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Trendelenburg gait 1

Trendelenburg gait
DiseasesDB 29422 [1]

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.
This gait is precipitated by strain to the gluteus maximus and gluteus minimus. Sufferers frequently complain that an
overly strenuous session at the gym--particularly with glute-isolating equipment--result in this awkward gait, or
worse.
Biofeedback and physical therapy have been used in treatment.[2]

References
[1] http:/ / www. diseasesdatabase. com/ ddb29422. htm
[2] Petrofsky JS (September 2001). "The use of electromyogram biofeedback to reduce Trendelenburg gait" (http:/ / link. springer. de/ link/
service/ journals/ 00421/ bibs/ 1085005/ 10850491. htm). Eur. J. Appl. Physiol. 85 (5): 491–5. doi:10.1007/s004210100466. PMID 11606020.
.

• Wheeless' textbook of orthopaedics (http://www.wheelessonline.com/)


• Ropper and Brown, Adams and Victor's Principles of Neurology, 8th edition(2005), p.105

External links
• 1798635535 (http://www.gpnotebook.co.uk/simplepage.cfm?ID=1798635535) at GPnotebook
• Anatomy at Dartmouth hip/hip%20clin%20correl/corr6 (http://www.dartmouth.edu/~anatomy/hip/hip clin
correl/corr6.html)
Article Sources and Contributors 2

Article Sources and Contributors


Trendelenburg gait  Source: http://en.wikipedia.org/w/index.php?oldid=401859565  Contributors: Arcadian, Eleassar, Ixnacious, Levil, Mattopaedia, Nunh-huh, Oh Snap, OnePt618, Wherrera,
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