Wednesday, 6 February 2013

Types of abnormal gait


"Gait" is the pattern of how a person walks. Some types of walking problems occur without a person's voluntary control. Most, but not all, are due to some physical condition.

Some walking abnormalities have been given names:

Hemiplegic Gait


Hemiplegia is total paralysis of the arm, leg, and trunk on the same side of the body. Hemiplegia is more severe than hemiparesis, wherein one half of the body has less marked weakness. Hemiplegia and Hemiparesis may be congenital, or they might be acquired conditions resulting from an illness, an injury, or a stroke. (source: Wikipedia)

Myopathic Gait


In medicine, a myopathy is a muscular disease in which the muscle fibers do not function for any one of many reasons, resulting in muscular weakness. "Myopathy" simply means muscle disease (myo- Greek μυο "muscle" + pathos -pathy Greek "suffering"). This meaning implies that the primary defect is within the muscle, as opposed to the nerves ("neuropathies" or "neurogenic" disorders) or elsewhere (e.g., the brain etc.). Muscle cramps, stiffness, and spasm can also be associated with myopathy.

Muscular disease can be classified as neuromuscular or musculoskeletal in nature. Some conditions, such as myositis, can be considered both neuromuscular and musculoskeletal. (source: Wikipedia)

Parkinsonian Gait


Parkinson's disease (also known as Parkinson disease, Parkinson's, idiopathic parkinsonism, primary parkinsonism, PD, hypokinetic rigid syndrome/HRS, or paralysis agitans) is a degenerative disorder of the central nervous system. The motor symptoms of Parkinson's disease result from the death of dopamine-generating cells in the substantia nigra, a region of the midbrain; the cause of this cell death is unknown. Early in the course of the disease, the most obvious symptoms are movement-related; these include shaking, rigidity, slowness of movement and difficulty with walking and gait. Later, cognitive and behavioural problems may arise, with dementia commonly occurring in the advanced stages of the disease. Other symptoms include sensory, sleep and emotional problems. PD is more common in the elderly, with most cases occurring after the age of 50. (source: Wikipedia)

Neuropathic Gait


Peripheral neuropathy is damage to nerves of the peripheral nervous system, which may be caused either by diseases of or trauma to the nerve or the side effects of systemic illness.

The four cardinal patterns of peripheral neuropathy are polyneuropathy, mononeuropathy, mononeuritis multiplex and autonomic neuropathy. The most common form is (symmetrical) peripheral polyneuropathy, which mainly affects the feet and legs. The form of neuropathy may be further broken down by cause, or the size of predominant fiber involvement, i.e., large fiber or small fiber peripheral neuropathy. Frequently the cause of a neuropathy cannot be identified and it is designated as being idiopathic. (source: Wikipedia)

Choreiform Gait



Basal ganglia disease refers to a group of physical dysfunctions that occur when the group of nuclei in the brain known as the basal ganglia fail to properly suppress unwanted movements or to properly prime upper motor neuron circuits to initiate motor function. Research indicates that increased output of the basal ganglia inhibits thalamocortical projection neurons. Proper activation or deactivation of these neurons is an integral component for proper movement. If something causes too much basal ganglia output, then the thalamocortical projection neurons become too inhibited and one cannot initiate voluntary movement. These disorders are known as hypokinetic disorders. However, a disorder leading to abnormally low output of the basal ganglia leads to relatively no inhibition of the thalamocortical projection neurons. This situation leads to an inability to suppress unwanted movements. These disorders are known as hyperkinetic disorders. (source: Wikipedia)

Diplegic Gait


Diplegia, when used singularly, refers to paralysis affecting symmetrical parts of the body. This should not be confused with hemiplegia which refers to spasticity restricted to one side of the body, or quadriplegia which requires the involvement of all four limbs but not necessarily symmetrical. Diplegia is the most common cause of crippling in children, specifically in children with Cerebral Palsy. Other causes may be due to injury of the spinal cord. There is no set course of progression for people with diplegia. Symptoms may get worse but the neurological part does not change. The primary parts of the brain that are affected by diplegia are the ventricles, fluid filled sacs in the brain, and the wiring from the center of the brain to the cerebral cortex. There is also usually some degeneration of the cerebral neurons, as well as problems in the upper motor neuron system. The term diplegia can refer to any bodily area, such as the face, arms, or legs. (source: Wikipedia)

Ataxic Gait



Ataxia (from Greek α- [a negative prefix] + -τάξις [order] = "lack of order"), is a neurological sign consisting of lack of voluntary coordination of muscle movements. Ataxia is a non-specific clinical manifestation implying dysfunction of the parts of the nervous system that coordinate movement, such as the cerebellum. Several possible causes exist for these patterns of neurological dysfunction. The term "dystaxia" is a rarely used synonym. (source: Wikipedia)



Satakunta University of Applied Sciences, Fysioterapeutti




Location: Porri, Finland

"The English Degree Programme in Physiotherapy opens opportunities to work within field of rehabilitation.  Studies are grounded on ten modules and practical studies are intergrated with theoretical studies. Clinical practice which takes place both in Finland and abroad is tutored by qualified instructors. Students' professional growth is supported by the production of a thesis planned in collaboration with the producers of physiotherapy services.

We provide modern learning facilities, a firstclass scientific library, expertise in teaching and guidance and a friendly and open athmosphere. On the campus we provide 24/7 access both to computer rooms and a gym".

Source: Satakunta University of Applied Sciences

Watch also their beautiful video:


ICF research branch



The ICF model, suggested by the World Health Organization, offers a framework for work among helath professionals. The International Classification of Functioning, Disability and Health (ICF) offers a comprehensive and universally-accepted framework to describe functioning, disability and health in persons with all kinds of diseases or conditions.

The research branch of this model gives a more thorough presentation of this model with the:

ICF Browser
ICF Core Sets
ICF Case studies
ICF Research Branch Newsletter
ICF-based Documentation Form

and a beautiful "ICF eLearning Tool".

The ICF browser

ICF_Core_Sets__Image


I have already created another post explaining what the ICF is and providing the relevant links. What is useful to have also access to if you are using the ICF is the ICF browser.

This browser offers an online tool with all the possible disabilities, limitations in body functions and/or structures, and restrictions in activities and/or limitation in an organized way coded for use in the ICF model.


Tuesday, 5 February 2013

Aktios elderly care unit





I really high quality elderly care unit specialized in people with dementia. I did my first internship in there and I can say that everything they promise is true! You can read my reflection report here (which was graded with an 8/10).

Located in Athens, Greece.

"Aktios Elderly Care Unit complies to international standards, and aspires to become a ‘home’ for people who desire a more relaxed way of living, for people in rehabilitation, from various health problems, for people suffering from chronic diseases, Alzheimer’s disease and other types of dementia, and for older people who are in need of medical or nursing attendance and special care.

Our main concern is to provide a care setting where residents and guests feel as safe and comfortable as they would at home, while at the same time enjoy hospitality, and specialised psychogeriatric services.

Aktios started operating on November 2007, remodelling an existed elderly care unit and creating another one, specialised in people suffering from dementia and Alzheimer’s disease in the same building.
Since then, we encountered numerous challenges. We improved the quality of care, refurbished our facilities and equipment, further trained, and continuously train, our employees. Furthermore, we developed numerous new services that guarantee our harmonic coexistence with the local community, and our collaboration with health and social services, for the benefit of our residents and their families.

We managed to create, what may be considered, the most suitable and appropriately staffed centre of long term hospitalisation for patients suffering from dementia in our country. The services we provide are based on scientific background, and are oriented towards the elderly residents, their supportive environment, and the professional carers.

The quality of care is ensured through investing in human capital, in knowledge and specialisation and in a dignified living environment. Through our dynamic approach, our residents enjoy the right to participate in the functions or the unit and social activities".