Differential diagnosis of scissor gait of the lower limbs

Scissor gait of the lower limbs is a clinical manifestation of spastic bilateral lower limb paralysis in cerebral palsy. The scissor gait is due to the increased muscle tone of both lower limbs, especially the increased tension in the extensor muscles, and the lower limbs are over-extended when moving, and the legs are crossed in a scissor shape. What are the symptoms that are easily confused with it? 1, hemiplegic gait When walking, the upper limb on the sick side is flexed, the swing disappears, the thigh and calf are straightened, and the foot is thrown outward in a circular shape, so it is also called drawing circle gait, which is seen in post-stroke disease. 2, panic gait lower limbs are scissors gait body leaning forward, slow start, and then gradually faster, the faster you go, it is difficult to “emergency brake”, the shape of panic, seen in Parkinson’s disease. 3.Drunkard’s gait Slow foot lift, landing like stomping, upper limbs swaying back and forth, unstable gait can not walk in a straight line like drunkenness, seen in cerebellar tumors, inflammation and disorientation diseases, etc. 4, duck walking gait walking waist convex belly, hip swaying left and right like a duck walking, is the performance of progressive muscular dystrophy, also seen in rickets, congenital hip dislocation. 5, across the gait walking hip, knee joints raised too high to avoid toe touch the ground, seen in the common peroneal nerve palsy, sciatic nerve palsy, polyneuritis patients. 6, rooster gait when standing with the two thighs close together, the lower legs slightly apart, feet like toe standing, walking like a ballet-like toe walk, mostly seen in spinal cord lesions, such as inflammation, paraplegia, etc.