scissoring gait
This type of
gait abnormality is associated with spastic type of cerebral palsy or upper
motor neuron lesion.
Features of the following gait:
- it is a progressive contractures of all the spastic muscle
- causing rigidity and excessive adduction of the leg in swing phase
- in which hip will be adducted and internally rotated
- knee in flexion
- and ankle at plantar flexion
- thus a complicated assisting movement of the upper limb is seen during walking
- inward pointed toe while walking
Gait analysis
- due to contracture of muscles at hip, knee and ankle it will result in excessive adduction and crossing of leg in scissor manner may touch while walking
- subject walks on toes because of spasticity of tendoachilis
- during walk to maintain balance they try to lift the arms and hands outwards away from the body
PT management
To improve muscle power
Electrical stimulation
Strengthening exercise of weak group of muscle
by resisted exercise
Strengthening
of knee extensor muscle helps to improve stride length
Aquatic
therapy
To prevent contractures to reduce spasticity
To reduce
the flexed postures of the body the patient should be advice to lying in prone
position
Encourage to
sit near the corner side of hall it will reduce the spasticity of muscle and helping
the child to sit in correct position
Proper relaxation
positioning
Active ROM
exercise of the entire joint
Gentle
stretching to increase the ROM
Gait and balance training
First make
the patient to walk with support on even surface and the progress to an uneven
surface
Improve the
heel to toe gait pattern
Improve side
stepping
Increase the
BOS during walking and progress from wide to narrow BOS
It should be noticed while the leg is kept
slightly apart from each other
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Scissoring gait is a walking pattern where a person’s legs cross over each other in a scissor-like motion. This usually happens because the muscles on the inside of the thighs, known as the adductors, are overly tight or overactive. This condition is common in individuals with neurological issues, such as cerebral palsy or multiple sclerosis.
ReplyDeletePhysiotherapy management focuses on widening the base of support and improving leg control through several key strategies:
Muscle Stretching and Relaxation: The primary goal is to lengthen the tight inner-thigh muscles. Therapists use manual stretching and guided movements to reduce stiffness and improve the range of motion in the hips.
Strengthening Opposite Muscles: While the inner thighs are too tight, the outer hip muscles (abductors) are often weak. Strengthening these muscles helps pull the legs apart and keeps them aligned while walking.
Balance and Coordination: Patients practice standing and stepping with their feet at a normal width. Therapists may use "gait training," which involves walking over markers on the floor to encourage a wider, more stable step.
Functional Training: This includes teaching the body how to transfer weight from one leg to the other without the legs crossing, often using walkers or parallel bars for safety.