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Diplegic Gait Demonstration
The patient has spasticity in the lower extremities greater than the upper extremities. The hips and knees are flexed and adducted with the ankles extended and internally rotated. When the patient walks both lower extremities are circumducted and the upper extremities are held in a mid or low guard position. This type of gait is usually seen with bilateral periventricular lesions. The legs are more affected than the arms because the corticospinal tract axons that are going to the legs are closest to the ventricles.
This video in 30 seconds
This video demonstrates diplegic gait. It describes spasticity in the lower extremities greater than the upper extremities, with hips and knees flexed and adducted, ankles extended and internally rotated, both lower extremities circumducted during walking, and the upper extremities held in a mid or low guard position, a pattern usually seen with bilateral periventricular lesions.
Key points
- Describes lower-extremity spasticity greater than in the upper extremities
- Covers the hip, knee, and ankle positions seen in the gait
- Describes circumduction of both legs and the guard position of the arms
- Explains why the legs are more affected, based on corticospinal tract anatomy near the ventricles
Video Overview
This video presents “Diplegic Gait Demonstration” — The patient has spasticity in the lower extremities greater than the upper extremities. The hips and knees are flexed and adducted with the ankles extended and internally rotated. When the patient walks both lower extremities are. Whether you are preparing for a procedure, studying the technique, or learning how a condition is assessed, the recording shows the process as it is performed in practice.
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Educational content only — not a substitute for professional medical advice.
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