Gait scenario 6

• Trendelenburg gait post hip injury (poor stance phase abductor control) with some compensatory trunk movement

  • Main Analysis Findings
  • Trendelenburg gait - poor abductor control due to abductor weakness
  • impairment during stance phase (when pts are weightbearing)
  • compensatory trunk movement - trunk moves side to side

  
• Trendelenburg gait post hip injury (poor stance phase abductor control) with some compensatory trunk movement

  • A suitable outcome measure
  • hip abductor strength test
  • measure horizontal displacement - efficiency of gait
  • VAS
• Trendelenburg gait post hip injury (poor stance phase abductor control) with some compensatory trunk movement

  • Justification for selection of treatment
  • abductor strengthening
  • crab walk with affected leg - only one step
  • walking next to a wall - makes sure that contralateral abductors is not moving
• Trendelenburg gait post hip injury (poor stance phase abductor control) with some compensatory trunk movement

  • Justification of approaches to facilitated learning
  • refer to scenario 1
• Trendelenburg gait post hip injury (poor stance phase abductor control) with some compensatory trunk movement

  • progression
  • crab walk with resistance band
  • full gait cycle
  • remove safety bar
  • increase distance/range of crab walk
• Trendelenburg gait post hip injury (poor stance phase abductor control) with some compensatory trunk movement

  • Further tests/investigations you would like to do
  • abductor strength test
  • level of pain