No one would think of walking as a perishable skill. Without practice and repetition, walking can become a sloppy waddle. This skill involves multiple intricate components of muscle activation and nerve coordination. The foot and ankle need to be well synchronized to complete good heel-to-toe progression after the heel strikes the ground. The knee and hip must flex and extend at appropriate times. Finally, the pelvis must be able to hold the entire torso up during the precarious moment that a person is standing on one leg as the other leg swings forward. Normally, the individual does not have to consciously think about any of this movement. Sometimes walking is worth a second thought, especially when it hurts to walk.
Foot and ankle coordination can be simply improved by mindfully thinking about flexing the ankle so the toes don't drag on the ground as the leg swings through and mindfully thinking about pushing off after the foot has struck the ground. Many trips and fall...
Treating the cause often improves the gait. For example, gait abnormalities from trauma to part of the leg will improve as the leg heals.
Physical therapy almost always helps with short-term or long-term gait disorders. Therapy will reduce the risk of falls and other injuries.
For an abnormal gait that occurs with conversion disorder, counseling and support from family members are strongly recommended.
For a propulsive gait:
Encourage the person to be as independent as possible.
Allow plenty of time for daily activities, especially walking. People with this problem are likely to fall because they have poor balance and are always trying to catch up.
Provide walking assistance for safety reasons, especially on uneven ground.
See a physical therapist for exercise therapy and walking retraining.
For a scissors gait:
People with a scissors gait often lose skin sensation. Skin care ...
Alternative Names Pain - knee Prevention Increase your activity level slowly over time. For example, when you begin exercising again, walk rather than run. Always warm up before exercising and cool down afterward. Stretch your quadriceps and hamstrings. Replace your sports shoes often. Get good advice about proper footwear for your foot shape and mechanics. For example, if you land on the outside of your heel and turn your foot inward when you walk (pronate), consider anti-pronation footwear. References Frontera WR, Silver JK, eds. Essentials of Physical Medicine and Rehabilitation . 2nd ed. Philadelphia, Pa: Saunders Elsevier;2008:section 7. Miller RH III, Azar FM. Knee injuries. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics . 11th ed. Philadelphia, Pa: Mosby Elsevier:2007:chap 43. Porcheret M, Jordan K, Croft P. Treatment of knee pain in older adults in primary care: Development of an evidence-based model of care. Rheumatology. 2007;46:638-648. Labropoulos N, Shifrin DA, Paxi...
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