Spastic hemiplegic gait:
Caused by lesion in pyramidal tract on contralateral side (upper motor neuron lesion) abnormality of gait due to combination of spasticity and weakness; arm of affected side is stiff with elbow and wrist flexed with fingers clenched – little arm movement during gait (this may be an early sign of a progressive upper motor neuron lesion); lower limb is weaker with varying degrees of hip adduction and flexion, knee flexion, plantarflexion and inversion of foot, and flexion of digits; patient swings or circumducts the affected leg during gait for toe clearance; upper body rocks to opposite side during this circumduction movement; tend to drag lateral side of foot on ground ( shoe wear); leg is maintained in a stiff posture;
eg unilateral upper motor neuron
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