What is the primary assessment for gait in a lower extremity evaluation?

• A. Measuring the length of the stride
• B. Observing the patient's walking pattern for abnormalities
• C. Evaluating the speed of walking
• D. Calculating the range of motion in the hips

Answer: (B)

The primary assessment for gait in a lower extremity evaluation involves observing the patient's walking pattern for abnormalities. This observation allows the examiner to identify various gait characteristics, such as symmetry, balance, movement mechanics, and any deviations that may indicate underlying conditions or impairments. A thorough visual assessment can reveal issues such as limping, shuffling, or altered cadence, which provide valuable insights into the patient's functional capacity and mobility.

While measuring the length of the stride, evaluating walking speed, and calculating the range of motion in the hips can contribute to understanding an individual's mobility, they are more specific aspects of ambulation that may not fully capture the comprehensive picture that observing the overall walking pattern can provide. By focusing on the gait as a whole, the examiner can assess how the entire body works together during locomotion, leading to a more accurate evaluation of the lower extremity's function.