NEXT 2 – Musculoskeletaal
Specifieke testen en behandelingen van het bewegingsapparaat
,Inhoudsopgave
Schouder testen............................................................................................................................ 5
Schouder instabiliteit................................................................................................................. 5
Cluster van Michener – SAPS...................................................................................................... 6
SLAP laesie – labrumschade e/o bicepspeesruptuur .................................................................... 7
GIRD – Glenohumeral internal rotation deficit – Overbelasting instabiliteit................................... 7
Rotator Cuff rupturen ................................................................................................................ 8
Scapulaire dyskinesie................................................................................................................. 9
SSMT - Shoulder Symptom Modification Test.............................................................................10
Elleboog testen ............................................................................................................................11
Cozen’s test – tenniselleboog – laterale epicondylalgie...............................................................11
Maudsley’s test – tenniselleboog – laterale epicondylalgie .........................................................11
Mills test..................................................................................................................................12
HDD - Hand-helddynamometer .................................................................................................12
Table top relocation test – instabiliteit elleboog .........................................................................13
Posterolaterale Schuiflade test – rotation drawer test (diff diagnose) ..........................................13
Pols testen...................................................................................................................................14
Finckelstein test – morbus Quervain ..........................................................................................14
Watson test – polsinstabiliteit e/o ligamentruptuur ...................................................................14
Heup en Lies testen......................................................................................................................15
FABER & FADIR.........................................................................................................................15
Test voor aantonen zwakte heupabductoren .............................................................................16
Cluster van Holmich .................................................................................................................17
Bovenbeen en Knie testen ............................................................................................................19
Trendelenburg test – heupinstabiliteit .......................................................................................19
Navicular drop test – overpronatie bij stand ..............................................................................20
Krachttest Quadriceps ..............................................................................................................20
Krachttest gluteus medius – heup stabilisator ............................................................................20
Q-hoek meting – afwijkend beweegpatroon ..............................................................................21
Q-hoek dynamisch – afwijkend beweegpatroon .........................................................................21
Patellar maltracking – inverted J sign.........................................................................................21
Patellafemoraal pijnsyndroom ..................................................................................................22
Enkel en Voet testen ....................................................................................................................23
Navicular drop test – overpronatie bij stand ..............................................................................23
Trendelenburg test – heupinstabiliteit .......................................................................................23
Beighton score - Hypermobiliteit ...............................................................................................24
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, Voorste schuifladetest enkel .....................................................................................................24
Syndesmoseletsel – Squeeze test ..............................................................................................25
Syndesmoseletsel – Exorotatie stresstest...................................................................................25
Wervelkolom – lumbaal ...............................................................................................................26
Actief onderzoek LWK – belast in stand .....................................................................................26
Actief onderzoek LWK – belast in zit ..........................................................................................28
Geleid actief onderzoek LWK – onbelast ....................................................................................29
Stroomdiagram lage rug problemen ..........................................................................................30
Cluster van Laslett – SI problematiek .........................................................................................31
ASLR – Active Straight Leg Raise – hypermobiliteit/instabiliteit MCI e/o stoornis SI ......................32
Nutaties en contranutaties .......................................................................................................33
Bewegingsstoornis SI / bekkenscheefstand– Vorlauftest.............................................................34
Bewegingsstoornis SI / bekkenscheefstand – Lateroflexie test SI gewrichten ...............................34
LWK onderzoek ........................................................................................................................35
Cluster van Rehorst en Cluster van Hicks – LWK betrokkenheid ...............................................35
Cluster van der Wurf – SI betrokkenheid ................................................................................37
Specifieke lengtetesten – Onderste extremiteiten (OE) ..................................................................38
Weerstandstest Kennspieren – Cervicaal en Thoracaal ...............................................................44
Weerstandstest Kennspieren – Sacraal ......................................................................................45
Weerstandstest Kennspieren – Lumbaal (LWK) ..........................................................................46
Reflexen OE .............................................................................................................................47
Sensibiliteitstest – OE – Dermatomen L2 t/m S2.........................................................................48
Specifieke lengtetesten – Bovenste extremiteiten..........................................................................49
Weerstandstest Kennspieren – C4 t/m Th1 ................................................................................53
Reflexen BE..............................................................................................................................54
Sensibiliteitstest – BE – Dermatomen C4 t/m Th1.......................................................................55
Radiculopathieën .........................................................................................................................56
Nek – Graad III: Cervicale radiculopathie in/uitsluiten.................................................................56
Aspecifieke non-serious; Lumbosacraal radiculair syndroom .......................................................57
Onderzoekstracties en translaties – Onderste extremiteiten...........................................................58
Heup .......................................................................................................................................59
KNIE ........................................................................................................................................60
Onderbeen/enkel .....................................................................................................................65
Onderzoekstracties en translaties – Bovenste extremiteiten...........................................................68
Schouder - ART. HUMERI ..........................................................................................................69
ART. ACROMIOCLAVICULARE (AC-gewricht) ...............................................................................71
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, Elleboog - ART. HUMERO-ULNARE.............................................................................................72
ART. HUMERO-RADIALE............................................................................................................73
ART. RADIO-ULNARE PROXIMALIS .............................................................................................74
Pols - ART. RADIO-ULNARE DISTALIS ..........................................................................................75
ART. RADIO-CARPAE .................................................................................................................76
MCI - Motor Control Impairment ..................................................................................................78
Stabilizer voor de rug en nek.....................................................................................................80
VKB ruptuur postoperatieve revalidatie.........................................................................................81
Cluster of Gustavsson – Hop test ...............................................................................................81
Oefenprogramma’s ......................................................................................................................82
SCHOUDER – IMPINGEMENTSYNDROOM...................................................................................82
ROTATORCUFFTENDINOSE EN ARTROSE ....................................................................................83
FROZEN SHOULDER ..................................................................................................................86
ROTATORCUFFRUPTUUR ..........................................................................................................88
ANTERIEURE INSTABILITEIT .......................................................................................................91
Behandelingen.............................................................................................................................92
Artrose (knie/heup) ..................................................................................................................92
Frozen Shoulder .......................................................................................................................95
Nek klachten ............................................................................................................................98
Tenniselleboog c.q. Laterale epicondylagie (LET) – specifieke KANS ........................................... 100
PFPS ...................................................................................................................................... 105
Lage rug................................................................................................................................. 109
LWK/SI gewricht..................................................................................................................... 115
THP – Totale heup prothese.................................................................................................... 117
Adviezen THP - dorso-laterale operatieve benadering........................................................... 119
Adviezen THP - frontale operatieve benadering .................................................................... 122
VKB – Voorstekruisband letsel................................................................................................. 123
Adviezen TKP – Totale Knie Prothese ................................................................................... 128
4|Pa gin a
Specifieke testen en behandelingen van het bewegingsapparaat
,Inhoudsopgave
Schouder testen............................................................................................................................ 5
Schouder instabiliteit................................................................................................................. 5
Cluster van Michener – SAPS...................................................................................................... 6
SLAP laesie – labrumschade e/o bicepspeesruptuur .................................................................... 7
GIRD – Glenohumeral internal rotation deficit – Overbelasting instabiliteit................................... 7
Rotator Cuff rupturen ................................................................................................................ 8
Scapulaire dyskinesie................................................................................................................. 9
SSMT - Shoulder Symptom Modification Test.............................................................................10
Elleboog testen ............................................................................................................................11
Cozen’s test – tenniselleboog – laterale epicondylalgie...............................................................11
Maudsley’s test – tenniselleboog – laterale epicondylalgie .........................................................11
Mills test..................................................................................................................................12
HDD - Hand-helddynamometer .................................................................................................12
Table top relocation test – instabiliteit elleboog .........................................................................13
Posterolaterale Schuiflade test – rotation drawer test (diff diagnose) ..........................................13
Pols testen...................................................................................................................................14
Finckelstein test – morbus Quervain ..........................................................................................14
Watson test – polsinstabiliteit e/o ligamentruptuur ...................................................................14
Heup en Lies testen......................................................................................................................15
FABER & FADIR.........................................................................................................................15
Test voor aantonen zwakte heupabductoren .............................................................................16
Cluster van Holmich .................................................................................................................17
Bovenbeen en Knie testen ............................................................................................................19
Trendelenburg test – heupinstabiliteit .......................................................................................19
Navicular drop test – overpronatie bij stand ..............................................................................20
Krachttest Quadriceps ..............................................................................................................20
Krachttest gluteus medius – heup stabilisator ............................................................................20
Q-hoek meting – afwijkend beweegpatroon ..............................................................................21
Q-hoek dynamisch – afwijkend beweegpatroon .........................................................................21
Patellar maltracking – inverted J sign.........................................................................................21
Patellafemoraal pijnsyndroom ..................................................................................................22
Enkel en Voet testen ....................................................................................................................23
Navicular drop test – overpronatie bij stand ..............................................................................23
Trendelenburg test – heupinstabiliteit .......................................................................................23
Beighton score - Hypermobiliteit ...............................................................................................24
2|Pa gin a
, Voorste schuifladetest enkel .....................................................................................................24
Syndesmoseletsel – Squeeze test ..............................................................................................25
Syndesmoseletsel – Exorotatie stresstest...................................................................................25
Wervelkolom – lumbaal ...............................................................................................................26
Actief onderzoek LWK – belast in stand .....................................................................................26
Actief onderzoek LWK – belast in zit ..........................................................................................28
Geleid actief onderzoek LWK – onbelast ....................................................................................29
Stroomdiagram lage rug problemen ..........................................................................................30
Cluster van Laslett – SI problematiek .........................................................................................31
ASLR – Active Straight Leg Raise – hypermobiliteit/instabiliteit MCI e/o stoornis SI ......................32
Nutaties en contranutaties .......................................................................................................33
Bewegingsstoornis SI / bekkenscheefstand– Vorlauftest.............................................................34
Bewegingsstoornis SI / bekkenscheefstand – Lateroflexie test SI gewrichten ...............................34
LWK onderzoek ........................................................................................................................35
Cluster van Rehorst en Cluster van Hicks – LWK betrokkenheid ...............................................35
Cluster van der Wurf – SI betrokkenheid ................................................................................37
Specifieke lengtetesten – Onderste extremiteiten (OE) ..................................................................38
Weerstandstest Kennspieren – Cervicaal en Thoracaal ...............................................................44
Weerstandstest Kennspieren – Sacraal ......................................................................................45
Weerstandstest Kennspieren – Lumbaal (LWK) ..........................................................................46
Reflexen OE .............................................................................................................................47
Sensibiliteitstest – OE – Dermatomen L2 t/m S2.........................................................................48
Specifieke lengtetesten – Bovenste extremiteiten..........................................................................49
Weerstandstest Kennspieren – C4 t/m Th1 ................................................................................53
Reflexen BE..............................................................................................................................54
Sensibiliteitstest – BE – Dermatomen C4 t/m Th1.......................................................................55
Radiculopathieën .........................................................................................................................56
Nek – Graad III: Cervicale radiculopathie in/uitsluiten.................................................................56
Aspecifieke non-serious; Lumbosacraal radiculair syndroom .......................................................57
Onderzoekstracties en translaties – Onderste extremiteiten...........................................................58
Heup .......................................................................................................................................59
KNIE ........................................................................................................................................60
Onderbeen/enkel .....................................................................................................................65
Onderzoekstracties en translaties – Bovenste extremiteiten...........................................................68
Schouder - ART. HUMERI ..........................................................................................................69
ART. ACROMIOCLAVICULARE (AC-gewricht) ...............................................................................71
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, Elleboog - ART. HUMERO-ULNARE.............................................................................................72
ART. HUMERO-RADIALE............................................................................................................73
ART. RADIO-ULNARE PROXIMALIS .............................................................................................74
Pols - ART. RADIO-ULNARE DISTALIS ..........................................................................................75
ART. RADIO-CARPAE .................................................................................................................76
MCI - Motor Control Impairment ..................................................................................................78
Stabilizer voor de rug en nek.....................................................................................................80
VKB ruptuur postoperatieve revalidatie.........................................................................................81
Cluster of Gustavsson – Hop test ...............................................................................................81
Oefenprogramma’s ......................................................................................................................82
SCHOUDER – IMPINGEMENTSYNDROOM...................................................................................82
ROTATORCUFFTENDINOSE EN ARTROSE ....................................................................................83
FROZEN SHOULDER ..................................................................................................................86
ROTATORCUFFRUPTUUR ..........................................................................................................88
ANTERIEURE INSTABILITEIT .......................................................................................................91
Behandelingen.............................................................................................................................92
Artrose (knie/heup) ..................................................................................................................92
Frozen Shoulder .......................................................................................................................95
Nek klachten ............................................................................................................................98
Tenniselleboog c.q. Laterale epicondylagie (LET) – specifieke KANS ........................................... 100
PFPS ...................................................................................................................................... 105
Lage rug................................................................................................................................. 109
LWK/SI gewricht..................................................................................................................... 115
THP – Totale heup prothese.................................................................................................... 117
Adviezen THP - dorso-laterale operatieve benadering........................................................... 119
Adviezen THP - frontale operatieve benadering .................................................................... 122
VKB – Voorstekruisband letsel................................................................................................. 123
Adviezen TKP – Totale Knie Prothese ................................................................................... 128
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