LATERAL TRUNK LEAN

This gait deficit occurs when the hip abductors fail to perform their customary role during LOADING RESPONSE or MIDSTANCE. The lateral lean during either of these phases is actually a compensation for the weak (or painful) hip abductors.

Leaning the trunk toward the side of the affected muscles inclines the ground reaction force laterally from its point of application at the foot. Because the vector then passes closer to the hip joint's antero-posterior (AP) axis, its moment arm is shorter, and it produces a smaller hip adductor moment.

THIS GAIT DEVIATION IS ALSO CALLED A GLUTEUS MEDIUS LIMP, SINCE IT CAN SIGNIFY WEAKNESS IN THAT MUSCLE GROUP.


Last updated 5-15-98 ©Dave Thompson PT
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