Academiejaar
2022 - 2023
Sportkinesitherapie 2: praktijklessen
Gabriëlle Van Eekert
,Inhoudsopgave
Return to play onderste lidmaat – J. jochems.................................................................................................4
Definition:..............................................................................................................................................................4
Successfull return to play?....................................................................................................................................4
RTS continuum......................................................................................................................................................5
RTP optimal decision making................................................................................................................................5
Functional tests: RTP criteria................................................................................................................................5
Functional performance testing vs clinical testing................................................................................................6
Functional tests: procedures.................................................................................................................................6
RTP criteria after ACL reconstruction....................................................................................................................7
Interpretation....................................................................................................................................................8
Jumps.................................................................................................................................................................8
RTP criteria after Hamstrings injury....................................................................................................................10
RTP criteria after hip arthroscopy.......................................................................................................................11
Return to running….............................................................................................................................................13
Physical testing vs psychological readiness........................................................................................................13
Conclusie:............................................................................................................................................................14
Casussen..............................................................................................................................................................14
Sportspecific rehabilitation endstage.................................................................................................................14
Mini-cases...........................................................................................................................................................15
ACL reconstructie skieër vs voetballer HS-kracht...........................................................................................15
Achillespeesruptuur danser vs basketspeler – Enkelstabiliteit.......................................................................15
HS ruptuur: voetballer vs turner – Core stability............................................................................................15
FAI: recreatieve loper vs gevechtssporter – NM functie heup.......................................................................16
ITB frictiesyndroom: fietser vs loper – limb alignment...................................................................................16
Discopathie L5-S1: loper vs roeier – core stability..........................................................................................16
Running technique and retraining – J. Jochems............................................................................................ 17
Running gait cycle...............................................................................................................................................17
Running gait analysis..........................................................................................................................................18
Running retraining..............................................................................................................................................21
Running drills...................................................................................................................................................21
Cues.................................................................................................................................................................22
Conditions optimal running technique and retraining........................................................................................23
Retraining and pathologies.................................................................................................................................24
Strength & performance rehab – R. Claes..................................................................................................... 25
Krachttraining.....................................................................................................................................................25
, Doelstelling.........................................................................................................................................................25
Belasting <-> belastbaarheid..............................................................................................................................26
Opdracht.............................................................................................................................................................27
Casus A: hockey...............................................................................................................................................28
Casus B: volleybal............................................................................................................................................28
Andere casussen..............................................................................................................................................29
Return to play schouder – R. Claes............................................................................................................... 30
Wetenschappelijke ontwikkeling........................................................................................................................30
Testen:.................................................................................................................................................................31
Testingprotocol...................................................................................................................................................31
, RETURN TO PLAY ONDERSTE LIDMAAT – J. JOCHEMS
- ACL reconstruction
- Hamstrings injury
- Groin pain
- Return to running
Definition:
Terug sporten op het niveau waar je van komt
Literatuur: verschillende namen en definities
- Return to play
- Return to sport
- Return to competition
- Return to competitive play
- Return to pre-injury level
- Return to activity
- …
When will I be able to compete/to play again?
- Op basis van vaste richtlijnen
- Individueel veranderlijk
- Kijken naar bepaalde criteria ipv vaste tijdstippen
o Bv terug unipodale sprongen kunnen uitvoeren voordat terug gaat lopen
Successfull return to play?
→ means different things to different people
→ outcome-dependent and context-dependent (Ardern CL et al 2016)
Outcome
- Athlete: RTP in the shortest possible time = goal focus
- Coach (and many athletes) = performance focus
- Clinician: prevention of new (or recurring) associated injuries = outcome focus
Context
Type of injury or illness, athlete’s age, type of sport played, physical demands of the sport, level of
participation, significance of upcoming participation opportunities and social and financial costs.
Bv. Thomas Van der Plaetsen (Teelbalkanker, maar erna toch terug kampioen)
“Een comeback is niet: de grote, stoere man uithangen. Het is een constant proces dat gaat om kleine stapjes.
Een comeback gaat om het overwinnen van allemaal kleine tegenslagen, elke dag, elk uur.”
2022 - 2023
Sportkinesitherapie 2: praktijklessen
Gabriëlle Van Eekert
,Inhoudsopgave
Return to play onderste lidmaat – J. jochems.................................................................................................4
Definition:..............................................................................................................................................................4
Successfull return to play?....................................................................................................................................4
RTS continuum......................................................................................................................................................5
RTP optimal decision making................................................................................................................................5
Functional tests: RTP criteria................................................................................................................................5
Functional performance testing vs clinical testing................................................................................................6
Functional tests: procedures.................................................................................................................................6
RTP criteria after ACL reconstruction....................................................................................................................7
Interpretation....................................................................................................................................................8
Jumps.................................................................................................................................................................8
RTP criteria after Hamstrings injury....................................................................................................................10
RTP criteria after hip arthroscopy.......................................................................................................................11
Return to running….............................................................................................................................................13
Physical testing vs psychological readiness........................................................................................................13
Conclusie:............................................................................................................................................................14
Casussen..............................................................................................................................................................14
Sportspecific rehabilitation endstage.................................................................................................................14
Mini-cases...........................................................................................................................................................15
ACL reconstructie skieër vs voetballer HS-kracht...........................................................................................15
Achillespeesruptuur danser vs basketspeler – Enkelstabiliteit.......................................................................15
HS ruptuur: voetballer vs turner – Core stability............................................................................................15
FAI: recreatieve loper vs gevechtssporter – NM functie heup.......................................................................16
ITB frictiesyndroom: fietser vs loper – limb alignment...................................................................................16
Discopathie L5-S1: loper vs roeier – core stability..........................................................................................16
Running technique and retraining – J. Jochems............................................................................................ 17
Running gait cycle...............................................................................................................................................17
Running gait analysis..........................................................................................................................................18
Running retraining..............................................................................................................................................21
Running drills...................................................................................................................................................21
Cues.................................................................................................................................................................22
Conditions optimal running technique and retraining........................................................................................23
Retraining and pathologies.................................................................................................................................24
Strength & performance rehab – R. Claes..................................................................................................... 25
Krachttraining.....................................................................................................................................................25
, Doelstelling.........................................................................................................................................................25
Belasting <-> belastbaarheid..............................................................................................................................26
Opdracht.............................................................................................................................................................27
Casus A: hockey...............................................................................................................................................28
Casus B: volleybal............................................................................................................................................28
Andere casussen..............................................................................................................................................29
Return to play schouder – R. Claes............................................................................................................... 30
Wetenschappelijke ontwikkeling........................................................................................................................30
Testen:.................................................................................................................................................................31
Testingprotocol...................................................................................................................................................31
, RETURN TO PLAY ONDERSTE LIDMAAT – J. JOCHEMS
- ACL reconstruction
- Hamstrings injury
- Groin pain
- Return to running
Definition:
Terug sporten op het niveau waar je van komt
Literatuur: verschillende namen en definities
- Return to play
- Return to sport
- Return to competition
- Return to competitive play
- Return to pre-injury level
- Return to activity
- …
When will I be able to compete/to play again?
- Op basis van vaste richtlijnen
- Individueel veranderlijk
- Kijken naar bepaalde criteria ipv vaste tijdstippen
o Bv terug unipodale sprongen kunnen uitvoeren voordat terug gaat lopen
Successfull return to play?
→ means different things to different people
→ outcome-dependent and context-dependent (Ardern CL et al 2016)
Outcome
- Athlete: RTP in the shortest possible time = goal focus
- Coach (and many athletes) = performance focus
- Clinician: prevention of new (or recurring) associated injuries = outcome focus
Context
Type of injury or illness, athlete’s age, type of sport played, physical demands of the sport, level of
participation, significance of upcoming participation opportunities and social and financial costs.
Bv. Thomas Van der Plaetsen (Teelbalkanker, maar erna toch terug kampioen)
“Een comeback is niet: de grote, stoere man uithangen. Het is een constant proces dat gaat om kleine stapjes.
Een comeback gaat om het overwinnen van allemaal kleine tegenslagen, elke dag, elk uur.”
