Wide Based Gait, Myelopathy Gait - Everything You Need To Know - Dr. Nabil Ebraheim

Video Description

Educational video describing the condition of Wide Based Gait.
What is wide base gait? A wide based gait occurs due to myelopathy and neurological disorders. This gait disturbance is described as clumsy, staggering movements. Look for associated with cervical or thoracic spine pathology. Patient example of myelopathy with significant cervical spine disc compression of the spinal cord.
Patient will have a slow, wide, broad based ataxic gait. Pathological long tract signs with upper motor neuron lesion findings may be seen such as Babinski, Clonus, and Hyperreflexia. The distance between the feet is the normal base width measured during double stance or double support and the width is usually 2-4 inches.
With the examinaer standing behind the patient, the wide base can be found. The examiner may ask the patient if they have a staggering of their gait. Impaired coordination and balance will widen the base to greater than 2-4 inches. The patient will have a wide stance as they try to maintain balance. There will be unsteadiness of the trunk with excessive shift in the center of the gravity.
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