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Assess gait:

 Normal, symmetrical, without limp

 Spastic – narrow‐based, stiff, toe‐scuffing

 Hemiparetic

 Extrapyramidal – shuffling, festinant (hurrying), with poor arm swinging, slow

 Apraxic – with gait ignition failure, with walking difficulty but preserved ability to move legs rapidly on a bed or seated

 Ataxic

 High stepping, foot drop, myopathic, antalgic, neuropathic

 Otherwise unusual – dystonia, chorea or myoclonus, or apparently theatrical.

Do not miss subtleties – early chorea, a little dystonia. A video on a phone is helpful.