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Yes, and there is pulling up of the ribcage on the opposite side, so the same side hip can drop, while the opposite side is pulled up, making it appear that there is not even a drop, there could be a lift on the same side actually. Hope i made myself clear.
famnel1 8 months ago
i been having stroke for 7 mths now teach me how to walk in a correct way
SuperFelicia1996 8 months ago
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Examiner must be holding hand of patient for 2 reasons:
1- Safety. Avoid falling of the frail weak people. Common if Trendelenberg is positive.
2- And MOST IMPORTANTLY. If the examiner feels that the patient is exerting pressure on the ipsilateral hand, Trendelenberg'll be positive. The amount of pressure will determine exactly the amount of abductor weakness. Patients may manage to stop hip from sagging by using abdominal muscles. By using the hand method, you won't miss any abductor weakness
S9KSY 2 years ago
It doesn't matter - you're testing the ability of hip abductors to support the pelvis, so you technically just need the patient to lift their foot off the ground.
telswood 2 years ago
Do you know what it means for the supported hip to sink under load? Could that be the psoas?
bryn93 2 years ago
@bryn93 maybe the compensated pattern, either you drop on the opposite side, or you "drop" on the weightbearing leg (actually lifting the oppisite side) to compensate for the weakness.
famnel1 11 months ago
@famnel1 So what you're saying is the glute medius is still the culprit if the weight bearing side drops during the Trendelenburg test?
ridgehand 8 months ago
thanks a lot...can u also post how a trendelenburg patient would walk?
aishtv47 3 years ago