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Feature Article Geriatrics
Investigating the patient with impaired mobility
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Seniors' health
Seniors' health
Abstract
In assessing patients with mobility impairment, the importance of the clinical history and physical examination cannot be overemphasised. The assessment process can be both complex and lengthy.
Key Points
- The major investigative modalities for patients with mobility disorders are the clinical history and physical examination.
- Mobility impairment may arise from disorders of volition, perception, strength, mechanics and coordination.
- Gait (walking) patterns associated with specific pathological processes can be identified by any medical observer; a detailed knowledge of the components of normal gait is not necessary to do this.
- Even when the cause of impaired mobility appears to localise to a specific anatomical structure or system, it is necessary to determine whether the problem is local or systemic.
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