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Premier temps de l’examen: la marche (débute en observant le patient entrant dans le cabinet de consultation) Utilisation d’aides techniques Démarche salutante (perte du pas postérieur par flessum de hanche)
Hi Jose. Yes, you could get a shuffling walk with Parkinson's, but also with an L5 neuropathy, with tendon injuries in the ankle/foot, orthopedic conditions of the knee and also the hip. Traumatic brain injuries, stroke, brain tumors, demyelinating diseases and encephalitis could also cause a shuffling gait, though not necessarily a symmetrical shuffle. This list may not be exhaustive.
I was also wondering if this "marche salutante"/"signe du maqignon" could include vocalized noises such as grunts, groans, expletives.
I have never heard of any classification of orthopedic conditions based on the sound of the resultant gait. May I suggest that insofar as the sound is concerned, you consider "shuffling" to be a generic term.
Wow, I finally assumed Michael was right with "shuffling" but now I do wonder what sound a person makes with this walking problem, which we still don't really know what it is? Could it be some other sound or any sound that announces the person has a walking problem to the trained ear?
Yes Michael, I agree, every gait, abnormal or not, has a distinctive sound. Shuffling (as taught to me by Pr. Benabid, has a symetrical sound which is not the case for "démarche salutante".
Regarding your note disagreeing with my suggestion, do you now agree that it is a noise but "not necessarily shuffling"? I am reminded of the argument of the personal injury defence attorney: "The accident never happened, and if it did happen, your client was not injured, and if he was injured, it wasn't serious, and if it was serious, it wasn't my client's fault."
The definition is "Une démarche salutante, souvent douloureuse et caractérisée par un appui bref du membre inférieur avec flexion exagérée du genou et du tronc, est évocatrice d’une lésion radiculaire L5-S1." This does not fit with shuffling where there is a permanent foot/floor contact. This document clearly shows it is not shuffling les coxarthroses - Clubortho www.clubortho.fr › cariboost_files › ifsi_coxarthroses PDF LES COXARTHROSES. Dr Marchaland J.P- HIA Bégin. IFSI ... Marche salutante ou signe du maquignon perte du pas postérieur car flexum. IFSI ...
Sorry I can't be of more help. There is no context really, I just have a list of walking disorders, with no explanation whatsoever for each one.
Many thanks for all your comments, it's been very helpful (even though I am still not sure how I am going to translate this expression accurately ha ha!)
I hadn't thought of the noise until I read reference 3. It is issued by the OQLF, the dreaded (by Quebec Anglos) Language Police. What they say is official!😉
The stooped posture may be a clinical sign of the condition described in your reference, but it does not define "marche salutante", which is a different clinical sign.
"I had not encountered this term before, but I love it. The French really have a flair for metaphorical language. Literally, it is a "salutary" gait, because you hear it before you see it - the shuffling sound of the feet dragging along the floor." [end of quote]
which led you to your answer "shuffling gait"
I too had asked myself why is it called the marche salutante but guessed that with the torso slightly bent forward (like a bow) and the knees flexed (like a curtsey), that must be the reason.
"Shuffling" is not a symptom in the reference I posted while the torso and knee things are. That is why I still lean (little pun) towards Sue Davis' answer at present but the point is interesting how we both interpreted the origin of 'salutante" differently.
The diagram you refer to references "perte de pas posteriere". A second line says "marche salutante ou signe du maquignon". I take that to mean "marche salutante (signe du maquignon)". From my reference 3, "sign du maqignon" is the noise.
The reference to Japan was a tongue in cheek allusion to the custom of bowing as a salutation. The last time I was in France, people didn't do that as a greeting. Perhaps they knew I was a tourist. 😉
@Michael http://clubortho.fr/cariboost_files/ifsi_coxarthroses.pdf This presentation shows a gait involving hip and knee flexion with leaning forward of the trunk as a complication of osteoarthritis of the hip. There may not be an equivalent colloguial term in English in which case I suggest pathological terminology isb an appropriate translation. The shuffling gait of eg Parkinson's Disease does no correspond to the abnormal gait shown in this presentation.
Hello It seems to be a combination of trunk flexed plus flexed-knee joint gait. Not sure if there's a precise term for this.
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Answers
20 mins confidence: peer agreement (net): -1
Drop Foot (Foot Drop) / Steppage Gait (Footdrop Gait)
Explanation:
Orientation diagnostique devant un trouble de la marche et de ... www-sante.ujf-grenoble.fr › troublspe › leconimprim PDF de l'équilibre, les troubles de la marche ont une présentation souvent ... Une démarche salutante, souvent douloureuse et caractérisée par un appui bref du. de DV FRAIX - 2005 - Autres articles
Une démarche salutante, souvent douloureuse et caractérisée par un appui bref du membre inférieur avec flexion exagérée du genou et du tronc, est évocatrice d’une lésion radiculaire L5-S1.
Abnormalities in Muscle Function During Gait in Relation to ... www.researchgate.net › publication - Traduire cette page A comparison between gait in patients undergoing surgery for L4 and L5 lumbar ... flexors, was found only in patients with a lesion to the L5-S1 disc, but not in those with ... of velocity, stride length, and cadence in patients with nerve disorder. The Interdisciplinary Management of Foot Drop - NCBI www.ncbi.nlm.nih.gov › articles › P... Traduire cette page 17 mai 2019 - The most common causes are L5 radiculopathy and peroneal nerve ... “gait disturbance“, “quality of life“, “peroneal nerve lesion“, “L5 nerve ... de AE Carolus - 2019 - Cité 6 fois - Autres articles
The Interdisciplinary Management of Foot Drop - NCBI www.ncbi.nlm.nih.gov › articles › P... Traduire cette page 17 mai 2019 - Foot drop can be due to a disturbance at any central or peripheral ... “gait disturbance“, “quality of life“, “peroneal nerve lesion“, “L5 nerve root“, ... A radicular lesion of the L5 root is not only associated with foot drop, but also ... Muscle, Function, L5, S1, Deep peroneal nerve, Superficial peroneal nerve, Tibial de AE Carolus - 2019 - Cité 6 fois - Autres articles
Drop Foot (Foot Drop) and Steppage Gait (Footdrop Gait) www.spineuniverse.com › sciatica Traduire cette page 2 juil. 2019 - Drop foot is a symptom of an underlying spinal condition, such as spinal ... disorder that affects the patient's ability to raise their foot at the ankle. ... L4, L5, S1), trauma to the sciatic nerve, spondylolisthesis, spinal stenosis, ...
Drmanu49 France Local time: 05:13 Specializes in field Native speaker of: English, French PRO pts in category: 5346
-------------------------------------------------- Note added at 3 hrs (2020-09-27 18:24:55 GMT) --------------------------------------------------
Patients with flexion contractures often walk with a bent-knee gait. This provides increasing strain on the quadriceps and increasing strain contact forces in the patellofemoral joint and Tibiofemoral joint when the flexion deformity is more than 15 degress of extensor lag.
There is early joint degradation that includes cartilage erosion, meniscal injury, ligament strains, associated tightness of TFL and the main muscles around the hip and ankle joint like iliopsoas, hamstrings, Gastrosoleus, Quadriceps and adductors or abductors of hip depending upon if there is a secondary deformity of either genu varum or genu valgum and patella alta.
-------------------------------------------------- Note added at 3 hrs (2020-09-27 18:26:24 GMT) --------------------------------------------------
I think "salutante" may refer to the leaning forward from the hip as if bowing
Sue Davis France Local time: 05:13 Specializes in field Native speaker of: English PRO pts in category: 880
Explanation: I had not encountered this term before, but I love it. The French really have a flair for metaphorical language. Literally, it is a "salutary" gait, because you hear it before you see it - the shuffling sound of the feet dragging along the floor. You can indeed get this from a foot drop, but there are other conditions that will produce a shuffle.
-------------------------------------------------- Note added at 4 hrs (2020-09-27 18:58:09 GMT) --------------------------------------------------
@Sue. That is right, it is not a diagnosis and it is not intended to be. It is a clinical sign. My first reference links "marche salutante" with "signe du maquignon" and "signe du maqignon" is described well in the 3rd reference.
Michael Barnett Local time: 23:13 Specializes in field Native speaker of: English PRO pts in category: 733