The Trendelenburg gait is an abnormal gait caused by weakness of the abductor muscles of the lower limb, gluteus medius and gluteus minimus. People with a lesion of superior gluteal nerve have weakness of abducting the thigh at the hip. This type of gait may also be seen in L5 radiculopathy and after poliomyelitis, but is then usually seen in combination with foot drop.
During the stance phase, the weakened abductor muscles allow the pelvis to tilt down on the opposite side. To compensate, the trunk lurches to the weakened side to attempt to maintain a level pelvis throughout the gait cycle. The pelvis sags on the opposite side of the lesioned superior gluteal nerve.
Biofeedback and physical therapy have been used in treatment.[1]
References
- ^ Petrofsky JS (September 2001). "The use of electromyogram biofeedback to reduce Trendelenburg gait". Eur. J. Appl. Physiol. 85 (5): 491–5. doi:10.1007/s004210100466. PMID 11606020. http://link.springer.de/link/service/journals/00421/bibs/1085005/10850491.htm.
- Wheeless' textbook of orthopaedics [1]
- Ropper and Brown, Adams and Victor's Principles of Neurology, 8th edition(2005), p.105
See also
External links
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Symptoms and signs: nervous and musculoskeletal systems (R25-R29, 781.0, 781.2-9) |
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| Primarily nervous system |
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| Primarily muscular |
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| Primarily skeletal |
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central nervous system navs: anat/physio/dev, noncongen/congen/neoplasia, symptoms+signs/eponymous, proc
peripheral nervous system navs: anat/histo/physio/dev, noncongen PNS somatic/autonomic/congen/neoplasia, symptoms+signs/eponymous, proc
muscle navs: anat/physio, acquired myopathy/congenital myopathy/neoplasia, symptoms+signs/eponymous, proc
bone and cartilage navs: anat/physio, noncongen/congen/neoplasia, symptoms+signs/eponymous signs, proc |
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