How do you correct Trendelenburg gait?
Treatment / Management Trendelenburg gait by itself wears the hip joint, and appropriate treatment is essential. Physical therapy is the mainstay treatment for gluteus medius and minimus weakness. Physical therapy involves strengthening the weakened hip abductor muscles.
What might cause the Trendelenburg gait?
Definition/ Description: The trendelenburg gait is caused by a unilateral weakness of the hip abductors, mostly the gluteal musculature. This weakness could be due to superior gluteal nerve damage or in 5th lumbar spine lesion. This condition makes it difficult to support the body’s weight on the affected side.
What does a positive Trendelenburg test indicate?
A positive Trendelenburg test demonstrates that the hip abductors are not functioning owing to weakness or pain inhibition, and are unable to perform their role of stabilising the pelvis on the weight-bearing leg.
How do you perform a Trendelenburg test?
The test is negative when the hip of the leg that is lifted, will also go up i.e., hiking of hip or the pelvis tilts upwards. The test is positive, when there is a drop of the hip or a downwards tilt of the pelvis. X-ray is the best way to diagnose or confirm the trendelenburg pathology.
Can gait be corrected?
In most cases, gait can be corrected by engaging in certain exercises to improve your coordination and balance.
Is Trendelenburg gait and waddling gait same?
Results: Many names are used for ‘waddling gait’, and its description is imprecise and inconsistent. Trendelenburg described it as a pelvic drop on the side of the swinging leg and compensatory lateral trunk bending towards the side of the standing leg. Many conditions have been described as producing a waddling gait.
Is Trendelenburg gait bad?
What’s the outlook? 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 does the medical term Trendelenburg mean?
Medical Definition of Trendelenburg position : a position of the body for medical examination or operation in which the patient is placed head down on a table inclined at about 45 degrees from the floor with the knees uppermost and the legs hanging over the end of the table.
Which side is Trendelenburg named for?
Trendelenburg gait, named after Friedrich Trendelenburg, is an abnormal gait. It is caused by weakness or ineffective action of the gluteus medius muscle and the gluteus minimus muscle.
What is the meaning of Trendelenburg?
What makes the Trendelenburg gait an abnormal gait?
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 …
What causes Trendelenburg gait after hip replacement surgery?
Epidemiology/ Etiology. Trendelenburg gait is also seen after Hip replacement surgery and femoral fixation with intramedullary nail. In patients with hip replacement, trendelenburg gait ensues due to the surgical dissecction of the gluteus medius muscle during surgery to expose the hip joint; thus the dysfunction in the abductor muscles.
How is physical therapy used to treat Trendelenburg?
Physical Therapy Management. Other exercises in the treatment of Trendelenburg gait include functional closed-chain exercises, lateral step-ups and functional balance exercises. It is also important to strengthen the rest of the hip muscles on the affected side.
How is the hip lurch used in Trendelenburg?
This movement is called a hip lurch, in which the trunk muscles can also be used to control the drop of the pelvis on the swing limb side. Treatment of Trendelenburg gait is by strengthening of the abductor muscles when possible.