Choreiform Gait Physiotherapy Mx

Introduction

It is irregular, jerky, involuntary movements in both upper and lower extremities seen with certain types of basal ganglia disorder.

Clinical feature

•         facial movement including grimaces
•          head turning to shift eye
•          sudden jerky movement of upper and lower extrimities
•          unsteady gait
•          abnormal reflex

Gait analysis

•          it is dance like movement characterized by irregular, non repetitive or rhythmic
•          it is wide based gait, with slow leg raising and knee flexion associated with upper limb movement
•         this cause abnormal posture and the walking become difficult

PT management

•         Correct the abnormal posture by positioning or by using splint: to prevent deformity
•          Stretching of the contracted muscles: to reduce the spasticity
•          Soft tissue and joint mobilization: to maintain the joint mobility
•          Improve muscle tone

    Improve co-ordination and balance

a.  Non – Equilibrium exercise: - finger to nose

                                                           -finger to finger

                                                           -alternative pronation/supination

                                                           -tapping of foot

                                                           -heel to shine

         
          b. Equilibrium exercise : - standing with normal base of support

                                                 - standing with eye open / closed

                                                 - turning

                                                 - sit to stand

-         Gait and balance training

a.  Parallel bar walking using mirror as a biofeedback

b.  Weight shifting

c.   Walking side way

d.  Walking in uneven surface with support and later progress without using support