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Samenvatting Minor musculoskeletaal K1/k3 mobiliseren voet/onderbeen

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Samenvatting van de praktijkonderdelen voet/onderbeen

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April 12, 2022
Number of pages
7
Written in
2021/2022
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Samenvatting voet/onderbeen
Inhoudsopgave
Anterior drawer test...................................................................................................................................... 2

Varus stress (laterale ligamenten) Talar tilt.................................................................................................... 2

Valgus stress (mediale ligamenten)................................................................................................................ 2

Joint play art. tibiofibularis proximalis........................................................................................................... 2

HVT-manipulatie – fibula naar ventrolateraal................................................................................................. 2

Onderzoek syndesmosis tibiofibularis distalis................................................................................................. 3
Fibula naar dorsaal..............................................................................................................................................3
Tibia naar dorsaal................................................................................................................................................3

Varus-kliktest................................................................................................................................................ 3

Tractie talocruralis......................................................................................................................................... 3
Eerste techniek.....................................................................................................................................................3
Tweede techniek...................................................................................................................................................3

Rol glijden..................................................................................................................................................... 3
Plantairflexie buiklig.............................................................................................................................................3
Dorsaalflexie in ruglig...........................................................................................................................................4

Tractie subtalaris........................................................................................................................................... 4

HVT-manipulatie/mobilisatie (vrij naar Cyriax) Art. ris....................................................................................4

Joint-play art. calcaneocuboidea.................................................................................................................... 5

HVT-kantelmanipulatie art. talocalcaneonavicularis.......................................................................................5
Plantairflexie........................................................................................................................................................5
Trektechiek......................................................................................................................................................5
Trek-stoottechniek...........................................................................................................................................5
Pinkmuis-over-duim stoottechniek (pandbandmanipulatie)..........................................................................6

Mobilisatie mediaal voetgewelf (schommelglij)..............................................................................................6
Dorsaalflexie.........................................................................................................................................................6
Plantairflexie........................................................................................................................................................6

Mobilisatie lateraal voetgewelf (schommelglij).............................................................................................. 6
Dorsaalflexie.........................................................................................................................................................6
Plantairflexie........................................................................................................................................................6

Mobilisatie van de tenen (tractie, rol/schuif, kantel)......................................................................................6

, Tractiemanipulatie...............................................................................................................................................6



Anterior drawer test
Tibia posterior duwen en bij calcaneus pakken en
naar ventraal brengen  Lig. Anterior talofibular.
(Ruptuurtest)



Varus stress (laterale ligamenten) Talar
tilt
Onderscheiden van de ligamenten:
- Inversie + plantairflexie = lig. Talofibulare
anterior
- Inversie + dorsaalflexie = lig. Talofibulare
posterior
- Inversie + tussen plantair- en dorsaalflexie in =
lig. Calceneofibulare


Valgus stress (mediale ligamenten)
Alleen de eversie uitvoeren voor
de lig. Tibiocalcanea?

Joint play art.
tibiofibularis proximalis
Fibulakopje heen en weer
bewegen in ventro laterale
beweging.

HVT-manipulatie – fibula naar ventrolateraal
Pt op handen en knieën, ft been
tegen voetzool zo ver mogelijk
naar dorsaalflexie en houdt
fibulakopje vast met het
onderste gedeelte van je hand.
Voor meer ruimte gaat de pt
iets naar ventraal bewegen en
dan weer terug. (is voor ontspanning, wat meer
ruimte), daarna endorotatie maken van het
onderbeen en dan 1 tik naar beneden geven aan
het fibulakopje. Pt zit zo dicht mogelijk bij de rand.
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