Spinefit Osteopathy & Physiotherapy

09/11/2025

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03/11/2025

Nice technique here to help with those nagging hip issues 🤓👍

15/09/2025

Nice little stretch here . Think I might be needing this one 🤔

01/09/2025

Great stuff here. Love it 👍🤓

26/08/2025

A good explanation 👍🤓

✅ Trendelenburg Sign

🦵 This test assesses the stability of the hip and the ability of the hip abductors to stabilize the pelvis on the femur.

🧍 The patient is asked to stand on one leg and hold the position for 6 to 30 seconds.

⬆️ Normally the pelvis on the opposite side should rise; this finding indicates a negative test.

⬇️ If the pelvis on the opposite side (non-stance side) drops and the drop is more than 2 cm when the patient stands on the affected leg, a positive test is indicated.

👉 The test should always be performed on the normal side first so that the patient will understand what to do.

💪 If the pelvis drops on the opposite side, it indicates a weak gluteus medius or an unstable hip (e.g., as a result of hip dislocation) on the affected or stance side.

🏋️ To add difficulty to the test and to test overall stability of the hip and pelvis, the patient may be asked to do a single-leg squat and the corkscrew test, which involves rotating left and then right while doing a single-leg squat.

👀 During the squat and the corkscrew test, the examiner should watch for a positive Trendelenburg sign on the non–weight-bearing side as well as for hip, knee, and ankle movement control (i.e., alignment remains in a straight line).

⚠️ Abnormality could be stance “leg collapse” with medial hip rotation, valgus movement at the knee, and/or pronation of the foot.

✅ The normal result should be the same as that from a negative Trendelenburg test.

📝 Grimaldi et al. advocated doing a single-leg stance in which the test leg has the hip in neutral with the knee flexed to 90°.

☝️ The patient can use a finger against a wall to help balance.

⏱️ If the patient cannot hold this non–weight-bearing position for 30 seconds and there is reproduction of the patient’s pain or symptoms within the 30 seconds, the test is positive for GTPS (Greater Trochanteric Pain Syndrome.)

[Orthopedic Physical Assessment/Magee]

17/07/2025

Great advice here to help hip restrictions 👍🤓