Gowers's sign is a

medical sign Signs and symptoms are diagnostic indications of an illness, injury, or condition. Signs are objective and externally observable; symptoms are a person's reported subjective experiences. A sign for example may be a higher or lower temperature ...

that indicates

weakness Weakness is a symptom of many different medical conditions. 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 variety of skeletal muscle diseases, ...

of the

proximal Standard anatomical terms of location are used to describe unambiguously the anatomy of humans and other animals. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position prov ...

muscle Muscle is a soft tissue, one of the four basic types of animal tissue. There are three types of muscle tissue in vertebrates: skeletal muscle, cardiac muscle, and smooth muscle. Muscle tissue gives skeletal muscles the ability to muscle contra ...

s, namely those of the

lower limb Lower may refer to: *Lower (album), ''Lower'' (album), 2025 album by Benjamin Booker *Lower (surname) *Lower Township, New Jersey *Lower Receiver (firearms) *Lower Wick Gloucestershire, England See also

*Nizhny {{Disambiguation ...

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

squatting position Squatting is a versatile List of human positions, posture where the weight of the body is on the feet but the knees and hips are bent. In contrast, sitting involves supporting the weight of the body on the ischial tuberosities of the pelvis, with ...

due to lack of hip and thigh muscle strength. It is named after

William Richard Gowers Sir William Richard Gowers (; 20 March 1845 – 4 May 1915) was a British neurologist, described by Macdonald Critchley in 1949 as "probably the greatest clinical neurologist of all time". He practised at the National Hospital for the Paral ...

.W. R. Gowers. A manual of the nervous system. Philadelphia; 2nd edition, volume 1, 1895. __TOC__

Associations

Gowers's sign is classically seen in

Duchenne muscular dystrophy Duchenne muscular dystrophy (DMD) is a severe type of muscular dystrophy predominantly affecting boys. The onset of muscle weakness typically begins around age four, with rapid progression. Initially, muscle loss occurs in the thighs and pe ...

where it is mostly evident at 4–6 years, but also presents itself in

centronuclear myopathy Centronuclear myopathies (CNM) are a group of congenital myopathies where cell nuclei are abnormally located in the center of muscle cells instead of their normal location at the periphery. Symptoms of CNM include severe hypotonia, hypoxia-req ...

myotonic dystrophy Myotonic dystrophy (DM) is a type of muscular dystrophy, a group of genetic disorders that cause progressive muscle loss and weakness. In DM, muscles are often myotonia, unable to relax after contraction. Other manifestations may include catarac ...

and various other conditions associated with proximal muscle weakness, including Becker muscular dystrophy,

dermatomyositis Dermatomyositis (DM) is a Chronic condition, long-term inflammatory disorder, inflammatory Autoimmune disease, autoimmune disorder which affects the skin and the muscles. Its symptoms are generally a skin rash and worsening muscle weakness over ...

and Pompe disease. 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.

References

Symptoms and signs: musculoskeletal system Muscular dystrophy Symptoms and signs: Nervous system {{med-sign-stub