Trendelenburg Test (CR)

Clinical exam technique for physical examination of hip disorders.

Category:

Education

Tags:

• hip
• impingement
• acetabulum
• physical exam
• clinical test
• medical
• iphone
• medical app
• physical therapy
• diagnosis
• orthopedic
• hip pain
• sports medicine
• doctor

[338888]

standing on affected side, the pelvic of affected will be higher n the body to affected side. this video, the pelvic tilted to non-affected side, which is terribly incorrect. 

[CRTechnologies]

@338888 Thanks for your comment. The test is listed as described by Kendall, J Sports Rehabil, 2010 and by Youdas, Physiother Theory Pract, 2010. (Search PUBMed). "Patient stands shoulder width apart...asked to lift contralateral leg. If strength of the hip ABD.... is able to keep pelvis parallel to ground... then is normal....if weak, then patient leans away so gravity assists and its a positive test."

[BHGiant3]

not incorrect. The pt will lean to the affected side to compensate. This is done naturally by the pt. Usually you have to tell them not to lean to one side to fully visuallize the drop on the opposite side.

[dinkyface]

@MinnaFly Please read the response. The video is correct. Patient leans away so that the effect of gravity pulling down on the unsupported hip is not so strong.

[MinnaFly]

@CRTechnologies I really appreciate all the videos that you upload but as @338888 said this is incorrect, so you should remove it and upload correct version of it

[338888]

@allflare when normal person stand on 1 leg. their abductor muscle of hip will contract so that the body will be straight. This is compensatory mechanism for a normal gait. The contraction of abductor causing the pelvis to be higher on flex leg. Source: Ronald McRae book 2nd edition and was taught by my lecturer.

Another test which includes hands is not so practical. Usually they will just observe pt's buttocks when they walk.

[allflare]

@MUzappa Yeah that fingertip version sounds like rubbish. I've never seen anyone use it.

Is this one just a case of less that 100% authentic acting then?

[MUzappa]

@allflare hey:) so if ur left glut med is weak and u lift his right leg off the ground, it's true that your right leg drops. but...the body compensates and the person leans over to the left side to correct this imbalance. in the original description of performing this test..the patient places their hands in urs as u face them. u then ask them to stand on one leg...n note which of his/her hands pushes urs down. there may be instability first, but the patient eventually leans to one side.

[allflare]

If he has left hip abductor weakness, and he lifts his right leg off the ground, then I would expect his pelvis to drop so the right side is lower than the left side.

Agree/disagree?

And why?