TRENDELENBURG

GAIT
By Mobeen Farooqi
Gait cycle:
Gait cycle is the time period or sequence of events or movements during locomotion
in which one foot contacts the ground to when that same foot again contacts the
ground. It has two components: the stance phase and the swing phase.
Trendelenburg gait:
The Trendelenburg gait pattern is an abnormal gait (as with walking) caused by
weakness of the abductor muscles of the lower limb, gluteus medius and gluteus
minimus In cases such as poliomyelitis or dystrophy. People with a lesion of superior
gluteal nerve have weakness of abducting the thigh at the hip. you’ll walk with a
noticeable side-to-side motion. It may look as though you’re limping or missing a
step.
Trendelenburg sign:
The Trendelenburg sign is said to be positive if, when standing
on one leg, the pelvis drops on the side opposite to the stance
leg to reduce the load by decreasing the lever arm. By
reducing the lever arm, this decreases the work load on the
hip abductors. The muscle weakness is present on the side of
the stance leg.