Gait abnormalities in multiple sclerosis: Pathogenesis, evaluation, and advances in treatment

Michelle H. Cameron, Joanne M. Wagner

Research output: Contribution to journalArticle

66 Scopus citations

Abstract

Multiple sclerosis (MS) is a demyelinating disease of the central nervous system characterized by episodic decline in various neurologic functions. Gait dysfunction in MS is distinguished by decreased gait speed, walking endurance, step length, cadence and joint motion, as well as increased metabolic cost of walking and increased variability of gait. Standardized clinical, timed, and patient-based measures can identify MS patients with gait dysfunction, and observational gait analysis, instrumented walkways, or three-dimensional gait analysis can help determine which problem underlies their gait dysfunction to help direct effective treatment. Exercise may ameliorate all types of gait dysfunction. In addition, gait dysfunction due to weakness may be alleviated by orthoses or functional electrical stimulation; gait dysfunction due to spasticity may be relieved by oral, intrathecal, or intramuscular medications. Assistive devices and balance training may reduce gait dysfunction from imbalance, and dalfampridine may accelerate gait in people with MS who walk slowly.

Original languageEnglish (US)
Pages (from-to)507-515
Number of pages9
JournalCurrent neurology and neuroscience reports
Volume11
Issue number5
DOIs
StatePublished - Oct 1 2011

Keywords

  • 4-Aminopyridine
  • Accidental falls
  • Botulinum toxin
  • Electric stimulation
  • Gait
  • Gait abnormalities
  • Multiple sclerosis
  • Rehabilitation

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

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