Gowers' sign is a medical sign

Medical sign

A medical sign is an objective indication of some medical fact or characteristic that may be detected by a physician during a physical examination of a patient....

 that indicates weakness

Weakness

Weakness is a symptom represented, medically, by a number of different conditions, including: lack of muscle strength, malaise, dizziness, or fatigue. The causes are many and can be divided into conditions that have true or perceived muscle weakness. True muscle weakness is a primary symptom of a...

 of the proximal muscle

Muscle

Muscle is a contractile tissue of animals and is derived from the mesodermal layer of embryonic germ cells. Muscle cells contain contractile filaments that move past each other and change the size of the cell. They are classified as skeletal, cardiac, or smooth muscles. Their function is to...

s, namely those of the lower limb

Lower limb

The lower limb is a limb of the body.According to Terminologia Anatomica, it includes the pelvic girdle, buttocks, hip, and thigh, as well as the components distal to the knee.-References:...

. The sign describes a patient that has to use his hands and arms to "walk" up his own body from a squatting position

Squatting position

Squatting is a posture where the weight of the body is on the feet but the knees are bent either fully or partially . In contrast, sitting, involves taking the weight of the body, at least in part, on the buttocks against the ground or a horizontal object such as a chair seat...

 due to lack of hip and thigh muscle strength.

It is named for William Richard Gowers

William Richard Gowers

Sir William Richard Gowers was a British neurologist.The Gowers' tract is named after him....

.

Associations

Gowers' sign is classically seen in Duchenne muscular dystrophy

Duchenne muscular dystrophy

Duchenne muscular dystrophy is a recessive X-linked form of muscular dystrophy, which results in muscle degeneration, difficulty walking, breathing, and death. The incidence is 1 in 3,000 boys. Females and males are affected, though females are rarely affected and are more often carriers...

, but also presents itself in centronuclear myopathy

Centronuclear myopathy

Centronuclear myopathies are a group of congenital myopathies where cell nuclei are abnormally located in skeletal muscle cells. In CNM the nuclei are located at a position in the center of the cell, instead of their normal location at the periphery....

, myotonic dystrophy

Myotonic dystrophy

Myotonic dystrophy is a chronic, slowly progressing, highly variable inherited multisystemic disease. It is characterized by wasting of the muscles , cataracts, heart conduction defects, endocrine changes, and myotonia. Myotonic dystrophy can occur in patients of any age...

 and various other conditions associated with proximal muscle weakness. For this maneuver, the patient is placed on the floor away from any objects that could otherwise be used to pull oneself to a standing position. It is also used in testing paraplegia.

See also

• Centronuclear myopathy (including myotubular myopathy)
• Duchenne muscular dystrophy
  Duchenne muscular dystrophy
  Duchenne muscular dystrophy is a recessive X-linked form of muscular dystrophy, which results in muscle degeneration, difficulty walking, breathing, and death. The incidence is 1 in 3,000 boys. Females and males are affected, though females are rarely affected and are more often carriers...
  
  
• Spinal muscular atrophy
  Spinal muscular atrophy
  Spinal Muscular Atrophy is a neuromuscular disease characterized by degeneration of motor neurons, resulting in progressive muscular atrophy and weakness. The clinical spectrum of SMA ranges from early infant death to normal adult life with only mild weakness...