Assessment Skills / MSK

Question 1

Walking Speed and Threshold for Fall Risk = ?

Answer 1

Walking Speed and Fall Threshold for Fall Risk:

• Less than 1.0 m/s: Walking speed below this threshold is often associated with a higher risk of falls.
• Particularly Concerning: Walking speeds below 0.8 m/s are generally considered particularly concerning and indicate a significant increase in fall risk.

Question 2

(R) Trendelenburg gait indicates weakness = ?

Answer 2

(R) Trendelenburg Gait Right indicates weakness in the right hip abductors, causing a drop of the left pelvis and a compensatory rightward lean.

• The person walks with a noticeable hip drop on the unaffected side.
• There is no significant lateral shift or leaning of the upper body.

Question 3

(L) Trendelenburg gait indicates weakness = ?

Answer 3

(L) Trendelenburg Gait Right indicates weakness in the left hip abductors, causing a drop of the right pelvis and a compensatory rightward lean.

• The person walks with a noticeable hip drop on the unaffected side.
• There is no significant lateral shift or leaning of the upper body.

Question 4

Trendelenburg gait

Compensated vs Uncompensated

Answer 4

- Uncompensated Trendelenburg Gait:

• No significant upper body lean.
• Noticeable pelvic drop on the side opposite the weak hip abductors.
• May be seen in individuals who are unable or unwilling to compensate with their upper body.

- Compensated Trendelenburg Gait:

• Significant upper body lean towards the side of the weak hip abductors.
• Reduces or prevents the pelvic drop on the opposite side.
• Often seen in individuals who instinctively adjust their posture to maintain balance and stability.