Superficial temporal artery

Steppage gait is a type of gait abnormality where 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. This condition is caused by neurological disorders or peripheral nerve damage.

Causes

Steppage gait is often caused by damage to the peroneal nerve, which serves the muscles that lift the foot. This can be due to a variety of conditions, including neuropathy, motor neuron disease, poliomyelitis, Charcot-Marie-Tooth disease, and Guillain-Barre syndrome.

Symptoms

The main symptom of steppage gait is the need to lift the knees unusually high to prevent the toes from scraping the ground. This can lead to difficulties in walking and an increased likelihood of falls. Other symptoms can include foot drop, where the foot cannot be lifted high enough off the ground, and a slapping noise when the foot hits the ground.

Diagnosis

Diagnosis of steppage gait typically involves a physical examination and a review of the patient's medical history. Further tests may be required to determine the underlying cause, such as nerve conduction studies, electromyography (EMG), or MRI scans.

Treatment

Treatment for steppage gait focuses on addressing the underlying cause. This can involve physical therapy, the use of orthotic devices, or surgery. In some cases, treatment may not be possible and the patient will need to learn to manage the condition.

See also

• Gait abnormality
• Neuropathy
• Motor neuron disease
• Poliomyelitis
• Charcot-Marie-Tooth disease
• Guillain-Barre syndrome

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