Inhoud
Algemeen...............................................................................................................................................3
Algemene tips.....................................................................................................................................3
Bindweefselherstel.............................................................................................................................3
Police Regel........................................................................................................................................4
Continuum Cook en Durham Tendinopathy.......................................................................................4
Peesklachten:.....................................................................................................................................5
Stadia van tendinopathie....................................................................................................................5
Stappenplan orthopedische klachten.................................................................................................6
Rehaboom..........................................................................................................................................7
Meetinstrumenten.................................................................................................................................8
NPRS...................................................................................................................................................8
VAS.....................................................................................................................................................8
PSK......................................................................................................................................................9
Schouder..............................................................................................................................................11
Schoudertesten................................................................................................................................11
Frozen shoulder:...............................................................................................................................12
Knie (VKB, meniscus, PFPS)...................................................................................................................17
Collaterale banden...........................................................................................................................17
Voorste kruisband, VKB....................................................................................................................18
Meniscectomie.................................................................................................................................22
Anamnese.....................................................................................................................................23
Behandeling..................................................................................................................................24
PFPS..................................................................................................................................................27
Nekpijn.................................................................................................................................................29
Diagnostisch proces..........................................................................................................................29
Screening......................................................................................................................................30
Anamnese.....................................................................................................................................30
Therapeutisch proces.......................................................................................................................31
Hoofdpijn..............................................................................................................................................34
Lage rug................................................................................................................................................36
Rode vlaggen....................................................................................................................................37
Aandachtspunten in de anamnese rugpijn:......................................................................................38
SI problemen....................................................................................................................................38
Elleboog/pols........................................................................................................................................40
,Liespijn..................................................................................................................................................42
LAGP = Longstanding Adduction-related Groin Pain ........................................................................42
FAI (Femoraal Acetabelair Impingement).........................................................................................43
Test: FADIR ..................................................................................................................................43
Interventies bij Liesklachten: ...........................................................................................................43
Onderzoek van sporter met pijnlijke pees............................................................................................44
Algemene interventie tendinopathie: ..............................................................................................44
Achillespees ruptuur.............................................................................................................................45
Therapie en revalidatie peesruptuur................................................................................................45
Werkgerelateerde klachten..................................................................................................................46
Pijn- of tijdcontingent.......................................................................................................................47
Graded Activity/Graded exposure....................................................................................................47
Graded activity bij lage rugklachten:................................................................................................48
Vragenlijsten.........................................................................................................................................50
Bewegingsangst - TSK (Tampa Scale of Kinesiophobia)....................................................................50
VKB - Tegner: niveau score...............................................................................................................50
,Algemeen
Algemene tips
Vanuit anamnese PSK, voedingsbodem voor ADL
PSK bijvoorbeeld: reiken, na 1x of meerdere keren?
Schuin reiken, achter je reiken, krijg een volledig beeld. Welke bewegingen zijn provocerend?
Passief natesten eventueel
- VAS gebruiken of NPRS
- laatste 7 dagen
- hoe is het nu?
Tijdens onderzoek ook VAS gebruiken
- hoe is het nu?
- loopt het weer terug?
Bindweefselherstel
, Police Regel
Protect -> eerste dagen weinig belasting
Optimum Loading -> Belasting binnen pijngrens
Ice -> minder zwelling en minder pijn
Compression -> tegen zwelling
Elevation -> tegen zwelling
Continuum Cook en Durham Tendinopathy
Algemeen...............................................................................................................................................3
Algemene tips.....................................................................................................................................3
Bindweefselherstel.............................................................................................................................3
Police Regel........................................................................................................................................4
Continuum Cook en Durham Tendinopathy.......................................................................................4
Peesklachten:.....................................................................................................................................5
Stadia van tendinopathie....................................................................................................................5
Stappenplan orthopedische klachten.................................................................................................6
Rehaboom..........................................................................................................................................7
Meetinstrumenten.................................................................................................................................8
NPRS...................................................................................................................................................8
VAS.....................................................................................................................................................8
PSK......................................................................................................................................................9
Schouder..............................................................................................................................................11
Schoudertesten................................................................................................................................11
Frozen shoulder:...............................................................................................................................12
Knie (VKB, meniscus, PFPS)...................................................................................................................17
Collaterale banden...........................................................................................................................17
Voorste kruisband, VKB....................................................................................................................18
Meniscectomie.................................................................................................................................22
Anamnese.....................................................................................................................................23
Behandeling..................................................................................................................................24
PFPS..................................................................................................................................................27
Nekpijn.................................................................................................................................................29
Diagnostisch proces..........................................................................................................................29
Screening......................................................................................................................................30
Anamnese.....................................................................................................................................30
Therapeutisch proces.......................................................................................................................31
Hoofdpijn..............................................................................................................................................34
Lage rug................................................................................................................................................36
Rode vlaggen....................................................................................................................................37
Aandachtspunten in de anamnese rugpijn:......................................................................................38
SI problemen....................................................................................................................................38
Elleboog/pols........................................................................................................................................40
,Liespijn..................................................................................................................................................42
LAGP = Longstanding Adduction-related Groin Pain ........................................................................42
FAI (Femoraal Acetabelair Impingement).........................................................................................43
Test: FADIR ..................................................................................................................................43
Interventies bij Liesklachten: ...........................................................................................................43
Onderzoek van sporter met pijnlijke pees............................................................................................44
Algemene interventie tendinopathie: ..............................................................................................44
Achillespees ruptuur.............................................................................................................................45
Therapie en revalidatie peesruptuur................................................................................................45
Werkgerelateerde klachten..................................................................................................................46
Pijn- of tijdcontingent.......................................................................................................................47
Graded Activity/Graded exposure....................................................................................................47
Graded activity bij lage rugklachten:................................................................................................48
Vragenlijsten.........................................................................................................................................50
Bewegingsangst - TSK (Tampa Scale of Kinesiophobia)....................................................................50
VKB - Tegner: niveau score...............................................................................................................50
,Algemeen
Algemene tips
Vanuit anamnese PSK, voedingsbodem voor ADL
PSK bijvoorbeeld: reiken, na 1x of meerdere keren?
Schuin reiken, achter je reiken, krijg een volledig beeld. Welke bewegingen zijn provocerend?
Passief natesten eventueel
- VAS gebruiken of NPRS
- laatste 7 dagen
- hoe is het nu?
Tijdens onderzoek ook VAS gebruiken
- hoe is het nu?
- loopt het weer terug?
Bindweefselherstel
, Police Regel
Protect -> eerste dagen weinig belasting
Optimum Loading -> Belasting binnen pijngrens
Ice -> minder zwelling en minder pijn
Compression -> tegen zwelling
Elevation -> tegen zwelling
Continuum Cook en Durham Tendinopathy
