Updated: May 27, 2020
44 years old patient with spinal disc herniation
Patient was asked to skip one stair and climb directly to the second stair. The initiation of a higher and longer step significantly increases the level of difficulty and demands greater muscle power.
1. The patient uses both hands on the handrails to take some weight off his left leg. By moving his shoulder girdle forward above his left foot, the patient shifts his body weight forward, so that his center of mass is above his base of support.
2. Once he gets up the stairs, the patient does not fully extend his left hip, and chooses to raise his right leg to a higher step before straightening his body. This could be due to either pain or weakness in the left leg.
Video guide 20