compensated gluteal gait

compensated gluteal gait,

one of the more common abnormal gaits associated with a weakness of the gluteus medius. It is a variation of the Trendelenburg gait. It involves the dropping of the pelvis on the unaffected side of the body during the walking cycle between the moment of heel strike on the affected side and before the moment of heel strike on the unaffected side. The compensated gluteal gait is also characterized by the dropping of the entire trunk downward and sideways over the affected hip and a short step on the unaffected side. In a compensated gait the trunk is forcibly thrown laterally during the weight-bearing or stance phase in the movement of the affected lower limb. This lateral movement is the result of an attempt to shift a significant portion of body weight above and outside the center of rotation of the affected hip. During this movement the erector spinae and the quadratus lumborum of the involved side function to lift the whole weight of the pelvis and the opposite lower extremity off the ground to allow the uninvolved leg to clear during its swing phase. Also called gluteal gait.