Table 1.
Observation | Significance | Intervention |
---|---|---|
Difficulty rising from chair | Proximal muscle weakness | PT referral for lower extremity strengthening |
Staggering or reported dizziness upon rising | Possible orthostasis | Check orthostatic vital signs; review medications that may contribute to orthostasis |
Pill-rolling tremor, stooped posture, shuffling/festinating gait | Possible parkinsonism | Consider neurology referral |
Increased sway, magnetic gait | Possible normal pressure hydrocephalus | Ask about urinary incontinence and memory issues. If these are highly suspected, consider head CT |
Path deviation | Possible peripheral neuropathy, cerebrovascular disease | Consider neuropathy workup, examination of feet, PT referral for assistive device |
Slow, antalgic gait | Pain from osteoarthritis, peripheral neuropathy, podiatric disorders | Pain control, examination of feet |
CT = computed tomography; PT = physical therapy.