Ataxia On Tandem Gait Test

These causes must be excluded before the unbalance can be attributed to a cerebellar lesion. Tandem gait patients with ataxia have difficulty narrowing the station in order to walk heel to toe. Several tests like the tandem gait are used to gauge whether a patient has ataxia at which point radiological examinations might ensure to confirm the diagnosis.

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Loss of coordination is called ataxia which is of two types.

Ataxia on tandem gait test. Sensory ataxia is due to the loss of sense of position. Muscles weaken and waste away over time causing deformities particularly in your feet lower legs and hands. Neurologists sometimes ask patients to walk in a straight line using tandem gait as a test to help diagnose ataxia especially truncal ataxia because sufferers of these disorders will have an unsteady gait. The condition typically progresses to the arms and trunk.

The romberg test is an appropriate tool to diagnose sensory ataxia a gait disturbance caused by abnormal proprioception involving information about the location of the joints. Test tandem gait by asking the patient to walk a straight line while touching the heel of one foot to the toe of the other with each step. Tandem gait is a gait method of walking or running where the toes of the back foot touch the heel of the front foot at each step. It leads to a jerky unsteady to and fro motion of the middle of the body trunk and an unsteady gait walking style.

A station test is performed with the patient s feet spaced wider apart than normal and then gauging whether a patient remains stable with and without the eyes closed. Abnormalities in heel to toe walking tandem gait may be due to ethanol intoxication weakness poor position sense vertigo and leg tremors. Patients with truncal ataxia caused by damage to the cerebellar vermis or associated pathways will have particular difficulty with this task since they tend to have a wide based unsteady gait and become more unsteady when attempting to keep their feet close together. Tandem gait is helpful in identifying subtle or mild gait ataxia.

It is also proven to be sensitive and accurate means of measuring the degree of disequilibrium caused by central vertigo peripheral vertigo and head trauma. The first indication generally is difficulty walking gait ataxia. Otherwise sensory ataxia is compensated through vision. There are several tests which can be done to assess coordination.

Hence the coordination tests become worse when the patient closes their eyes. Uncoordinated movement due to a muscle control problem that causes an inability to coordinate movements. Most importantly balance related gait variables such as step width and foot rotation angles were increased in cd indicating the need for stability during locomotion. The tandem gait paradigm showed typical features of cerebellar ataxia such as dysmetria hypometria hypermetria and inappropriate timing of foot placement.