Enkel, voet en
onderbeenregio
,Inhoudsopgave
2
,Enkel, voet en onderbeenregio...............................................................................................................................1
Kinematica – Voet en onderbeenregio...................................................................................................................6
Screening................................................................................................................................................................19
Onderzoek..............................................................................................................................................................20
Art tibiofibularis.................................................................................................................................................21
Oriëntatietest......................................................................................................................................................21
Art talocruralis – Passief functieonderzoek onbelast.........................................................................................22
Onderzoek functionele instabiliteit.....................................................................................................................24
Functionele instabiliteit art talocruralis.........................................................................................................24
Functionele instabiliteit syndesmosis tibiofibularis.......................................................................................27
Art subtalaris – Passief functieonderzoek onbelast............................................................................................29
Art tarsi transversa – Passief functieonderzoek onbelast..................................................................................30
Art calcaneocuboidea – Joint-play.....................................................................................................................31
Lijn van Lisfranc (artt tarsometatarsales) – Passief functieonderzoek onbelast...............................................32
Art metatarsophalangea 1 – Passief functieonderzoek onbelast........................................................................33
Achillespees testen..............................................................................................................................................34
Behandeling............................................................................................................................................................35
Manipulaties art tibiofibularis...........................................................................................................................36
Manipulaties syndesmosis tibiofibularis............................................................................................................38
Tracties en approximatie art talocruralis..........................................................................................................40
Rol-slip technieken art talocruralis....................................................................................................................42
Tracties art subtalaris........................................................................................................................................44
Manipulaties art subtalaris................................................................................................................................45
Manipulaties art talocalcaneonavicularis..........................................................................................................48
Manipulaties cuboid...........................................................................................................................................50
Schommel-glij technieken voetgewelven............................................................................................................52
Schommel-glij technieken mediaal voetgewelf.............................................................................................52
Schommel-glij technieken lateraal voetgewelf..............................................................................................54
Manipulaties voetgewelven................................................................................................................................56
Manipulaties art metatarsophalangea 1............................................................................................................59
Rekkingstechnieken.............................................................................................................................................60
Pathologie...............................................................................................................................................................61
Neoplastische ziekten en aandoeningen.............................................................................................................61
Ziekten en aandoeningen van het bot-spierstelsel en bindweefsel van de voet-onderbeenregio.......................62
Jicht................................................................................................................................................................62
Hallux valgus.................................................................................................................................................62
Hallux rigidus................................................................................................................................................62
Achillespeestendinopathie.............................................................................................................................63
Congenitale ziekten en aandoeningen van de voet-onderbeenregio..................................................................65
Artrose...........................................................................................................................................................65
Traumatische, exogene ziekten en aandoeningen van de voet-onderbeenregio.................................................66
3
, ...........................................................................................................................................................................66
Mechanische obstructie van de circulatie..........................................................................................................67
Compartimentsyndroom of logesyndroom....................................................................................................67
Shin splints/MTSS.........................................................................................................................................67
Trombose.......................................................................................................................................................68
Disposities van de voet-onderbeenregio............................................................................................................69
Instabiele enkelvork.......................................................................................................................................69
Statische disposities.......................................................................................................................................69
Dynamische disposities.................................................................................................................................70
Inversietrauma....................................................................................................................................................71
Disposities in de tarsus.......................................................................................................................................73
Dispositie van de calcaneus (hypomobiliteit)................................................................................................73
Dispositie van de talus door hypomobiliteit..................................................................................................74
Dispositie van het naviculare.........................................................................................................................74
Dispositie van het cuboid...............................................................................................................................75
Consequenties voor de praktijk ....................................................................................................................75
Sinus tarsi syndroom......................................................................................................................................75
Impingement.......................................................................................................................................................75
Anterieur impingement..................................................................................................................................75
Posterieur impingement.................................................................................................................................75
Artikelen.................................................................................................................................................................76
Onderzoekshypothesen.........................................................................................................................................77
ICD.....................................................................................................................................................................77
ICF......................................................................................................................................................................79
Pijn.....................................................................................................................................................................80
Onderzoeks- en behandeltechnieken...................................................................................................................82
Onderzoeken.......................................................................................................................................................82
Behandeling........................................................................................................................................................83
Skills........................................................................................................................................................................85
Bijlagen...................................................................................................................................................................85
Bijlage 1 – KNGF richtlijn enkelletsel (2006)....................................................................................................85
Kinematica – Voet en onderbeenregio..............................................................................................5
Screening........................................................................................................................................18
Onderzoek.......................................................................................................................................19
Art tibiofibularis...............................................................................................................................19
Oriëntatietest...................................................................................................................................20
Art talocruralis – Passief functieonderzoek onbelast.......................................................................21
Onderzoek functionele instabiliteit..................................................................................................23
Functionele instabiliteit art talocruralis.......................................................................................23
Functionele instabiliteit syndesmosis tibiofibularis.....................................................................26
Art subtalaris – Passief functieonderzoek onbelast..........................................................................28
4
onderbeenregio
,Inhoudsopgave
2
,Enkel, voet en onderbeenregio...............................................................................................................................1
Kinematica – Voet en onderbeenregio...................................................................................................................6
Screening................................................................................................................................................................19
Onderzoek..............................................................................................................................................................20
Art tibiofibularis.................................................................................................................................................21
Oriëntatietest......................................................................................................................................................21
Art talocruralis – Passief functieonderzoek onbelast.........................................................................................22
Onderzoek functionele instabiliteit.....................................................................................................................24
Functionele instabiliteit art talocruralis.........................................................................................................24
Functionele instabiliteit syndesmosis tibiofibularis.......................................................................................27
Art subtalaris – Passief functieonderzoek onbelast............................................................................................29
Art tarsi transversa – Passief functieonderzoek onbelast..................................................................................30
Art calcaneocuboidea – Joint-play.....................................................................................................................31
Lijn van Lisfranc (artt tarsometatarsales) – Passief functieonderzoek onbelast...............................................32
Art metatarsophalangea 1 – Passief functieonderzoek onbelast........................................................................33
Achillespees testen..............................................................................................................................................34
Behandeling............................................................................................................................................................35
Manipulaties art tibiofibularis...........................................................................................................................36
Manipulaties syndesmosis tibiofibularis............................................................................................................38
Tracties en approximatie art talocruralis..........................................................................................................40
Rol-slip technieken art talocruralis....................................................................................................................42
Tracties art subtalaris........................................................................................................................................44
Manipulaties art subtalaris................................................................................................................................45
Manipulaties art talocalcaneonavicularis..........................................................................................................48
Manipulaties cuboid...........................................................................................................................................50
Schommel-glij technieken voetgewelven............................................................................................................52
Schommel-glij technieken mediaal voetgewelf.............................................................................................52
Schommel-glij technieken lateraal voetgewelf..............................................................................................54
Manipulaties voetgewelven................................................................................................................................56
Manipulaties art metatarsophalangea 1............................................................................................................59
Rekkingstechnieken.............................................................................................................................................60
Pathologie...............................................................................................................................................................61
Neoplastische ziekten en aandoeningen.............................................................................................................61
Ziekten en aandoeningen van het bot-spierstelsel en bindweefsel van de voet-onderbeenregio.......................62
Jicht................................................................................................................................................................62
Hallux valgus.................................................................................................................................................62
Hallux rigidus................................................................................................................................................62
Achillespeestendinopathie.............................................................................................................................63
Congenitale ziekten en aandoeningen van de voet-onderbeenregio..................................................................65
Artrose...........................................................................................................................................................65
Traumatische, exogene ziekten en aandoeningen van de voet-onderbeenregio.................................................66
3
, ...........................................................................................................................................................................66
Mechanische obstructie van de circulatie..........................................................................................................67
Compartimentsyndroom of logesyndroom....................................................................................................67
Shin splints/MTSS.........................................................................................................................................67
Trombose.......................................................................................................................................................68
Disposities van de voet-onderbeenregio............................................................................................................69
Instabiele enkelvork.......................................................................................................................................69
Statische disposities.......................................................................................................................................69
Dynamische disposities.................................................................................................................................70
Inversietrauma....................................................................................................................................................71
Disposities in de tarsus.......................................................................................................................................73
Dispositie van de calcaneus (hypomobiliteit)................................................................................................73
Dispositie van de talus door hypomobiliteit..................................................................................................74
Dispositie van het naviculare.........................................................................................................................74
Dispositie van het cuboid...............................................................................................................................75
Consequenties voor de praktijk ....................................................................................................................75
Sinus tarsi syndroom......................................................................................................................................75
Impingement.......................................................................................................................................................75
Anterieur impingement..................................................................................................................................75
Posterieur impingement.................................................................................................................................75
Artikelen.................................................................................................................................................................76
Onderzoekshypothesen.........................................................................................................................................77
ICD.....................................................................................................................................................................77
ICF......................................................................................................................................................................79
Pijn.....................................................................................................................................................................80
Onderzoeks- en behandeltechnieken...................................................................................................................82
Onderzoeken.......................................................................................................................................................82
Behandeling........................................................................................................................................................83
Skills........................................................................................................................................................................85
Bijlagen...................................................................................................................................................................85
Bijlage 1 – KNGF richtlijn enkelletsel (2006)....................................................................................................85
Kinematica – Voet en onderbeenregio..............................................................................................5
Screening........................................................................................................................................18
Onderzoek.......................................................................................................................................19
Art tibiofibularis...............................................................................................................................19
Oriëntatietest...................................................................................................................................20
Art talocruralis – Passief functieonderzoek onbelast.......................................................................21
Onderzoek functionele instabiliteit..................................................................................................23
Functionele instabiliteit art talocruralis.......................................................................................23
Functionele instabiliteit syndesmosis tibiofibularis.....................................................................26
Art subtalaris – Passief functieonderzoek onbelast..........................................................................28
4
