The following is a list of abnormal gait patterns which may be seen in Cerebral Palsy children and which may need further evaluation:
Antalgic gait (caused by pain)
- Reduced time spent weight-bearing on the affected side.
- A multitude of possible causes.
- A smaller child may just present with unwillingness to weight-bear, so an index of suspicion is required.
- May be observed in juvenile idiopathic arthritis (JIA), although children do not always complain of pain.
- Excessive hip abduction as the leg swings forwards
- Typically seen with a leg length discrepancy, with a stiff/restricted joint movement as in JIA, or with unilateral spasticity as in hemiplegic cerebral palsy.
- Stiff, foot-dragging with foot inversion. This is often seen in upper motor neurone neurological disease (eg, diplegic or quadriplegic cerebral palsy, stroke).