Steppage gait

Steppage gait (High stepping, Neuropathic gait) is a form of gait abnormality characterised by foot drop due to loss of dorsiflexion.^[1] The foot hangs with the toes pointing down, causing the toes to scrape the ground while walking, requiring someone to lift the leg higher than normal when walking.^[2]^[3]^[4]

It can be caused by damage to the deep peroneal nerve.^[5]

Presentation

A video of a neuropathic gait

Conditions associated with a steppage gait

References

↑ "Definition: steppage gait from Online Medical Dictionary".
↑ "Walking abnormalities". MedlinePlus. Retrieved 23 March 2013.
↑ [http://www.medterms.com/script/main/art.asp?articlekey=22477 Med Terms
↑ GP Notebook
↑ Saint, Sanjay; Wiese, Jeff; Bent, Stephen (2006). Clinical clerkships: the answer book. Hagerstown, MD: Lippincott Williams & Wilkins. p. 219. ISBN 0-7817-3754-0.

Symptoms and signs: nervous and musculoskeletal systems (R25–R29, 781.0, 781.2–9)

Primarily nervous system

Primarily CNS

Movement disorders	Dyskinesia: Athetosis Tremor Dyskinesia

Gait abnormality	Scissor gait Cerebellar ataxia Festinating gait Marche a petit pas Propulsive gait Stomping gait Spastic gait Magnetic gait

Lack of coordination	Dyskinesia: Ataxia Cerebellar ataxia/Dysmetria Sensory ataxia Dyssynergia Dysdiadochokinesia Asterixis

Other	Abnormal posturing: Opisthotonus Sensory processing disorder: Hemispatial neglect Facial weakness Hyperreflexia Pronator drift

Primarily PNS

Gait abnormality	Steppage gait Antalgic gait

Primarily muscular

Movement disorders	Spasm Trismus Fasciculation Fibrillation Myokymia Cramp

Gait abnormality	Myopathic gait Trendelenburg gait Pigeon gait

Other	Tetany Meningism

Primarily skeletal

Primarily joint

Joint locking

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