What is NPH gait?
Specific features of the gait disturbance in normal pressure hydrocephalus were a broad based gait pattern with outward rotated feet and a diminished height of the steps. After treatment in both diseases, the speed increased, due to an enlarged stride length, now presenting a lower variability.
What is a wide based gait?
Definition. An abnormal gait pattern in which persons stand and walk with their feet spaced widely apart.
What causes wide based gait?
Ataxic, or broad-based, gait: Acute cerebellar ataxia (uncoordinated muscle movement due to disease or injury to the cerebellum in the brain) Chiari malformation. Alcohol intoxication.
How do NPH walk?
Difficulty walking. This problem can be mild or severe. In many cases, people with NPH have trouble picking up their feet. Some describe it as feeling like their feet are stuck to the floor. This can lead to a shuffling walk and problems going up stairs and over curbs.
How does hydrocephalus affect walking?
As brain ventricles enlarge with the excess CSF, they can disrupt and damage nearby brain tissue, leading to difficulty walking, problems with thinking and reasoning, and loss of bladder control.
What does walking with a wide gait mean?
Wide-based gait can be caused by cerebellar disease or bilateral knee or hip disease. Variable step width (lurching to one side or the other) suggests poor motor control, which may be due to frontal or subcortical gait disorders.
What neurological conditions affect gait?
Among the neurological causes, sensory ataxia (18 %) and parkinsonian (16 %) gait disorders were the most common, followed by frontal (8 %), cerebellar ataxic gait disorders, cautious gait and hypotonic paretic, spastic, vestibular and dyskinetic gait disorders.
Does hydrocephalus affect walking?
About normal pressure hydrocephalus As brain ventricles enlarge with the excess CSF, they can disrupt and damage nearby brain tissue, leading to difficulty walking, problems with thinking and reasoning, and loss of bladder control.
Can you walk with hydrocephalus?
Can hydrocephalus cause inability to walk?
There are three classic symptoms of normal pressure hydrocephalus: Difficulty walking. This problem can be mild or severe. In many cases, people with NPH have trouble picking up their feet.
How does NPH affect balance?
The cause of balance disturbances being a frequent symptom in NPH is an abnormal cerebellum control over various groups of muscles and over correct flow of neural stimuli to these muscles.
What part of the brain controls gait?
The cerebellum regulates the cognitive and automatic processes of posture-gait control by acting on the cerebral cortex via the thalamocortical projection and on the brainstem, respectively.
Does NPH affect balance?
Why does hydrocephalus cause incontinence?
The bladder disorders in NPH are the result of a hyperactive detrusor muscle due to reduced or absent central inhibition. At first the patient suffers from an increased micturition frequency. In the further course, urge incontinence usually follows and can progress to an absolute urinary incontinence.
What can people with hydrocephalus not do?
Hydrocephalus, sport and exercise
- Martial arts. Any activity that involves being grabbed around the neck is not advised, as the shunt tubing in the neck can crack.
- Gymnastics and dance.
- Water sports.
- Other activities.
What is the gait of NPH?
The gait of NPH shares features with other frontal lobe gait disorders, such as include reduced velocity, stride length, and step height. NPH causes more widening of the base and outwardly rotated feet and is less responsive to external cues such as marching to a cadence or in step with the examiner.
Is gait dysfunction different between PSP and INPH?
First, both patients with PSP and those with iNPH exhibited significant gait dysfunction, which was worse in patients with iNPH with a more broad-based gait (p< 0.001). Second, stride time variability was increased in both patient groups, more pronounced in PSP (p= 0.009).
Can quantitative gait analysis be used to diagnose progressive supranuclear palsy?
Objective: To test whether quantitative gait analysis of gait under single- and dual-task conditions can be used for a differential diagnosis of progressive supranuclear palsy (PSP) and idiopathic normal-pressure hydrocephalus (iNPH).
What is gait apraxia?
Gait apraxia is the loss of the ability to use the legs properly in walking, without demonstrable sensory impairment, weakness, incoordination or other apparent explanation. The patient cannot carry out purposeful movements with the legs and feet, such as kicking an imaginary ball.