Knie Complex
FMH
V
,Inhoudsopgave
Anamnese..................................................................................................................................................... 3
Kop:.......................................................................................................................................................................3
Romp:....................................................................................................................................................................3
Staart:...................................................................................................................................................................3
Communicatieve vaardigheden:...........................................................................................................................3
Hypotheses.................................................................................................................................................... 3
Onderzoek..................................................................................................................................................... 4
Inspectie in stand:.................................................................................................................................................4
Inspectie in gang (ganganalyse):..........................................................................................................................4
Functionele inspectie............................................................................................................................................4
Test passieve structuren.......................................................................................................................................5
Intra-articulaire zwelling...................................................................................................................................5
Flexie (160 graden), zacht eindgevoel..............................................................................................................5
Extensie (10 graden), ligamentair hard eindgevoel.........................................................................................5
Exorotatie ( 45 graden), elastisch eindgevoel..................................................................................................6
Endorotatie ( 15 graden), elastisch eindgevoel................................................................................................6
Abductie met extensie (0 graden), elastisch eindgevoel.................................................................................6
Abductie met 20 graden flexie knie (11 graden), elastisch eindgevoel...........................................................6
Adductie met extensie (0 graden), elastisch eindgevoel.................................................................................7
Adductie met 20 graden flexie knie (11 graden), elastisch eindgevoel...........................................................7
Test actieve structuren.........................................................................................................................................8
Flexie.................................................................................................................................................................8
Extensie.............................................................................................................................................................8
Toegevoegd onderzoek.................................................................................................................................. 9
Testen voor passieve instabiliteit.........................................................................................................................9
Gravity sign.......................................................................................................................................................9
Lachman 20.......................................................................................................................................................9
Schuiflade 90....................................................................................................................................................9
Tracties & translaties:.........................................................................................................................................10
Tractie naar distaal (zittend in 80° knieflexie)................................................................................................10
Translatie naar dorsaal ventraal (80° knieflexie)............................................................................................11
Meniscustesten:..................................................................................................................................................12
McMurray test................................................................................................................................................12
Jointline tenderness (JLT) test........................................................................................................................13
Passieve flexie.................................................................................................................................................13
Passieve extensie............................................................................................................................................13
Thessaly test...................................................................................................................................................13
Therapeutisch proces................................................................................................................................... 14
Artrogene mobiliteit verbeteren:........................................................................................................................14
, Loopscholing:......................................................................................................................................................17
Spierkrachttraining:............................................................................................................................................18
Stabiliteitstraining:.............................................................................................................................................18
Pijnvermindering:...............................................................................................................................................18
FMH
V
,Inhoudsopgave
Anamnese..................................................................................................................................................... 3
Kop:.......................................................................................................................................................................3
Romp:....................................................................................................................................................................3
Staart:...................................................................................................................................................................3
Communicatieve vaardigheden:...........................................................................................................................3
Hypotheses.................................................................................................................................................... 3
Onderzoek..................................................................................................................................................... 4
Inspectie in stand:.................................................................................................................................................4
Inspectie in gang (ganganalyse):..........................................................................................................................4
Functionele inspectie............................................................................................................................................4
Test passieve structuren.......................................................................................................................................5
Intra-articulaire zwelling...................................................................................................................................5
Flexie (160 graden), zacht eindgevoel..............................................................................................................5
Extensie (10 graden), ligamentair hard eindgevoel.........................................................................................5
Exorotatie ( 45 graden), elastisch eindgevoel..................................................................................................6
Endorotatie ( 15 graden), elastisch eindgevoel................................................................................................6
Abductie met extensie (0 graden), elastisch eindgevoel.................................................................................6
Abductie met 20 graden flexie knie (11 graden), elastisch eindgevoel...........................................................6
Adductie met extensie (0 graden), elastisch eindgevoel.................................................................................7
Adductie met 20 graden flexie knie (11 graden), elastisch eindgevoel...........................................................7
Test actieve structuren.........................................................................................................................................8
Flexie.................................................................................................................................................................8
Extensie.............................................................................................................................................................8
Toegevoegd onderzoek.................................................................................................................................. 9
Testen voor passieve instabiliteit.........................................................................................................................9
Gravity sign.......................................................................................................................................................9
Lachman 20.......................................................................................................................................................9
Schuiflade 90....................................................................................................................................................9
Tracties & translaties:.........................................................................................................................................10
Tractie naar distaal (zittend in 80° knieflexie)................................................................................................10
Translatie naar dorsaal ventraal (80° knieflexie)............................................................................................11
Meniscustesten:..................................................................................................................................................12
McMurray test................................................................................................................................................12
Jointline tenderness (JLT) test........................................................................................................................13
Passieve flexie.................................................................................................................................................13
Passieve extensie............................................................................................................................................13
Thessaly test...................................................................................................................................................13
Therapeutisch proces................................................................................................................................... 14
Artrogene mobiliteit verbeteren:........................................................................................................................14
, Loopscholing:......................................................................................................................................................17
Spierkrachttraining:............................................................................................................................................18
Stabiliteitstraining:.............................................................................................................................................18
Pijnvermindering:...............................................................................................................................................18
