{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:07:31Z","timestamp":1756382851201},"reference-count":82,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin Neurol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The assessment of patients presenting with disorders of gait can be a daunting task for neurologists given the broad potential localization and differential diagnosis. However, gait disorders are extremely common in outpatient neurology, and all neurologists should be comfortable with the assessment, triage, and management of patients presenting with difficulty walking. Here, we aim to present a manageable framework for neurologists to approach the assessment of patients presenting with gait dysfunction. We suggest a chief complaint-based phenomenological characterization of gait, using components of the neurological history and examination to guide testing and treatment. We present the framework to mirror the outpatient visit with the patient, highlighting (1) important features of the gait history, including the most common gait-related chief complaints and common secondary (medical) causes of gait dysfunction; (2) gait physiology and a systematic approach to the gait examination allowing appropriate characterization of gait phenomenology; (3) an algorithmic approach to ancillary testing for patients with gait dysfunction based on historical and examination features; and (4) definitive and supportive therapies for the management of patients presenting with common neurological disorders of gait.<\/jats:p>","DOI":"10.1055\/s-0041-1726355","type":"journal-article","created":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T23:47:54Z","timestamp":1637970474000},"page":"717-730","source":"Crossref","is-referenced-by-count":1,"title":["Approach to the Patient with Gait Disturbance"],"prefix":"10.1055","volume":"41","author":[{"given":"Christopher G.","family":"Tarolli","sequence":"additional","affiliation":[{"name":"Motor Physiology and Neuromodulation Program, Division of Movement Disorders, Center for Health\u2009+\u2009Technology (CHeT), Department of Neurology, University of Rochester Medical Center, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karlo J.","family":"Lizarraga","sequence":"additional","affiliation":[{"name":"Motor Physiology and Neuromodulation Program, Division of Movement Disorders, Center for Health\u2009+\u2009Technology (CHeT), Department of Neurology, University of Rochester Medical Center, Rochester, New York"},{"name":"Departamento Academico de Neurociencias, Facultad de Medicina, Universidad Nacional de San Agustin de Arequipa, Arequipa, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,26]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1002\/mds.20266","article-title":"Prevalence of gait disorders in hospitalized neurological patients","volume":"20","author":"H Stolze","year":"2005","journal-title":"Mov Disord"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/00005373-200101000-00021","article-title":"Geriatric falls: injury severity is high and disproportionate to mechanism","volume":"50","author":"D A Sterling","year":"2001","journal-title":"J Trauma"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1212\/CPJ.0000000000000746","article-title":"Symptom burden among individuals with Parkinson disease: a national survey","volume":"10","author":"C G Tarolli","year":"2020","journal-title":"Neurol Clin Pract"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"e69627","DOI":"10.1371\/journal.pone.0069627","article-title":"Prevalence and burden of gait disorders in elderly men and women aged 60-97 years: a population-based study","volume":"8","author":"P Mahlknecht","year":"2013","journal-title":"PLoS One"},{"issue":"37","key":"ref5","doi-asserted-by":"crossref","first-page":"993","DOI":"10.15585\/mmwr.mm6537a2","article-title":"Falls and fall injuries among adults aged \u226565 years - United States, 2014","volume":"65","author":"G Bergen","year":"2016","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"ref6","first-page":"1344","article-title":"Gait disorders","volume":"19","author":"A Fasano","year":"2013","journal-title":"Continuum (Minneapolis, Minn)"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1038\/nrneurol.2017.178","article-title":"Neurological disorders of gait, balance and posture: a sign-based approach","volume":"14","author":"J Nonnekes","year":"2018","journal-title":"Nat Rev Neurol"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1080\/14737175.2019.1562337","article-title":"Unusual gait disorders: a phenomenological approach and classification","volume":"19","author":"V Paramanandam","year":"2019","journal-title":"Expert Rev Neurother"},{"key":"ref9","volume-title":"Parkinson disease. 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