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What is a Trendelenburg lurch?
An abnormal gait in which the patient transfers his or her weight laterally over the femoral head on the weight-bearing side and then shifts the weight back to a central position as the leg on that side is lifted from the ground. It is caused by weak hip adduction.
What causes lurching gait?
A waddling gait happens because of weakness in your hip girdle and upper thigh muscles. To make up for the weakness, you sway from side to side and your hip drops with each step.
What nerve causes Trendelenburg gait?
Causes. Trendelenburg gait is caused by weakness or ineffective action of the abductor muscles of the lower limb, the gluteus medius muscle and the gluteus minimus muscle. Polio involving L5 (foot drop may also be seen because L5 innervates the tibialis anterior muscle). Damage to the superior gluteal nerve.
Is Trendelenburg gait curable?
Trendelenburg gait can be disruptive, but it’s often treatable with special shoes or exercises designed to strengthen your hip abductor muscles. If an underlying condition, such as osteoarthritis or muscular dystrophy, is causing this gait, your doctor will help you develop a treatment plan.
What is compensated Trendelenburg gait?
A compensated trendelenburg occurs when the patient’s trunk leans ipsilaterally to the side of the stance leg.An uncompensated trendelenburg occurs when the examiner observes contralateral pelvic drop. A normal test result is when the patient is able to maintain a level pelvis without either of these substitutions.
How do you interpret the Trendelenburg sign?
The Trendelenburg sign is said to be positive if, when standing on one leg (the ‘stance leg’), the pelvis severely drops on the side opposite to the stance leg (the ‘swing limb’). The muscle weakness is present on the side of the stance leg.
What causes gluteus medius lurch?
The Trendelenburg gait pattern (or gluteus medius lurch) is an abnormal gait caused by weakness of the abductor muscles* of the lower limb, gluteus medius and gluteus minimus which are supplied by the superior gluteal nerve.
How do you rehab a Trendelenburg gait?
There are several ways to treat Trendelenburg gait: Physical therapy. Physical therapy can reduce the effects of the weakened hip muscles and help improve your gait. Therapy focuses on moving your leg in different directions to help your joints get used to proper directional motions.
How do you fix a Trendelenburg gait?
Physical therapy and exercise
- lying on your side and extending your leg straight out.
- lying on the floor and moving one leg up, over the other, and back in the opposite direction.
- stepping sideways and up onto an elevated surface, then back down again.
What does Trendelenburg position do?
Due to the angle, the Trendelenburg position allows for the patient’s abdominal organ to move towards the head by the use of gravity, improving surgical access to the pelvic organs. In steep Trendelenburg position, the patient is angled at 30 – 40 degrees in the head-down position.
What happens in Trendelenburg gait?
A trendelenburg gait is an abnormal gait resulting from a defective hip abductor mechanism. The primary musculature involved is the gluteal musculature, including the gluteus medius and gluteus minimus muscles. The weakness of these muscles causes drooping of the pelvis to the contralateral side while walking.
What does Trendelenburg gait indicate?
Trendelenburg gait occurs when your hip abductor muscles are very weak. This muscle group includes the gluteus medius and gluteus minimus muscles, located in the area of your butt. When these muscles are not strong enough, your pelvis will droop on the opposite side of the body from the affected muscles.
How do you do the Trendelenburg test?
Trendelenberg test To perform the test the patient stands on the unaffected leg and flexes the other knee to a right-angle. The pelvis should remain level or tilt up slightly on the non-weight-bearing side. The patient then stands on the affected leg and flexes the knee of the other leg.
What is the difference between Duchenne and Trendelenburg?
Trendelenburg provided line drawings to illustrate the abnormalities he described, whereas Duchenne did not (for the gait peculiarities in contrast to abnormalities of stance). Conclusions: Duchenne and Trendelenburg described different and complementary aspects of myopathic gaits.
What is the clinical presentation of Trendelenburg syndrome?
Characteristics/Clinical Presentation. A trendelenburg gait, in which there is weakness of the hip abductors (gluteus medius muscle), is characterized by trunk shift over the affected hip and is best visualized from behind of in front of the patient.
Did Amand Duchenne and Trendelenburg describe the myopathic gait?
Objective: To compare the relative contributions of French neurologist Guillaume Benjamin Amand Duchenne and German surgeon Friedrich Trendelenburg to the description of myopathic gaits. Background: Both physicians have been credited with describing the myopathic gait. Methods: The original reports were reviewed.