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. 2010 Apr 30;107(17):306–316. doi: 10.3238/arztebl.2010.0306

Table 1. Important aspects of the clinical history in patients with gait disturbances.

Duration and course
  • Episodic (e.g., related to blood pressure) or continuous (e.g., polyneuropathy)

  • Sudden onset (e.g., stroke) or slow progression (e.g., spinocerebellar ataxia)

Precipitating and exacerbating factors
  • Environment (e.g., darkness, uneven ground in bilateral vestibulopathy)

  • Situation (e.g., phobia)

  • Dual-tasking (e.g., talking while walking)

  • Medication use

Accompanying symptoms and signs
  • Dizziness (e.g., cerebellar ataxia)

  • Anxiety (e.g., fear of falling)

  • Pain (e.g., arthritis)

  • Sensory deficit (e.g., polyneuropathy)

Medications and alcohol
  • Benzodiazepines, barbiturates, antidepressants, neuroleptic drugs, antiepileptic drugs, medications to treat parkinsonism, analgesics,

  • Antihypertensive drugs, antiarrhythmic drugs, antidiabetic drugs

  • Alcohol consumption

Comorbidities
  • Cardiac/pulmonary (e.g., heart failure with decreased reserve)

  • Metabolic syndrome (e.g., diabetes with polyneuropathy)

Falls
  • Single (e.g., with fear of falling afterward)

  • Recurrent (e.g., progressive supranuclear palsy)

  • Mechanism (e.g., stumbling, loss of muscle tone, syncope)