WordNet

a horses manner of moving
a persons manner of walking
of or relating to or near the gluteus muscles

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歩きぶり,足どり

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2020/02/10 20:42:17」(JST)

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Gluteal gait is an abnormal gait caused by neurological problems. If the superior gluteal nerve or obturator nerves are injured, they fail to control the gluteus minimus and medius muscles properly, thus producing an inability to tilt the pelvis upward while swinging the leg forward to walk. To compensate for this loss, the leg swings out laterally so that the foot can move forward, producing a shuffling or waddling gait.

Injury to the superior gluteal nerve results in a characteristic motor loss, resulting in a disabling gluteus medius limp, to compensate for weakened abduction of the thigh by the gluteus medius and minimus, and/or a gluteal gait, a compensatory list of the body to the weakened gluteal side.

As a result of this compensation, the center of gravity is placed over the supporting lower limb. Medial rotation of the thigh is also severely impaired. When a person is asked to stand on one leg, the gluteus medius and minimus normally contract as soon as the contralateral foot leaves the floor, preventing tipping of the pelvis to the unsupported side. When a person with paralysis of the superior gluteal nerve is asked to stand on one leg, the pelvis descends on the unsupported side, indicating that the gluteus medius on the contralateral side is weak or non-functional. This observation is referred to clinically as a positive Trendelenburg's sign.^[1]

When the pelvis descends on the unsupported side, the lower limb becomes, in effect, too long and does not clear the ground when the foot is brought forward in the swing phase of walking. To compensate, the individual leans away from the unsupported side, raising the pelvis to allow adequate room for the foot to clear the ground as it swings forward.

References

^ Moore, Keith L.; Agur, Anne M. R.; Dalley, Arthur F.; Tank, Patrick W.; Gest, Thomas R. (2011). Essential Clinical Anatomy / Atlas of Anatomy. Lippincott Williams & Wilkins. ISBN 9781451116700. Retrieved 24 April 2018.

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1. 股関節および鼠径部の筋骨格系検査musculoskeletal examination of the hip and groin [show details]
…minimus, and the tensor fascia lata. Injury to this nerve can result in a Trendelenburg gait The inferior gluteal nerve innervates the gluteus maximus. The sciatic nerve arises from nerve roots L4 to …
2. 歩行時とランニング時の歩調の臨床評価clinical assessment of walking and running gait [show details]
… a patient gait. Such gait analysis may provide important insights into the cause of a patient symptoms. However, despite a plethora of practitioners and clinics that purport to correlate "gait analysis" …
3. 高齢者における神経性歩行障害neurologic gait disorders of elderly people [show details]
… swing phase of the step cycle. A gait center in the frontal lobe is proposed because patients with frontal pathology have gait disorders. The influence of the cortex on gait may be silent, or it can take …
4. 跛行のある小児の評価evaluation of the child with a limp [show details]
… The biomechanics of a normal gait and the assessment of gait in athletes is discussed separately. Limp is defined as an abnormality in gait that is caused by pain,… limited abduction of the affected hip, asymmetry in the position or number of the inguinal, thigh, or gluteal skin folds , and a positive Trendelenburg test as described in greater detail separately …
5. 小児における身体的診察：背部、四肢、神経系、皮膚、およびリンパ節the pediatric physical examination back extremities nervous system skin and lymph nodes [show details]
… wide-based gait; the legs often are rotated externally, and the feet are flat. The more normal gait of childhood develops with anatomical… with alignment along an imaginary vertical line from the midpoint of the occiput to the gluteal cleft.…

English Journal

PMID 31082138

Muscle Size and Quality of the Gluteal Muscles and Tensor Fasciae Latae in Women with Greater Trochanteric Pain Syndrome.

Cowan RM, Semciw AI, Pizzari T, Cook J, Rixon MK, Gupta G, Plass LM, Ganderton CL.
Clinical anatomy (New York, N.Y.). 2019 Nov;().
Greater trochanteric pain syndrome (GTPS) is prevalent in women and severely impacts quality of life. A key muscle group demonstrating reduced strength are the hip abductors. An understanding of specific muscles affected will help guide targeted rehabilitation. Objectives of this case-control study
PMID 31689358

Physical findings differ between individuals with greater trochanteric pain syndrome and healthy controls: A systematic review with meta-analysis.

Plinsinga ML, Ross MH, Coombes BK, Vicenzino B.
Musculoskeletal science & practice. 2019 10;43()83-90.
Understanding of the biopsychosocial characteristics of greater trochanteric pain syndrome (GTPS), a prevalent lower limb tendinopathy, is currently lacking. To quantify differences in participant characteristics between individuals with GTPS and healthy control participants. Systematic review of or
PMID 31369906

Japanese Journal

鍼治療に起因した感染性遺残坐骨動脈瘤の一手術例

南村弘佳,小谷真介,村上忠弘,石川巧
日本血管外科学会雑誌 24(7), 953-957, 2015
要旨：症例は61 歳男性．腰痛のため臀部の鍼治療をうけた3 日後に左臀部痛と39 度の発熱，歩行困難，左下肢のしびれを認め入院した．MRI 検査にて左臀部の動脈瘤と膿瘍形成を認めた．3DCT 検査にて太い左内腸骨動脈は膝窩動脈と交通し，左臀部に約3 cm の動脈瘤形成を認めた．以上から感染を伴った遺残坐骨動脈瘤と診断し手術を行った．仰臥位で右下腹部傍腹直筋切開と膝上切開にて左内腸骨動脈－膝窩動脈に …
NAID 130005116216

Glucose Uptake Is Decreased in Affected Lower Leg Muscles of Hemiparetic Persons during Level Walking

Oi Naoyuki,Itoh Masatoshi,Tobimatsu Yoshiko,Konno Shinichi,Kikuchi Shinichi,Iwaya Tsutomu
The Tohoku Journal of Experimental Medicine 237(4), 307-315, 2015
… Stroke patients suffer from gait disturbance due to altered leg muscle actions. … SUR was compared across gluteal, thigh, and lower leg muscles and across individual muscles within each muscle group. …
NAID 130005110127

高度な弾発股と股関節の機能障害を呈する殿筋拘縮症の治療経験

稲垣直哉,大谷卓也,加藤努,川口泰彦,藤井英紀,上野豊,羽山哲生,丸毛啓史
日本関節病学会誌 32(1), 47-51, 2013
… We report three patients with contractions of the gluteal muscle who presented with advanced snapping hip syndrome and functional impairment. … all received IM injections in the gluteal area in earlier childhood. … At presentation, all 6 legs were externally subluxated and gait disturbance developed due to abductional contractures and markedly limited leg adduction. … The causes of muscle contraction in the gluteal area include injuries, radiotherapy, and IM injections. …
NAID 130004567985

「gluteal」

　　[★]

adj.

臀部の

関: buttock、glutaeus、gluteal region、hip、nates

[1] Moore, Keith L.; Agur, Anne M. R.; Dalley, Arthur F.; Tank, Patrick W.; Gest, Thomas R. (2011). Essential Clinical Anatomy / Atlas of Anatomy. Lippincott Williams & Wilkins. ISBN 9781451116700. Retrieved 24 April 2018.

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案内

gluteal gait