How do you do the Trendelenburg test?

To perform the test the patient stands on the unaffected leg and flexes the other knee to a right-angle. The pelvis should remain level or tilt up slightly on the non-weight-bearing side. The patient then stands on the affected leg and flexes the knee of the other leg.

What does a negative Trendelenburg Test mean?

The therapist can use this test when there is no X-ray taken but there are signs of trendelenburg. The person has to stand on one leg. The test is negative when the hip of the leg that is lifted, will also go up i.e., hiking of hip or the pelvis tilts upwards.

Why is the Trendelenburg position used?

Due to the angle, the Trendelenburg position allows for the patient’s abdominal organ to move towards the head by the use of gravity, improving surgical access to the pelvic organs. In steep Trendelenburg position, the patient is angled at 30 – 40 degrees in the head-down position.

What is Homan’s test?

Homan’s sign test also called dorsiflexon sign test is a physical examination procedure that is used to test for Deep Vein Thrombosis (DVT). A positive Homan’s sign in the presence of other clinical signs may be a quick indicator of DVT.

When would you put a patient in Trendelenburg?

Trendelenburg position is widely used by nurses and other healthcare providers as a first-line intervention in the treatment of acute hypotension and/or shock. A review of the results of 5 research studies did not provide overwhelming support for its use as a treatment of hypotension.

What are the benefits of Trendelenburg?

Nearly all (99%) used the Trendelenburg position in their clinical practice. They had used the position for many purposes, including to help reverse hypotension, treat low cardiac output, insert central IV catheters, for postural drainage, to reduce leg swelling, and to help move heavy patients up in bed.