Trendelenburg Sign

Original Editor - Tyler Shultz, Lesley Dumitresco

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Welcome to Vrije Universiteit Brussel's Evidence-based Practice project. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

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Definition/Description[edit | edit source]

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Purpose
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Purpose
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The purpose of the Trendelenburg Test is to identify weakness of the gluteus medius muscle.

Technique
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The patient is asked to stand on one leg for 30 seconds without leaning to one side.  The therapist obsereves the patient to see if the pelvis stays level during the one-leg stance.  A positive Trendelenburg Test is indicated if during unilateral weight bearing the pelvis drops toward the unsupported side[1].

Several dysfunctions can produce a positive Trendelenburg Test, including[2]:

  • Superior Gluteal Nerve Palsy
  • Lumbar disk herniation
  • Weakness of gluteus medius
  • Advanced degeneration of the hip

Evidence[edit | edit source]

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References[edit | edit source]

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  1. ↑ Dutton M. Orthopaedic: Examination, evaluation, and intervention. 2nd ed. New York: The McGraw-Hill Companies, Inc; 2008.
  2. ↑ Dutton M. Orthopaedic: Examination, evaluation, and intervention. 2nd ed. New York: The McGraw-Hill Companies, Inc; 2008.
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