Slap gait , Steppage Gait . Foot Drop - Everything You Need To Know - Dr. Nabil Ebraheim
Educational video describing the condition slap / steppage gait. Foot drop.
Slap gait occurs due to weakness of the foot and ankle dorsiflexors which allows the foot slap down on the floor with each step. Slap gait is a heel gait abnormality that can be diagnosed by hearing the patient walk. With a normal walking gait, the heel strikes the ground first followed by controlled relaxation of the foot and ankle dorsiflexors in order to allow the forefoot to come in contact with the ground. Foot drop gait or steppage gait is due to total paralysis of the ankle and foot dorsiflexors (tibialis anterior muscle).
Steppage gait
It is sometimes called “drop foot gait” or “ neuropathic gait”. A common symptoms of foot drop is a high steppage gait that is often characterized by raiing the thigh up in an exaggerated fashion while walking. The patient will have difficulty in clearing the toes during the swing phase. The patient must externally roatte the leg or flex the hip or knee to raise the foot high enough to avoid dragging the toes along the ground. The leg is brought up high off the ground by flexing the ipsilateral hip and knee so the toes will not drag on the ground during the swing phase. Steppage gait is due to complete paralysis of the ankle and foot dorsiflexors. If the patient has foot drop then they have to have a high steppage gait or else they will trip on the foot and fall forward.
The ankle and foot dorsiflexors are supplied by the peroneal nerve which is part of the sciatic nerve. The sciatic nerve starts in the lower back and runs through the buttock and lower limb. In the lower thigh, just above the back of the knee, the sciatic nerve divides into two nerves, the tibial and peroneal nerves, which innervate different parts of the lower leg. The common peroneal nerve then travels anterior, around the fibular neck, dividing into superficial and deep peroneal nerves. The deep peroneal nerve gives innervation to the tibialis anterior muscle of the lower leg which is responsible for dorsiflexion of the ankle. Conditions that cause foot drop :
•L4-L5 disc herniation: a herniated disc compressing the L5 nerve root may cause foot drop,
•Lumbosacral plexus injury due to pelvic fracture
•Sciatic nerve injury due to hip dislocation, the common peroneal division of the sciatic nerve is commonly injured during fracture dislocation injuries involving the hip.
•Injury to the knee as knee dislocation: in the event of knee dislocation it is important to check for common peroneal nerve and popliteal artery injury.
•Established compartment syndrome: foot drop is late finding. Ischemia more than 6-8 hours may cause irreversible changes to the muscle. Fasciotomy should be done early. 4 hours of ischemia may be tolerated, but by 8 hours, the damage is often irreversible.
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Пікірлер: 85
Thank you. This happened to me from delivering my baby/c section. It helps explain everything very well. It will help me articulate things better to my dr.
very informative thanks for your efforts
Thank you... Very helpful educational video!
This was a very helpful video, Thank you!
Thank you sir... You are a good teacher 😍
this is perfect! thank you
Great video. As a diabetes and KZread educator, examining patients' gait is part of my routine too!
extremely helpful, thanks a lot
Awesome video, thank you very much Dr.
super informative video, really helped me in revision for my medical exams
Interesting video! Thanks!
finally got a set date for my sergory for my siatica Spinnal disc decompression .L4 and L5 s1 set for the 28th of this month. sergeon is Tashi schaaf located in pinole Tara hills office. hope all goes well.
thanks for video i have foot drop from a cancer treatment side effect and neuropathy
thanks for sharing...
Jazakallah khayr Dr
great video thanks!!
thank you very much it is great video
I Forget to tell you that after I came out from the hospital they send me in a readaptation center in my area, I was treated there for almost one year without getting a normal walking pattern.They gave me twice cortisone under my left foot but it did not help at all . I keep hoping that I get back to a normal walking pattern. I’m sorry for my English writing I am French speaking, thank you for your help !
Thanks For Video Sir
thanks doctor
Excellent
Thank u sir
Thank you
Thanks
The video is awesome. Really thanks! I'm a student of physiotherapy and rehabilitation department. :)
WHAT COULD BE THE BEST REMEDY TO RECOVER FROM FOOT DROP?WILL EXERCISE CAN HELP TO RECOVER?
awesome
Perfect
I'm 34 and have had a mild gait since I was 4 years old. Also, that same gait leg is slighty turned in.
Nice video, thanks a lot! 😊😊 2/9/2019
You r the perfect
you a star …...
I have this problem, i hope you notice my comment, so that you further discuss the situation of my leg
Thanks for the video. Can you give me remody pls...
Please can you tell me how to heal🙏
Hi. My husband has foot drop for long time and no one can find out what is causing, he has done all the MRIs for his spinehe has no herniation but he has bulging. Orthopedic surgeon say that herniation can not cause his foot drop, he was also checked for muscle distrophy was negative as well MS. Today a docgtor told him something about hamstring, can a hamstring cause this?
probably some other deceases should be mentioned, like Charcot-Marie-Tooth. just a few people are aware of it while the frequency of the condition is 1/1000.
Thank you for explaining. I work with a guy that slaps his shoes down all day and it drives me nuts.
Good
@subhamchatterjee8128
6 жыл бұрын
Thanks
What is exercise we do
does that mean slap gait is a milder form of steppage gait?
I have trouble walking as my toes feel numb and feel like the middle two slap a little can you have a partial or slight foot drop coz that’s what it feels like .
how do i stop slap gait?
I am doing tendon transfer surgery
How can u fix this situation.
GOOD CARTOON
I went in to have blockage removed from my urethra I was in surgery for 6.5hrs when I woke up I was in extreme pain I had developed compartment syndrome in both my legs now I’ve got foot drop in both my feet this happened in may Hoping physical therapy helps but fearing I have permanent damage sense it took 16hrs for me to be diagnosed with compartment syndrome. Thanks for the video helps me understand what’s going on.
CAN WE FIT IT..NATURALLY
What if the person foot is slightly towards left like if he walks awkward like cross foot
Hello, Igot hit twice by a stroke in 2016, and since that I have spasticity to my left leg and curled toes to my left foot and this cause me problems because when I walk on my left foot it is impossible to to walk withmy foot flat to the ground I always walk on my heel on my left foot. sinced about now two years when the weathers permit me I wal distance of about one mile daily I thought this would help me to get back to a normal walking .Canyou help me with this. best regards !
I developed this gait and paralysis of my right foot 2 weeks ago (with burning lower back pain for months prior). My Dr said it's probably my Fibromyalgia :/
@Lici16
3 жыл бұрын
Once you get diagnosed with fibro they blame everything on it. Started losing feeling in hands and feet over a year ago now as well as terrible chronic mid back pain and spasms from the neck down and shortness of breath. Just now getting a work up on it all. I hope you have better luck with doctors than I have so far.
@biloazizi
3 жыл бұрын
How's your condition now?
Is it normal in kids or concerning? 😕
💯
ive experienced this after crossing my legs, but i also had spinal surgery recently so maybe its related to that? i dunno but i sound so loud when walking the hallways at school now. i also have no strength on the dropped foot, sometimes it just gives out, i think it may be permanent by now though
@sophietheresehautenauve
4 жыл бұрын
Try yoga (a GOOD teacher, not some 30years old chick with huge stamina)
I can dorsiflex my foot all right, but I find these gaits lighter and more enjoyable (nice stretch to the hip and a little bounce), so I walk like that on purpose. These gaits are also similar to proper barefoot running technique. Maybe the "normal" foot dragging gait is the shoe wearing gait or soft surface gait...
Hi sir Sir Muje footdrop ki problem hai 2008 normal pain in my lower limbs Dr Vasan is operated my l4 lt and s1
@kamleshkumari3995
4 жыл бұрын
And after operation my footdrop problem started sir pls help me sir any type of treatment I meet you
Ugh still not what I’m looking for... 😩 I’ll be walking just fine then all the sudden, my foot like stops working, and my foot falls on it side, and I almost fall over. Later my foot hurts soo bad On it’s side, and it’s always my left foot.
@DS-zo8xs
3 жыл бұрын
Same here! Let me know if you have a diagnosis.
@daniv3ntu
3 жыл бұрын
How did it go? Are you OK?
WE KNOW...HOW CAN WE FIX IT
@cromdevoter5942
8 жыл бұрын
I known ????
@libbyreesbarresi7459
6 жыл бұрын
stupid comment george kafantaris....
@josephj810
6 жыл бұрын
DNA GENETICS hw can be cured,through exercise
They don't mention that foot drop is in many people with MS like myself. Doesn't say what can be done for it.
@GodisLovetoo
7 жыл бұрын
Nancy Arnone Yeah, I suffer from CMT and I was hoping to see if its beneficial to continue with AFOs, inserts or try weights around the ankle to hold it down some. I'm just sick of tripping. Blessings to you on your journey....
@tmtm4667
6 жыл бұрын
Nancy Arnone ش
@rahatjamal9664
5 жыл бұрын
@goddes love same here
@webster695
5 жыл бұрын
Nancy Arnone I have MS too, but my foot drop was caused by a knee dislocation like that shown at 3:42. I tore several ligaments and the peroneal nerve. Surgery helped only a bit.
@alikirmizi311
4 жыл бұрын
@@webster695 hı I had same problem dislocation Had food drop How is yours now
Heal should not hit the ground first
Bi lateral dropfoot.
Iam 21 year old i am an indian poor english I have an accident which is always hanging on my feet I have been shown in lot hospital and pisiotheropi. I still have no change . Pleas help me .I will send my photo to you for your email .your email please
@diksha050411
5 жыл бұрын
How are you now Sabeer?
Did anyone else come here to hear the slaps
Thanks