Gowers' Sign - Everything You Need To Know - Dr. Nabil Ebraheim

go sign Gower sign indicates that there is weakness in the proximal muscles it is usually seen in desane muscular distrophy the sign describes a patient that has to use his hands and arms to walk up his body in order to achieve an erect position this is due to weakness of the quadriceps and gluteous muscles the patient begins in the squatting position this is followed by slowly lifting the hip and assuming a tripod position the patient then places his hands on the knees as he slowly walks up his body when testing a patient for gaw sign make sure to perform the test away from any object or structure that the patient may use to Aid his movement patients with disan muscular distrophy show Progressive muscular weakness due to the absence of dren disain muscular distrophy is a genetically transmitted condition that has an excellent recessive mode of inheritance healthy carrier mothers transmit the condition to their male children the condition is characterized by Progressive loss of motor strength especially to the proximal muscle groups remember this is a muscular problem not a nerve disorder Labs may show markedly elevated levels of creatinine phosphokinase which can reach above 25,000 international units per liter the symptoms usually appear before 6 years of age children will have difficulty standing unaided and ascending stairs on examination one could note Cal pseudo hypertrophy also an Aquino verus foot deformity may be seen that occurs due to contracture of the gastric nemus and Solus muscles with persistent function of the tibialis posterior muscle the patient may also have scoliosis which is treated with Fusion if it's more than 20° cardiomyopathy may also be seen as the condition progresses the muscle is replaced with fat and fibrotic tissue this video is for educational purposes only please consult your doctor before you make any decision about your medical care

Channel: nabil ebraheim

Views: 177,850

Keywords: Gowers' Sign, DMD, Guillaume Duchenne (Physician), children, Scoliosis (Disease Or Medical Condition), Dr. Nabil Ebraheim, Nathan Elkins, UTMC, orthopaedics, UT, miranda, Ashraf Fansa, indication, symptoms, associated diseases, Duchenne muscular dystrophy

Id: 0htikR11nU8

Length: 2min 52sec (172 seconds)

Published: Mon Jan 26 2015