Type of gaitDescriptionAssociated signsCauses
AntalgicLimited range of motion; limping; slow and short steps; unable to bear full weightPain worsening with movement and weight bearingDegenerative joint disease; trauma
CautiousArms and legs abducted; careful; en bloc turns; like walking on ice; slow; wide-basedAssociated with anxiety, fear of falling, or open spacesDeconditioning; post-fall syndrome; visual impairment
Cerebellar ataxiaStaggering; wide-basedDysarthria; dysdiadochokinesia; dysmetria; impaired check; intention tremor; nystagmus; postural instability; rebound; Romberg sign present; titubationCerebellar degeneration; drug or alcohol intoxication; multiple sclerosis; stroke; thiamine deficiency and vitamin B12 deficiency
ChoreicDance-like; irregular; slow; spontaneous knee flexion and leg rising; wide-basedChoreoathetotic movements of upper extremitiesHuntington disease; levodopa-induced dyskinesia
DystonicAbnormal posture of foot or leg; distorted gait; foot dragging; hyperflexion of hipsWorse with the action of walking; may improve when walking backward
Frontal gait disorder (gait apraxia)Magnetic; start and turn hesitation; freezing; marche à petits pasDementia; frontal lobe signs; incontinenceFrontal lobe degeneration; multi-infarct state; normal-pressure hydrocephalus
HemipareticExtension and circumduction of weak and spastic limb; flexed armExtensor plantar response; face, arm, and leg weakness; hyperreflexiaHemispheric or brainstem lesion
ParapareticAdduction; extension; scissoring of both legs; stiffnessBilateral leg weakness; extensor plantar response; hyperreflexia; spasticitySpinal cord or bilateral cerebral lesions
ParkinsonianShort-stepped; shuffling; hips, knees, and spine flexed; festination; en bloc turnsBradykinesia; muscular rigidity; postural instability; reduced arm swing; rest tremorParkinson disease; atypical or secondary forms of parkinsonism
PsychogenicAstasia-abasia; bizarre and nonphysiologic gait; lurching; rare fall or injuryAbsence of objective neurologic signs; give-way weaknessFactitious, somatoform disorders or malingering
Sensory ataxiaUnsteady; worse without visual input, particularly at nightDistal sensory loss; impaired position and vibratory sensation; Romberg sign presentDorsal column dysfunction; neuronopathy; sensory neuropathy
SteppageResulting from footdrop; excessive flexion of hips and knees when walking; short strides; slapping quality; trippingAtrophy of distal leg muscles; distal sensory loss and weakness footdrop; loss of ankle jerkMotor neuropathy
Vestibular ataxiaUnsteady; falling to one side; postural instabilityNausea; normal sensation, reflexes, and strength; nystagmus; vertigoAcute labyrinthitis; Meniere disease
WaddlingLumbar lordosis; swaying; symmetric; toe walk; wide-basedHip dislocation; proximal muscle weakness of lower extremities; use arms to get up from chairMuscular dystrophy; myopathy