Neurológia pre prax 4/2013

Classification of gait disorders

Human gait depends on ability of locomotion (including initiation and maintenance of rhythmic stepping), balance, and ability to adapt to the environment. Dysfunction in any of these systems can disturb gait. Currently, a classification of gait disorders based on clinical findings becomes popular in clinical practice. Recognition of typical pattern of gait disorder constitutes the first step to postulate diagnosis. Secondly, a clinically „probable“ diagnosis is appointed. It is done by considering findings on auxilliary work-up, effect of specific treatment, and disease course. „Definitive“ diagnosis is based on histopathology. Targeted assessment of gait disorders not only helps to determine proper diagnosis but also may indicate prognosis and curability of disease.

Keywords: gait disorder, classification, diagnosis.