トレンデレンブルグ歩行
WordNet
- a horses manner of moving
- a persons manner of walking
PrepTutorEJDIC
- 歩きぶり,足どり
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/01/04 22:40:13」(JST)
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Trendelenburg gait
| DiseasesDB |
29422 |
The Trendelenburg gait pattern (or gluteus medius lurch) is an abnormal gait (as with walking) 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.[citation needed]
This gait may be caused by cleidocranial dysostosis.
Biofeedback and physical therapy have been used in treatment.[1]
When the hip abductor muscles (gluteus medius and minimus) are weak, the stabilizing effect of these muscles during gait is lost.
When standing on the right leg, if the left hip drops, it's a positive right Trendelenburg sign (the contralateral side drops because the ipsilateral hip abductors do not stabilize the pelvis to prevent the droop).
"When the patient walks, if he swings his body to the right to compensate for left hip drop, he will present with a compensated Trendelenburg gait; the patient exhibits an excessive lateral lean in which the thorax is thrust laterally to keep the center of gravity over the stance leg."[2]
See also
- Gait abnormality
- Trendelenburg position
- Trendelenburg's sign
- Snapping hip syndrome
- Friedrich Trendelenburg
- Gluteal gait
References
- ^ Petrofsky JS (September 2001). "The use of electromyogram biofeedback to reduce Trendelenburg gait". Eur. J. Appl. Physiol. 85 (5): 491–5. doi:10.1007/s004210100466. PMID 11606020.
- ^ "Gait Analysis". Retrieved 6 May 2012.
- Wheeless' textbook of orthopaedics [1]
- Ropper and Brown, Adams and Victor's Principles of Neurology, 8th edition (2005), p. 105
External links
- 1798635535 at GPnotebook
- hip/hip%20clin%20correl/corr6 at the Dartmouth Medical School's Department of Anatomy
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Symptoms and signs: nervous and musculoskeletal systems (R25–R29, 781.0, 781.2–9)
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| Primarily nervous system |
| Primarily CNS |
| Movement disorders |
- Dyskinesia: Athetosis
- Tremor
- Dyskinesia
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| Gait abnormality |
- Scissor gait
- Cerebellar ataxia
- Festinating gait
- Marche a petit pas
- Propulsive gait
- Stomping gait
- Spastic gait
- Magnetic gait
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| Lack of coordination |
- Dyskinesia: Ataxia
- Cerebellar ataxia/Dysmetria
- Sensory ataxia
- Dysdiadochokinesia
- Asterixis
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| Other |
- Abnormal posturing: Opisthotonus
- Sensory processing disorder: Hemispatial neglect
- Facial weakness
- Hyperreflexia
- Pronator drift
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| Primarily PNS |
| Gait abnormality |
- Steppage gait
- Antalgic gait
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| Primarily muscular |
| Movement disorders |
- Spasm
- Fasciculation
- Fibrillation
- Myokymia
- Cramp
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| Gait abnormality |
- Myopathic gait
- Trendelenburg gait
- Pigeon gait
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| Other |
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| Primarily skeletal |
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| Primarily joint |
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Eponymous medical signs for muscles and soft tissue
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Neuromuscular/
soft tissue |
- superior gluteal nerve weakness
- Trendelenburg gait
- Trendelenburg's sign
- thoracic outlet syndrome
- Adson's sign
- Wright's maneuver
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| Collagen |
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| Description |
- Anatomy
- Physiology
- Development
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| Disease |
- Infections
- Vesiculobullous
- Dermatitis and eczema
- Papulosquamous
- Urticaria and erythema
- Radiation-related
- Pigmentation
- Mucinoses
- Keratosis, ulcer, atrophy, and necrobiosis
- Vasculitis
- Fat
- Congenital
- Tumors
- nevi and melanomas
- epidermis
- dermis
- Symptoms and signs
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| Treatment |
- Procedures
- Drugs
- disinfectants
- emollients and protectives
- itch
- psoriasis
- other
- Wound and ulcer
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| Description |
- Anatomy
- head
- neck
- arms
- chest and back
- diaphragm
- abdomen
- genital area
- legs
- Muscle tissue
- Physiology
- Development
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| Disease |
- Myopathy
- Soft tissue
- Connective tissue
- Congenital
- Neoplasms and cancer
- Injury
- Symptoms and signs
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| Treatment |
- Procedures
- Drugs
- anti-inflammatory
- muscle relaxants
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Orthopedic examination
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| General |
- Straight leg raise
- Gait abnormality
- Unequal leg length
- Range of motion
- Palpation
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| Lower Limb |
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Hip examination
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- Galeazzi test
- Barlow maneuver
- Ortolani test
- Patrick's test
- Thomas test
- Trendelenburg's sign
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Knee examination
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- Apley grind test
- Ballottement
- Clarke's test
- Drawer test
- Lachman test
- McMurray test
- Patella tap
- Pivot-shift test
- Wilson test
- Valgus stress test
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Foot & Ankle
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- Hubscher's maneuver
- Mulder's sign
- Simmonds' test
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| Upper Limb |
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Shoulder examination
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- Apprehension test
- Gerber's test
- Hawkins-Kennedy test
- Neer impingement sign
- O'Brien's test
- Speed's test
- Yergason's test
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Elbow examination
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- Cozen's test
- Elbow extension test
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Wrist & Hand
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- Durkan's test
- Finkelstein's test
- Froment's sign
- Lunotriquetral shear test
- Phalen maneuver
- Tinel sign
- Watson's test
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| Spine |
- Gaenslen's test
- Schober's test
- Waddell's signs
- Larrey's sign
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| Description |
- Anatomy
- head and neck
- cranial
- arms
- torso and pelvis
- legs
- Physiology
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| Disease |
- Arthropathies
- acquired
- back
- soft tissue
- Congenital
- Injury
- Symptoms and signs
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| Treatment |
- Procedures
- Drugs
- rheumatoid arthritis
- gout
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UpToDate Contents
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English Journal
- Effect of surgical approach for total hip replacement on hip function using Harris Hip scores and Trendelenburg's test. A retrospective analysis.
- Edmunds CT, Boscainos PJ.SourceUniversity of Dundee Medical School, Brackenhurst, Pound Lane, Hanwood, Shrewsbury, SY5 8JR, UK.
- The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland.Surgeon.2011 Jun;9(3):124-9. Epub 2010 Oct 12.
- PMID 21550516
- Trochanteric osteotomy in total hip replacement for congenital hip disease.
- Hartofilakidis G, Babis GC, Georgiades G, Kourlaba G.SourceUniversity of Athens Medical School, 21 Fotiou Patriarchou Street, Athens 11471, Greece. geo@hart7.com
- The Journal of bone and joint surgery. British volume.J Bone Joint Surg Br.2011 May;93(5):601-7.
- We studied the effect of trochanteric osteotomy in 192 total hip replacements in 140 patients with congenital hip disease. There was bony union in 158 hips (82%), fibrous union in 29 (15%) and nonunion in five (3%). The rate of union had a statistically significant relationship with the position of
- PMID 21511924
Japanese Journal
- 5.Duchenne-Trendelenburg歩行における中殿筋と股関節内転筋群の筋活動に関する研究(一般口演,第19回日本体力医学会北陸地方会大会)
- 神戸 晃男,南塚 正光,栗岩 和彦,清井 順子,村谷 俊幸,織田 真由美,田口 典嗣,山口 昌夫,兼氏 歩,松本 忠美,立野 勝彦
- 体力科學 56(5), 537, 2007-10-01
- NAID 110006421133
- Hip abductor and adductor activity during Duchenne-Trendelenburg gait in persons with osteoarthritic hip
Related Links
- 6 Dec 2006 ... Impairment of gluteus medius and minimus. Suspected superior gluteal nerve damage.
Related Pictures
★リンクテーブル★
[★]
- 英
- gait, walking
- 関
- 股関節の運動に関与する筋、歩行運動
幼児の歩行
- 12ヶ月：上肢の挙上(high guard)
- 15ヶ月：上肢の中等度の挙上(medium guard)
- 18ヶ月：上肢が下がっている(no guard) → 腕ふりの出現
異常な歩行と疾患 手技みえ.188改変
[★]
- 英
- Trendelenburg gait
- 同
- デュシェンヌ歩行 Duchenne gait、中殿筋歩行 gluteus medius gait、殿筋歩行
- 関
- トレンデレンブルグ徴候
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