Knie
,2
,Inhoudsopgave
Kinematica – Knie ......................................................................................................................... 5
Screening ................................................................................................................................... 12
Clusters ...................................................................................................................................... 14
Onderzoek ................................................................................................................................. 15
Palpatie ............................................................................................................................................. 15
Passief functieonderzoek onbelast .................................................................................................... 17
Testen frontale knie-instabiliteit ....................................................................................................... 21
Kruisbandtesten ................................................................................................................................ 25
Meniscustesten ................................................................................................................................. 35
Functionele testen voor de knie ........................................................................................................ 43
Behandeling ............................................................................................................................... 45
(HVT) tracties .................................................................................................................................... 45
Schommel-glij technieken ................................................................................................................. 47
Manipulaties ..................................................................................................................................... 51
Rekkingstechnieken ........................................................................................................................... 56
Pathologie knie .......................................................................................................................... 58
Traumatische knieproblemen ........................................................................................................... 58
Collateraal bandletsel ................................................................................................................... 59
Kruisbandletsel ............................................................................................................................. 59
Meniscusletsel .............................................................................................................................. 59
Patellaluxatie ................................................................................................................................ 60
Niet-traumatische knieproblemen bij kinderen en adolescenten ..................................................... 61
Jumper’s knee ............................................................................................................................... 61
Patellofemoraal pijnsyndroom ..................................................................................................... 61
Niet-traumatische knieproblemen bij volwassenen .......................................................................... 63
Bursitis prepatellaris ..................................................................................................................... 63
Tractus iliotibialis frictiesyndroom ............................................................................................... 63
Baker-cyste ................................................................................................................................... 63
Ziekten en aandoeningen van het bot-spierstelsel en bindweefsel van de knieregio ....................... 64
Reumatoïde artritis ....................................................................................................................... 64
Congenitale ziekten en aandoeningen van de knieregio .................................................................. 64
Genu valgum of genu varum ........................................................................................................ 64
Genu recurvatum .......................................................................................................................... 64
Degeneratieve ziekten en aandoeningen van de knieregio .............................................................. 65
Gonartrose .................................................................................................................................... 65
Loose bodies in de knie...................................................................................................................... 67
Traumatische, exogene ziekten en aandoeningen van de knieregio ................................................ 68
3
, Fracturen ...................................................................................................................................... 68
Artikelen .................................................................................................................................... 69
Onderzoekshypothesen .............................................................................................................. 70
ICD ..................................................................................................................................................... 70
ICF...................................................................................................................................................... 73
Pijn..................................................................................................................................................... 74
Onderzoeks- en behandeltechnieken .......................................................................................... 75
Onderzoeken ..................................................................................................................................... 75
Behandeling ...................................................................................................................................... 76
Skills .......................................................................................................................................... 77
Bijlagen ...................................................................................................................................... 78
Bijlage 1 – Functionele testen voor de knie....................................................................................... 78
Bijlage 2 – LESS.................................................................................................................................. 85
4
,2
,Inhoudsopgave
Kinematica – Knie ......................................................................................................................... 5
Screening ................................................................................................................................... 12
Clusters ...................................................................................................................................... 14
Onderzoek ................................................................................................................................. 15
Palpatie ............................................................................................................................................. 15
Passief functieonderzoek onbelast .................................................................................................... 17
Testen frontale knie-instabiliteit ....................................................................................................... 21
Kruisbandtesten ................................................................................................................................ 25
Meniscustesten ................................................................................................................................. 35
Functionele testen voor de knie ........................................................................................................ 43
Behandeling ............................................................................................................................... 45
(HVT) tracties .................................................................................................................................... 45
Schommel-glij technieken ................................................................................................................. 47
Manipulaties ..................................................................................................................................... 51
Rekkingstechnieken ........................................................................................................................... 56
Pathologie knie .......................................................................................................................... 58
Traumatische knieproblemen ........................................................................................................... 58
Collateraal bandletsel ................................................................................................................... 59
Kruisbandletsel ............................................................................................................................. 59
Meniscusletsel .............................................................................................................................. 59
Patellaluxatie ................................................................................................................................ 60
Niet-traumatische knieproblemen bij kinderen en adolescenten ..................................................... 61
Jumper’s knee ............................................................................................................................... 61
Patellofemoraal pijnsyndroom ..................................................................................................... 61
Niet-traumatische knieproblemen bij volwassenen .......................................................................... 63
Bursitis prepatellaris ..................................................................................................................... 63
Tractus iliotibialis frictiesyndroom ............................................................................................... 63
Baker-cyste ................................................................................................................................... 63
Ziekten en aandoeningen van het bot-spierstelsel en bindweefsel van de knieregio ....................... 64
Reumatoïde artritis ....................................................................................................................... 64
Congenitale ziekten en aandoeningen van de knieregio .................................................................. 64
Genu valgum of genu varum ........................................................................................................ 64
Genu recurvatum .......................................................................................................................... 64
Degeneratieve ziekten en aandoeningen van de knieregio .............................................................. 65
Gonartrose .................................................................................................................................... 65
Loose bodies in de knie...................................................................................................................... 67
Traumatische, exogene ziekten en aandoeningen van de knieregio ................................................ 68
3
, Fracturen ...................................................................................................................................... 68
Artikelen .................................................................................................................................... 69
Onderzoekshypothesen .............................................................................................................. 70
ICD ..................................................................................................................................................... 70
ICF...................................................................................................................................................... 73
Pijn..................................................................................................................................................... 74
Onderzoeks- en behandeltechnieken .......................................................................................... 75
Onderzoeken ..................................................................................................................................... 75
Behandeling ...................................................................................................................................... 76
Skills .......................................................................................................................................... 77
Bijlagen ...................................................................................................................................... 78
Bijlage 1 – Functionele testen voor de knie....................................................................................... 78
Bijlage 2 – LESS.................................................................................................................................. 85
4
