48
,Inhoudsopgave
DEEL 1: SPIERLENGTETESTEN.......................................................................................................................... 4
Bovenste extremiteit:...........................................................................................................................................4
M. pectoralis major..........................................................................................................................................4
M. pectoralis minor.........................................................................................................................................5
M. biceps brachii..............................................................................................................................................5
M. triceps brachii.............................................................................................................................................5
M. extensor carpi radialis longus & brevis......................................................................................................6
M. scalenus......................................................................................................................................................6
M. sternocleido mastoideus............................................................................................................................6
M. levator scapulae.........................................................................................................................................7
M. erector spinae cervicalis.............................................................................................................................7
m. flexor digitorum profundus en superficialis...............................................................................................7
M. extensor digitorum.....................................................................................................................................8
M. extensor pollicis brevis en de M. abductor pollicis longus........................................................................8
Onderste extremiteit............................................................................................................................................8
M. Erector spinae lumbalis..............................................................................................................................8
M. quadratus lumborum.................................................................................................................................9
M. iliopsoas......................................................................................................................................................9
M. rectus femoris...........................................................................................................................................10
Mm. Hamstrings (ischio crurale musculatuur)..............................................................................................10
Bi-articulaire adductoren (m. gracillis)..........................................................................................................11
Mono-articulaire adductoren (m. adductor brevis & longus, m. adductor magnus)....................................11
M. tensor fasciae latea (ober test)................................................................................................................11
M. piriformis..................................................................................................................................................11
Mm. gastrocnemius.......................................................................................................................................12
Mm. soleus.....................................................................................................................................................12
SPIERKRACHTTESTEN................................................................................................................................... 13
Bovenste extremiteit:.........................................................................................................................................13
M. biceps brachii............................................................................................................................................13
M. triceps brachii...........................................................................................................................................13
M. trapezius pars transversus / ascendens...................................................................................................13
M. serratus anterior.......................................................................................................................................13
M. Rhomboidei..............................................................................................................................................13
M. erector spinae thoracaal..........................................................................................................................14
Onderste extremiteit:.........................................................................................................................................14
M. gluteus medius / minimus........................................................................................................................14
M. gluteus maximus.......................................................................................................................................14
M. tibialis anterior.........................................................................................................................................14
M. peroneii....................................................................................................................................................15
M. gastrocnemius..........................................................................................................................................15
M. soleus........................................................................................................................................................15
GEWRICHTSONDERZOEK.............................................................................................................................. 15
Onderbeen en voet.............................................................................................................................................15
Ligamentaire rektesten mediaal (valgus stress)............................................................................................17
Talo-crurale instabiliteitstesten (schuiflade) met gefixeerde voet...............................................................17
Art. tibio fibularis proximalis Translatie ventraal (iets lateraal) & dorsaal (iets mediaal) ............................17
Art. tibio fibularis distalis (syndesmosis) Translatie ventraal (iets lateral) Translatie dorsaal (iets..............18
mediaal).........................................................................................................................................................18
Translatie ventraal (iets lateraal)...................................................................................................................18
2
, Art. Talo cruralis BSG Tractie in ruststand en eindstand...............................................................................18
Art. Talo cruralis Translatie ventraal (iets distaal).........................................................................................19
Art. Talo cruralis Translatie dorsaal (iets proximaal).....................................................................................19
Art. Calcaneo-cuboidea Translatie plantair (iets mediaal) & Translatie dorsaal (iets lateraal)....................19
Tenen/phalangen...............................................................................................................................................19
Tractie art. MTP I t/m V.................................................................................................................................19
Tractie art. IP I................................................................................................................................................19
Tractie art. PIP II t/m IV.................................................................................................................................20
Tractie art. DIP II tm IV...................................................................................................................................20
Translatie art. MTP I t/m IV (plantair/ dorsaal/ mediaal/ lateraal)...............................................................20
Translatie art. IP I (plantair/ dorsaal/ mediaal/ lateraal)..............................................................................20
Translatie art. PIP II t/m IV (plantair/ dorsaal/ mediaal/ lateraal)................................................................20
Translatie art. DIP II tm IV (plantair/ dorsaal/ mediaal/ lateraal).................................................................20
Compressie art. intermetatarsae (distaal).....................................................................................................21
Heup...................................................................................................................................................................22
Tractie art. coxae met enkel als aangrijpingspunt (indirect).........................................................................22
Tractie art. coxae met bovenbeen als aangrijpingspunt (direct)..................................................................22
Compressie art. coxae...................................................................................................................................22
Schoudergordel..................................................................................................................................................23
Instabiliteitstesten Apprehension test Relocation test Release test............................................................23
Tractie art. glenohumerale ( in zit)................................................................................................................24
Tractie art. glenohumerale ( in lig)................................................................................................................24
Compressie art. glenohumerale....................................................................................................................24
Translatie art. glenohumerale naar caudaal (translatie abductie)................................................................24
Translatie art. glenohumerale naar dorsaal (translatie endorotatie)...........................................................25
Translatie art. glenohumerale naar ventraal (exorotatie).............................................................................25
Elleboog Instabiliteitstesten valgusstress testen..........................................................................................25
Valgusstress test 2.........................................................................................................................................25
Elleboog instabiliteitstesten varusstress testen............................................................................................26
Art. humero radialis Tractie...........................................................................................................................26
Art. humero radialis Translatie naar ventraal (t.g.v. flexie)..........................................................................26
Art. humero radialis Translatie naar dorsaal.................................................................................................26
Art. humero ulnaris Tractie............................................................................................................................27
Compressie Art. humero ulnaris....................................................................................................................27
Onderarm - pols - hand......................................................................................................................................27
Art. radio carpea Tractie................................................................................................................................27
Translatie palmair iets proximaal (dorsaalflexie?)........................................................................................27
Translatie dorsaal iets distaal (palmairflexie?)..............................................................................................28
Tractie en translaties art. CMC I....................................................................................................................28
Tractie en translatie art. MCP en interphalangeaal......................................................................................28
Knie.....................................................................................................................................................................28
Hydropstest 1: strijktest................................................................................................................................28
Hydropstest 2: "dobberen" van de patella....................................................................................................29
Meniscustest: Mc Murry test........................................................................................................................30
Meniscustest: appley 1 test...........................................................................................................................31
Meniscustest: Test van Steinmann................................................................................................................32
Mediale / laterale bandtest (valgus / varus) Laterale passieve stabiliteitstest.............................................32
Voorste- / achterste kruisbandtest...............................................................................................................33
Kruisband: lachmann test..............................................................................................................................34
“Gravity - Sag” test........................................................................................................................................34
Meniscustest: Thessaly test...........................................................................................................................35
Tractie Art. tibio-femoralis............................................................................................................................36
Translatie ventraal Art. tibio-femoralis.........................................................................................................36
3
, Translatie dorsaal Art. tibio-femoralis...........................................................................................................36
DEEL 2: ZENUW LENGTETESTEN EN ZENUWMOBILISATIE..............................................................................37
SLR test (Lasègue)..........................................................................................................................................37
Prone knee bend (Omgekeerde Lasegue test ).............................................................................................38
Slump test......................................................................................................................................................39
ULTT 1 test (N. medianus).............................................................................................................................40
ULTT 1b test (N.medianus)............................................................................................................................41
ULTT2 (N. radialis)..........................................................................................................................................41
ULTT 3 (n. ulnaris)..........................................................................................................................................42
ZENUW COMPRESSIE TESTEN (PRIKKELING OF UITVAL FUNCTIE)..................................................................43
Kemp test / Spurling test...............................................................................................................................43
Neurovasculaire testen:.....................................................................................................................................43
Roos of stick up test.......................................................................................................................................44
Adson test (scalenus).....................................................................................................................................45
Eden test (rib/clavicula).................................................................................................................................45
Wright test (M. pectoralis minor)..................................................................................................................46
Tinnel test......................................................................................................................................................46
KENNSPIEREN: (VERMINDERING KRACHT OF UITVAL)...................................................................................25
SENSIBILITEITSTESTS: (VERMINDERING GEVOEL OF UITVAL).........................................................................26
Oppervlakte sensibiliteit:...............................................................................................................................26
REFLEXEN:................................................................................................................................................... 27
Bicepspeesreflex (C5 - C6).............................................................................................................................27
Tricepspeesreflex (C7)...................................................................................................................................27
Kniepeesreflex (L3 - L4)..................................................................................................................................28
Achillespeesreflex (S1 - S2)............................................................................................................................28
DEEL 1: SPIERLENGTETESTEN
Bovenste extremiteit:
M. pectoralis major
Uitgangshouding:
4
,Inhoudsopgave
DEEL 1: SPIERLENGTETESTEN.......................................................................................................................... 4
Bovenste extremiteit:...........................................................................................................................................4
M. pectoralis major..........................................................................................................................................4
M. pectoralis minor.........................................................................................................................................5
M. biceps brachii..............................................................................................................................................5
M. triceps brachii.............................................................................................................................................5
M. extensor carpi radialis longus & brevis......................................................................................................6
M. scalenus......................................................................................................................................................6
M. sternocleido mastoideus............................................................................................................................6
M. levator scapulae.........................................................................................................................................7
M. erector spinae cervicalis.............................................................................................................................7
m. flexor digitorum profundus en superficialis...............................................................................................7
M. extensor digitorum.....................................................................................................................................8
M. extensor pollicis brevis en de M. abductor pollicis longus........................................................................8
Onderste extremiteit............................................................................................................................................8
M. Erector spinae lumbalis..............................................................................................................................8
M. quadratus lumborum.................................................................................................................................9
M. iliopsoas......................................................................................................................................................9
M. rectus femoris...........................................................................................................................................10
Mm. Hamstrings (ischio crurale musculatuur)..............................................................................................10
Bi-articulaire adductoren (m. gracillis)..........................................................................................................11
Mono-articulaire adductoren (m. adductor brevis & longus, m. adductor magnus)....................................11
M. tensor fasciae latea (ober test)................................................................................................................11
M. piriformis..................................................................................................................................................11
Mm. gastrocnemius.......................................................................................................................................12
Mm. soleus.....................................................................................................................................................12
SPIERKRACHTTESTEN................................................................................................................................... 13
Bovenste extremiteit:.........................................................................................................................................13
M. biceps brachii............................................................................................................................................13
M. triceps brachii...........................................................................................................................................13
M. trapezius pars transversus / ascendens...................................................................................................13
M. serratus anterior.......................................................................................................................................13
M. Rhomboidei..............................................................................................................................................13
M. erector spinae thoracaal..........................................................................................................................14
Onderste extremiteit:.........................................................................................................................................14
M. gluteus medius / minimus........................................................................................................................14
M. gluteus maximus.......................................................................................................................................14
M. tibialis anterior.........................................................................................................................................14
M. peroneii....................................................................................................................................................15
M. gastrocnemius..........................................................................................................................................15
M. soleus........................................................................................................................................................15
GEWRICHTSONDERZOEK.............................................................................................................................. 15
Onderbeen en voet.............................................................................................................................................15
Ligamentaire rektesten mediaal (valgus stress)............................................................................................17
Talo-crurale instabiliteitstesten (schuiflade) met gefixeerde voet...............................................................17
Art. tibio fibularis proximalis Translatie ventraal (iets lateraal) & dorsaal (iets mediaal) ............................17
Art. tibio fibularis distalis (syndesmosis) Translatie ventraal (iets lateral) Translatie dorsaal (iets..............18
mediaal).........................................................................................................................................................18
Translatie ventraal (iets lateraal)...................................................................................................................18
2
, Art. Talo cruralis BSG Tractie in ruststand en eindstand...............................................................................18
Art. Talo cruralis Translatie ventraal (iets distaal).........................................................................................19
Art. Talo cruralis Translatie dorsaal (iets proximaal).....................................................................................19
Art. Calcaneo-cuboidea Translatie plantair (iets mediaal) & Translatie dorsaal (iets lateraal)....................19
Tenen/phalangen...............................................................................................................................................19
Tractie art. MTP I t/m V.................................................................................................................................19
Tractie art. IP I................................................................................................................................................19
Tractie art. PIP II t/m IV.................................................................................................................................20
Tractie art. DIP II tm IV...................................................................................................................................20
Translatie art. MTP I t/m IV (plantair/ dorsaal/ mediaal/ lateraal)...............................................................20
Translatie art. IP I (plantair/ dorsaal/ mediaal/ lateraal)..............................................................................20
Translatie art. PIP II t/m IV (plantair/ dorsaal/ mediaal/ lateraal)................................................................20
Translatie art. DIP II tm IV (plantair/ dorsaal/ mediaal/ lateraal).................................................................20
Compressie art. intermetatarsae (distaal).....................................................................................................21
Heup...................................................................................................................................................................22
Tractie art. coxae met enkel als aangrijpingspunt (indirect).........................................................................22
Tractie art. coxae met bovenbeen als aangrijpingspunt (direct)..................................................................22
Compressie art. coxae...................................................................................................................................22
Schoudergordel..................................................................................................................................................23
Instabiliteitstesten Apprehension test Relocation test Release test............................................................23
Tractie art. glenohumerale ( in zit)................................................................................................................24
Tractie art. glenohumerale ( in lig)................................................................................................................24
Compressie art. glenohumerale....................................................................................................................24
Translatie art. glenohumerale naar caudaal (translatie abductie)................................................................24
Translatie art. glenohumerale naar dorsaal (translatie endorotatie)...........................................................25
Translatie art. glenohumerale naar ventraal (exorotatie).............................................................................25
Elleboog Instabiliteitstesten valgusstress testen..........................................................................................25
Valgusstress test 2.........................................................................................................................................25
Elleboog instabiliteitstesten varusstress testen............................................................................................26
Art. humero radialis Tractie...........................................................................................................................26
Art. humero radialis Translatie naar ventraal (t.g.v. flexie)..........................................................................26
Art. humero radialis Translatie naar dorsaal.................................................................................................26
Art. humero ulnaris Tractie............................................................................................................................27
Compressie Art. humero ulnaris....................................................................................................................27
Onderarm - pols - hand......................................................................................................................................27
Art. radio carpea Tractie................................................................................................................................27
Translatie palmair iets proximaal (dorsaalflexie?)........................................................................................27
Translatie dorsaal iets distaal (palmairflexie?)..............................................................................................28
Tractie en translaties art. CMC I....................................................................................................................28
Tractie en translatie art. MCP en interphalangeaal......................................................................................28
Knie.....................................................................................................................................................................28
Hydropstest 1: strijktest................................................................................................................................28
Hydropstest 2: "dobberen" van de patella....................................................................................................29
Meniscustest: Mc Murry test........................................................................................................................30
Meniscustest: appley 1 test...........................................................................................................................31
Meniscustest: Test van Steinmann................................................................................................................32
Mediale / laterale bandtest (valgus / varus) Laterale passieve stabiliteitstest.............................................32
Voorste- / achterste kruisbandtest...............................................................................................................33
Kruisband: lachmann test..............................................................................................................................34
“Gravity - Sag” test........................................................................................................................................34
Meniscustest: Thessaly test...........................................................................................................................35
Tractie Art. tibio-femoralis............................................................................................................................36
Translatie ventraal Art. tibio-femoralis.........................................................................................................36
3
, Translatie dorsaal Art. tibio-femoralis...........................................................................................................36
DEEL 2: ZENUW LENGTETESTEN EN ZENUWMOBILISATIE..............................................................................37
SLR test (Lasègue)..........................................................................................................................................37
Prone knee bend (Omgekeerde Lasegue test ).............................................................................................38
Slump test......................................................................................................................................................39
ULTT 1 test (N. medianus).............................................................................................................................40
ULTT 1b test (N.medianus)............................................................................................................................41
ULTT2 (N. radialis)..........................................................................................................................................41
ULTT 3 (n. ulnaris)..........................................................................................................................................42
ZENUW COMPRESSIE TESTEN (PRIKKELING OF UITVAL FUNCTIE)..................................................................43
Kemp test / Spurling test...............................................................................................................................43
Neurovasculaire testen:.....................................................................................................................................43
Roos of stick up test.......................................................................................................................................44
Adson test (scalenus).....................................................................................................................................45
Eden test (rib/clavicula).................................................................................................................................45
Wright test (M. pectoralis minor)..................................................................................................................46
Tinnel test......................................................................................................................................................46
KENNSPIEREN: (VERMINDERING KRACHT OF UITVAL)...................................................................................25
SENSIBILITEITSTESTS: (VERMINDERING GEVOEL OF UITVAL).........................................................................26
Oppervlakte sensibiliteit:...............................................................................................................................26
REFLEXEN:................................................................................................................................................... 27
Bicepspeesreflex (C5 - C6).............................................................................................................................27
Tricepspeesreflex (C7)...................................................................................................................................27
Kniepeesreflex (L3 - L4)..................................................................................................................................28
Achillespeesreflex (S1 - S2)............................................................................................................................28
DEEL 1: SPIERLENGTETESTEN
Bovenste extremiteit:
M. pectoralis major
Uitgangshouding:
4
