1.6,0,2.4,0c0.2,0,0.2,0,0.2,0.2 c0,0.8,0,1.6,0,2.4c0,0.5,0.2,0.6,0.6,0.6c1,0,2,0,2.9,0c0.5,0,0.6-0.2,0.6-0.6c0-0.8,0-1.6,0-2.4c0-0.3,0-0.3,0.3-0.3l2.4,0 c0.4,0,0.6-0.2,0.6-0.6C19.5,14.8,19.5,13.9,19.5,12.9z\"><\/path><\/svg>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.neurologiaclinica.es\/neurologos-en-madrid\/\" >\n\t\t\t\t\t\t\tWhat are we dealing with?\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tSpecialized professionals\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-bdc91c5 animated-slow elementor-invisible\" data-id=\"bdc91c5\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInDown&quot;,&quot;animation_delay&quot;:600}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-50af086 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"50af086\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a href=\"https:\/\/www.neurologiaclinica.es\/contacto\/quiere-cita\/\" class=\"elementor-icon\" tabindex=\"-1\" aria-label=\"Request an appointment\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"Capa_1\" x=\"0px\" y=\"0px\" viewBox=\"0 0 28.3 28.3\" style=\"enable-background:new 0 0 28.3 28.3;\" xml:space=\"preserve\"><style type=\"text\/css\">\t.st0{fill:#007399;}<\/style><path class=\"st0\" d=\"M2.7,14.1c0-6.3,5.1-11.4,11.4-11.4s11.5,5.1,11.5,11.4s-5.2,11.5-11.5,11.5S2.7,20.5,2.7,14.1z M14.1,3.2 C8.1,3.3,3.3,8,3.2,14C3.2,20.2,8,25,14,25.1c6.1,0.1,11-4.8,11-10.8C25.1,8.1,20.2,3.3,14.1,3.2z\"><\/path><g id=\"pxANPP_1_\">\t<g>\t\t<path class=\"st0\" d=\"M16.7,20.7c-0.5-0.1-1-0.2-1.4-0.4c-1.2-0.4-2.2-1.1-3.2-1.9c-1.1-0.9-2.1-2-2.9-3.2   c-0.6-0.9-1.1-1.8-1.3-2.9c0-0.2-0.1-0.3-0.1-0.5c0-0.2,0-0.3,0.1-0.5c0.4-0.6,0.9-1.2,1.4-1.8c0.2-0.2,0.4-0.4,0.6-0.6   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c-0.1,0-0.1,0-0.1-0.1c0-0.2,0-0.4,0-0.7c0-0.1,0.1-0.1,0.1-0.1c0.4,0,0.8,0.1,1.2,0.3c1.2,0.6,1.9,1.5,2,2.9c0,0.2,0,0.2-0.2,0.2   C17.2,14.4,17.1,14.4,17,14.4z\"><\/path>\t<\/g><\/g><\/svg>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.neurologiaclinica.es\/contacto\/quiere-cita\/\" >\n\t\t\t\t\t\t\tRequest an appointment\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tContact us\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-02c72a5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"02c72a5\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a6c6dd5\" data-id=\"a6c6dd5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-325b4e9 elementor-widget elementor-widget-heading\" data-id=\"325b4e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">GET INFO:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-84cc5d5 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"84cc5d5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/www.neurologiaclinica.es\/neurologos-en-madrid\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">About our Programs, Units and Treatments<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>GENERAL ASPECTS Gait control involves multiple functional systems (cerebral cortex, medulla, roots, peripheral nerves and muscles; as well as the cerebellum, vestibular system, sensory system and vision) that coordinate with each other, so the cause of the disorder can be very diverse, depending on the location where the lesion occurs. Some gait disturbances are mainly [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":16593,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-16739","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/pages\/16739","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/comments?post=16739"}],"version-history":[{"count":4,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/pages\/16739\/revisions"}],"predecessor-version":[{"id":17920,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/pages\/16739\/revisions\/17920"}],"up":[{"embeddable":true,"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/pages\/16593"}],"wp:attachment":[{"href":"https:\/\/neurologiaclinica.es\/en\/wp-json\/wp\/v2\/media?parent=16739"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}