Figure 2-2. Normal gait.
The second foot moves more slowly as it gets ready for his heel to
strike the floor.
In this process, observe whether the patient shuffles, places his feet too wide
apart, walks on his toes, has foot flop and leg lag or scissoring, doesn't swing
his arms, staggers, or reels. The way he walks should be smooth with a
regular rhythm and a symmetric stride length. The trunk should sway slightly,
and his arm swing should be smooth and symmetric.
c. Motor Function. Perform the following checks:
(1) Check for mild weakness. Have the patient stand with his arms
outstretched, palms upward, eyes closed for 20 to 30 seconds. If one arm drops and
the hand turns over slightly, he has mild weakness called the pronator sign.