Physical Examination

Gait 

  • Antalgic 
  • Trendelenberg 
  • Wide-Based Shuffling 
    • Dorsal column involvement (proprioception) – Myelopathy 
  • Steppage/ Lateral Swing 
    • Foot-drop 
  • Assess 
    • Tandem Gait (Heel to Toe walking) 
      • Sensitive for myelopathy 
      • Not specific (hip OA, vestibular dysfunction) 
      • Rhomberg to supplement this test 
    • Heel/ Toe Raises/ walking 
      • >10 – 5/5 
      • 4-9 – 4/5 
      • <4 – 3/5