The role of the Trendelenburg Test in the examination of gait

@article{Bailey2009TheRO,
  title={The role of the Trendelenburg Test in the examination of gait},
  author={R. Bailey and James Selfe and Jim Richards},
  journal={Physical Therapy Reviews},
  year={2009},
  volume={14},
  pages={190 - 197}
}
Abstract Background: The Trendelenburg Test was developed by Friedrich Trendelenburg, an orthopaedic surgeon, in 1895. Contemporary evidence shows the Trendelenburg Test is now being used internationally by a wide variety of practitioners. Method: This review describes the evolution of the Trendelenburg Test and its role within the examination of gait and examines the evidence relating clinical assessment using the Trendelenburg Test to the mechanics of walking. Literature was reviewed from… 

Trendelenburg Test: pass or fail? Invited Commentary on: 'The role of the Trendelenburg Test in the examination of gait', Bailey et al.

TLDR
There are two main points regarding the Trendelenburg Test that I would like to raise in this commentary which the readers might consider as they review this work: clinimetric properties and clinical application.

The role of clinical lumbo-pelvic and hip tests in the examination of gait

TLDR
The Trendelenburg Test, Single Leg Squat and Corkscrew Test were investigated as measures of dynamic stability of the Lumbo-Pelvic and Hip region in healthy participants and professional football players during gait and found to be task, region and plane specific.

The Single Leg Squat Test in the Assessment of Musculoskeletal Function: a Review

TLDR
The evolution of the Single leg squat test and its role within the examination of musculoskeletal function is described and the evidence relating clinical assessment using the Single legs squat test to the mechanics of walking is examined.

Friedrich Trendelenburg: Historical background and significant medical contributions

TLDR
Both Trendelenburg's mentors in his early years and the influences upon him throughout his professional career contributed to his development as a pioneer of surgery, anesthesia, and clinical diagnostics.

Factors Contributing to Pelvis Instability in Female Adolescent Athletes During Unilateral Repeated Partial Squat Activity

TLDR
Pelvis drop appears more related to a combination of biomechanical limb positioning, hip ABD strength and subject demographics, and the regression model run on the repeated unilateral partial squat demonstrates predictive power of this dynamic assessment tool based on kinematic measures across multiple joints.

Changes in 24-Hour Physical Activity Patterns and Walking Gait Biomechanics After Primary Total Hip Arthroplasty

TLDR
Together with improvements in self-reported pain and perceived physical function, patients had significantly improved gait function postoperatively, however, patients were more sedentary, slept worse, and performed less physical activity at 2 years compared with preoperative levels.

ASSESSING MOVEMENT QUALITY USING THE HIP AND LOWER LIMB MOVEMENT SCREEN: DEVELOPMENT, RELIABILITY AND POTENTIAL APPLICATIONS

TLDR
Poor movement patterns identified using the Hip and Lower Limb Movement Screen are intended to inform the design of targeted exercise programmes to improve movement quality and reduce injuries or prevent the progression of injuries topost-traumatic OA.

Assessing Movement Quality in Youth Footballers: The Relationship between Hip and Lower Limb Movement Screen and Functional Movement Screen

The Hip and Lower Limb Movement Screen (HLLMS) was developed to detect altered movement patterns and asymmetry specifically related to hip, pelvic, and lower limb movement control, as the other

References

SHOWING 1-10 OF 49 REFERENCES

The significance of the Trendelenburg test.

TLDR
Examination of normal subjects and people with disorders affecting either the spine or the hip, in order to determine the different responses that occurred when they were asked to stand on one leg, defines a standard method of performing the Trendelenburg test and interprets the test as a method of assessing hip abductor function.

Significance of the Trendelenburg test in total hip arthroplasty. Influence of lateral approaches.

  • V. Pai
  • Medicine
    The Journal of arthroplasty
  • 1996

The kinematics of motion palpation and its effect on the reliability for cervical spine rotation.

TLDR
A greater reliability, arising from a high level of reproducibility, enables us to document the advantages of the standardization of motion palpation in chiropractic.

Determining meaningful changes in pelvic-on-femoral position during the Trendelenburg test.

TLDR
It can be determined that there has been no change in the performance of the hip abductor muscles when examined by the Trendelenburg test and the P-O-F position is within measurement error.

Evaluation of the gluteus medius muscle after a pelvic support osteotomy to treat congenital dislocation of the hip.

TLDR
It is demonstrated that restoration of the muscle volume after a pelvic support osteotomy is not sufficient to prevent a Trendelenburg gait in older patients with congenital dislocation of the hip.

Are chiropractic tests for the lumbo-pelvic spine reliable and valid? A systematic critical literature review.

TLDR
The detection of the manipulative lesion in the lumbo-pelvic spine depends on valid and reliable tests, and because such tests have not been established, the presence of the manipulation lesion remains hypothetical.

Relationship between radiographic measurements of reconstructed hip joint position and the Trendelenburg sign.

TLDR
The reconstructed hip joint position is crucial to improve hip abductor function and the tilt angle of the pelvis correlated positively with %FO.