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

Dr. Ebraheim’s educational animated video describes Gower’s Sign.
Gower’s sign indicates that there is weakness in the proximal muscles. It is usually seen in Duchene Muscular Dystrophy (DMD). 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 gluteus 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 Gower’s sign, make sure to perform the test away from any object or structure that the patient may use to aid his movement.
Duchene Muscular Dystrophy (DMD)
Patients with DMD show progressive muscular weakness due to the absence of dystrophin. DMD is a genetically transmitted disease that has an x-linked 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 that this a muscular not a nerve disorder. Labs may show markedly elevated levels of creatine phosphokinase CPK which can reach above 25,000 IU/L. the symptoms usually appear before 6 years of age. Children will have difficulties standing unaided and ascending stairs.
On examination there is calf pseudohypertrophy and equinovarus foot due to contracture of the gastrocnemius and soleus muscles with persistent function of the tibilais posterior muscle. They may also get scoliosis. It is treated with fusion if more than 20 degrees. They could also have cardiomyopathy. As the condition progresses, the muscle is replaced with fat and fibrotic tissue.
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[@ashrafelshowen5154]

that is really helpful,i needed it for my pediatric exam after 2 days ^_^

[@elisangelaishida8713]

Perfect explanation 😍👋👋. A lot of gratitude 🙏

[@muhammadyounusarainarain1128]

Excellent explanation

[@omkarshete2804]

Very nicely presented
Thanks

[@mantashakadri0137]

Thank you sir ❤️

[@sachinjaint4149]

thanks sir...

[@Saladin_TheConqueror]

Thanks

[@lubnafatima82]

Nice video

[@TheVantrap]

Great vid!

[@mohamedfakhry5047]

Thanks alot

[@nagesh.n4106]

Nice sir...

[@maghinalls6772]

Thanks :)

[@Shinoeditzoffical]

Please help me my nephew had this decease please tell me it's cure so I will help my nephew

[@godslave85]

👏👏👏👏👏👏👏👏👏👏👏
Thank you

[@eknathbagul2624]

Any medicine for disease 🙄🙏

[@nooraaziz557]

Thaaaaank you ^_^

[@zaidhakami4869]

what r other DDx of Gower's sign ? thanks for vid

[@thismessismine]

juvenile dermatomyositis is one possible dx

[@deadballer8018]

Oh im reading JDM 😬😬😬👏

[@mugdhakashikar650]

If a child doesn't place his hands on knees is it still Gowers sign

[@jabialey58]

My physical therapist said it appears to be what I have. I am female. Can I possibly have this?

[@DrSamiASaeed]

👍

[@hamdanmalik3642]

👏❤

[@abdulkareemasma2160]

DMD no medicine have