The goal is to determine as many potential contributing factors to gait disorders as possible. Assessment requires a straight hallway without distractions and a stopwatch for timing. A measuring tape and a T square or ruler with a right angle may be needed to measure stride length. Measurement of gait kinetics can only be performed reliably in a few laboratories with advanced computer and video technology. He should be informed that several observations may be needed and should be allowed to rest if fatigued.
Assistive devices provide stability but also affect gait.
Use of walkers often results in a flexed posture and discontinuous gait, particularly if the walker has no wheels. If safe to do so, the health care practitioner can instruct the patient to walk without an assistive device, while remaining close. If a patient uses a cane, the health care practitioner can walk with the patient on the cane side or take his arm and walk with him. Proximal muscle strength is tested by having the patient get out of a chair without using his arms. Gait velocity is measured using a stopwatch.