Trendelenburg Sign: Difference between revisions
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The patient is asked to stand on one leg for 30 seconds without leaning to one side. The therapist obsereves the patient to see if the pelvis stays level during the one-leg stance. A positive Trendelenburg Test is indicated if during unilateral weight bearing the pelvis drops toward the unsupported side<ref>Dutton M. Orthopaedic: Examination, evaluation, and intervention. 2nd ed. New York: The McGraw-Hill Companies, Inc; 2008.</ref>.<br> | The patient is asked to stand on one leg for 30 seconds without leaning to one side. The therapist obsereves the patient to see if the pelvis stays level during the one-leg stance. A positive Trendelenburg Test is indicated if during unilateral weight bearing the pelvis drops toward the unsupported side<ref>Dutton M. Orthopaedic: Examination, evaluation, and intervention. 2nd ed. New York: The McGraw-Hill Companies, Inc; 2008.</ref>.<br> | ||
Several dysfunctions can produce a positive Trendelenburg Test, | Several dysfunctions can produce a positive Trendelenburg Test, including<ref>Dutton M. Orthopaedic: Examination, evaluation, and intervention. 2nd ed. New York: The McGraw-Hill Companies, Inc; 2008.</ref>: | ||
*Superior Gluteal Nerve Palsy | *Superior Gluteal Nerve Palsy | ||
*Lumbar [[ | *Lumbar [[Disc Herniaton|disk herniation]] | ||
*Weakness of gluteus medius | *Weakness of gluteus medius | ||
*Advanced degeneration of the hip | *Advanced degeneration of the hip | ||
Revision as of 06:16, 4 March 2009
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Purpose
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The purpose of the Trendelenburg Test is to identify weakness of the gluteus medius muscle.
Technique
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The patient is asked to stand on one leg for 30 seconds without leaning to one side. The therapist obsereves the patient to see if the pelvis stays level during the one-leg stance. A positive Trendelenburg Test is indicated if during unilateral weight bearing the pelvis drops toward the unsupported side[1].
Several dysfunctions can produce a positive Trendelenburg Test, including[2]:
- Superior Gluteal Nerve Palsy
- Lumbar disk herniation
- Weakness of gluteus medius
- Advanced degeneration of the hip
Evidence[edit | edit source]
Provide the evidence for this technique here
References
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