This approach involves the following: 1. Early lengthening of hip flexors. Bed exercises are the traditional acute therapy exercises following total hip replacement. Unfortunately, not one of those exercises elongates the hip flexor muscles, which are the most important muscles to lengthen to ensure a more normal gait post-operatively. The Trendelenburg test has been widely used to as sess muscle performance of a patient's hip abductors (adduction of pelvis-on-femur [P-O-F]) while in a single-limb-stance position. Orthopedic.
Abduction muscle tension is important for gait and hip ... (2011) Effect of surgical approach for total hip replacement on hip function using Harris Hip Scores and Trendelenburg's test. A retrospective analysis. ... Dalen N, Martinez-Carranza N, Berg HE (2009) Persisting muscle atrophy two years after replacement of the hip. J Bone Joint Surg.
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Trendelenburg’s gait involves excessive up-down motion of the pelvis whilst walking. It occurs as a result of compensatory mechanisms due to the drooping pelvis. 3. Unilateral positive Trendelenburg’s sign produces a lurching gait. Bilaterally positive Trendelenburg’s sign produces a waddling gait.
If the right glut med is weak, during right stance phase, the left hip will drop. This type of limping is called a "Trendelenburg gait," named after the surgeon who first identified the walking pattern. What is Trendelenburg Gait or Hip.
By far the most common cause of a Trendelenburg gait is hip replacement surgery. When the hip is replaced, there are two potential problems. The first is that the leg length may be unintentionally altered following the hip replacement. This is due to the surgeon. The second is because of a weakness in the gluteal (buttock) muscles.
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