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Trendelenburg gait, first described by Friedrich Trendelenburg in 1895, [1] is an abnormal human gait caused by an inability to maintain the pelvis level while standing on one leg. It is caused by weakness or ineffective action of the gluteus medius and gluteus minimus muscles.
Trendelenburg's sign is found in people with weak or paralyzed abductor muscles of the hip, namely gluteus medius and gluteus minimus. [1] It is named after the German surgeon Friedrich Trendelenburg. It is often incorrectly referenced as the Trendelenburg test which is a test for vascular insufficiency in the lower extremities.
The Trendelenburg position is also used when placing a central venous catheter in the internal jugular or subclavian vein. The Trendelenburg position uses gravity to assist in the filling and distension of the upper central veins, as well as the external jugular vein. It plays no role in the placement of a femoral central venous catheter. [7]
Normal (Trendelenburg negative): In the one-legged stance, the unsupported side of the pelvis remains at the same level as the side the patient is standing or even rise a little, because of powerful contraction of hip abductors on the stance leg. Abnormal (Trendelenburg positive): In the one-legged stance, the unsupported side of the pelvis ...
Single-Leg Stand: Stand on one leg while keeping your other leg lifted slightly off the ground. Hold this position for 20 to 30 seconds, then switch legs. Hold this position for 20 to 30 seconds ...
This gait disturbance is known as Trendelenburg gait. In a positive Trendelenburg's sign the pelvis sags toward the normal unsupported side (the swing leg). The opposite, when the pelvis is elevated on the swing side, is known as Duchenne limp. Bilateral loss of the small gluteal muscles results in a waddling gait. [2]
Kneeling is a basic human position where one or both knees touch the ground. It is used as a resting position, during childbirth and as an expression of reverence and submission. While kneeling, the angle between the legs can vary from zero to widely splayed out, flexibility permitting. It is common to kneel with one leg and squat with the ...
Gait abnormality is a deviation from normal walking ().Watching a patient walk is an important part of the neurological examination. Normal gait requires that many systems, including strength, sensation and coordination, function in an integrated fashion.