Gluteal gait
Gluteal gait is a type of gait abnormality that is characterized by the inability to maintain a level pelvis during the stance phase of gait. This condition is often caused by weakness or paralysis of the gluteus medius or gluteus minimus muscles, which are responsible for stabilizing the pelvis during walking.
Causes
Gluteal gait can be caused by a variety of conditions, including:
- Nerve damage: Damage to the superior gluteal nerve, which innervates the gluteus medius and minimus muscles, can lead to gluteal gait.
- Muscle weakness: Weakness in the gluteus medius and minimus muscles can also cause this condition.
- Hip joint pathology: Conditions affecting the hip joint, such as osteoarthritis, can lead to gluteal gait.
Symptoms
The main symptom of gluteal gait is an abnormal walking pattern. Other symptoms may include:
- Pain: This can occur in the hip, thigh, or knee.
- Difficulty walking: Individuals with gluteal gait may have difficulty walking, especially on uneven surfaces or stairs.
- Limping: This is often noticeable when the individual is walking.
Diagnosis
Diagnosis of gluteal gait typically involves a physical examination and observation of the individual's walking pattern. Additional tests, such as MRI or nerve conduction studies, may be used to confirm the diagnosis and identify the underlying cause.
Treatment
Treatment for gluteal gait typically involves addressing the underlying cause. This may include:
- Physical therapy: This can help to strengthen the gluteus medius and minimus muscles and improve walking patterns.
- Surgery: In some cases, surgery may be necessary to repair nerve damage or treat hip joint pathology.
- Pain management: This can include medications, physical therapy, and other strategies to manage pain.
See also
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Contributors: Prab R. Tumpati, MD