Academiejaar
2022 - 2023
Onderste extremiteit: praktijk
Gabriëlle Van Eekert
,Inhoudsopgave
Complexe enkelinstabiliteit – W. Waterschoot ...................................................................................................... 5
Case 1 ....................................................................................................................................................................... 5
Chronic ankle instability ........................................................................................................................................... 8
Ottawa ankle rules ................................................................................................................................................. 10
Case 1 ..................................................................................................................................................................... 11
Case 2: Bone stress injury (BSI) .............................................................................................................................. 12
Bone stress injury (BSI) ........................................................................................................................................... 13
Running injuries – W. Waterschoot...................................................................................................................... 18
Klinisch onderzoek .................................................................................................................................................. 21
Noble ...................................................................................................................................................................... 21
Renne ..................................................................................................................................................................... 21
McMurray .............................................................................................................................................................. 21
Appley .................................................................................................................................................................... 22
Thessaly .................................................................................................................................................................. 22
Varus/valgus .......................................................................................................................................................... 22
Palpatie Steinmann ................................................................................................................................................ 22
Casus ...................................................................................................................................................................... 23
Running injuries scientific evidence ........................................................................................................................ 24
Behandeldoelen & return to sport: load en load capacity ..................................................................................... 25
Pelvic girdle pain – W. Waterschoot .................................................................................................................... 29
Casus ...................................................................................................................................................................... 29
Definitie en epidemiologie ..................................................................................................................................... 30
Pijnmechanismen ................................................................................................................................................... 30
Pijn comorbiditeiten ............................................................................................................................................... 32
Classificatie ............................................................................................................................................................ 32
Klinisch redeneren - anamnese .............................................................................................................................. 35
Klinisch redeneren – klinisch onderzoek ................................................................................................................. 35
Casus ...................................................................................................................................................................... 36
Redcord 1 – D. Lambeets ..................................................................................................................................... 37
Oefentherapie – behandeling – motorische controle ............................................................................................. 39
Redcord 2 - D. Lambeets ...................................................................................................................................... 41
Prone position (Jelle) .............................................................................................................................................. 41
Prone position (Cédric) ........................................................................................................................................... 41
Sidelying position ................................................................................................................................................... 42
Contra-indicaties: ................................................................................................................................................... 43
Casuïstiek – K. Everaerts ...................................................................................................................................... 44
Casus 1 ................................................................................................................................................................... 44
Casus 2 ................................................................................................................................................................... 48
,Onderste Extremiteit &LBP – Communicatie – S. Van Dijk ................................................................................... 49
Werkpakket Communicatieve vaardigheden in de brede MSK-context ................................................................. 49
Ziektepercepties begrijpen en inventariseren ........................................................................................................ 50
Common Sense Model ...................................................................................................................................... 50
Hoe bevraag je de ziektepercepties? ................................................................................................................ 53
Communicatieve vaardigheden.............................................................................................................................. 55
Patiëntgericht communiceren ........................................................................................................................... 56
Basishoudingen in patiëntgerichte communicatie ............................................................................................ 56
Calgary-Cambridge Observatielijst .................................................................................................................... 56
Shared Decision Making ......................................................................................................................................... 57
Wat is Shared Decision Making (SDM)? ............................................................................................................ 57
Hoe SDM toepassen? ........................................................................................................................................ 58
SDM als kinesitherapeut ................................................................................................................................... 59
Artikel 1 (De Morgen) ............................................................................................................................................. 61
Artikel 2: ................................................................................................................................................................. 62
Onderzoek knie – L. Poppe................................................................................................................................... 63
Voorbereiding......................................................................................................................................................... 63
Palpaties: adductoren ............................................................................................................................................ 64
Casus NVC .............................................................................................................................................................. 64
Conservatieve behandeling van intra-articulaire pathologieën – L.Poppe............................................................ 73
Casus E.V. ............................................................................................................................................................... 73
De stijve patiënt - L. Poppe .................................................................................................................................. 85
Casus ...................................................................................................................................................................... 85
Foamrollen ............................................................................................................................................................. 85
Percussive massage treatment .............................................................................................................................. 88
Stretching ............................................................................................................................................................... 88
Foamrollen + stretchen .......................................................................................................................................... 89
Training .................................................................................................................................................................. 90
Blood Flow Restriction Training in revalidatie – L.Poppe ..................................................................................... 93
Casus: B.M. ............................................................................................................................................................. 93
Hoe kan BFR de revalidatie bevorderen? ............................................................................................................... 94
High quality research ............................................................................................................................................. 99
Veiligheid.............................................................................................................................................................. 102
Casus B.M: resultaten .......................................................................................................................................... 103
Praktijk ................................................................................................................................................................. 104
Notities: ................................................................................................................................................................ 105
Specificiteit van oefentherapie – T. Debaerdemaecker ...................................................................................... 106
Specifieke oefentherapie ...................................................................................................................................... 106
Taakspecifiek ................................................................................................................................................... 107
Mediatoren ..................................................................................................................................................... 108
Regiospecificiteit ............................................................................................................................................. 110
Specifiek weefselletsel/blessure ..................................................................................................................... 113
Coping strategieën .......................................................................................................................................... 113
, Webinar zenuwgerelateerde klachten – T. Debaerdemaecker ........................................................................... 115
Differentiaaldiagnose ........................................................................................................................................... 115
Zenuwgerelateerde letsels: onderzoek – T.Debaerdemaecker ........................................................................... 122
Casus 1: Summer .................................................................................................................................................. 122
Casus 2: Freddy .................................................................................................................................................... 125
Zenuwgerelateerde klachten: behandeling – T. Debaerdemaecker ................................................................... 131
Educatie................................................................................................................................................................ 131
Identiteit .......................................................................................................................................................... 131
Oorzaak ........................................................................................................................................................... 131
Tijdlijn .............................................................................................................................................................. 131
Prognose.......................................................................................................................................................... 131
Risicofactoren .................................................................................................................................................. 132
Controle:.......................................................................................................................................................... 132
Farmacologie ....................................................................................................................................................... 133
Oefentherapie ...................................................................................................................................................... 134
Manuele therapie ................................................................................................................................................. 136
Differentiaal diagnose .......................................................................................................................................... 137
Casuïstiek & regionaal onderzoek - I.Demeure.................................................................................................. 138
Casus .................................................................................................................................................................... 138
Onderzoek lumbopelvische regio ......................................................................................................................... 139
Actief 3D regionaal .......................................................................................................................................... 140
Passief 3D regionaal ........................................................................................................................................ 140
Onderzoek: passief 3D segmentaal ................................................................................................................. 141
Onderzoek: motorische controle .......................................................................................................................... 142
Triggerpunten .................................................................................................................................................. 143
Behandeling ......................................................................................................................................................... 145
Casus .................................................................................................................................................................... 145
Oefentherapie bij lumbopelvische klachten – I. Demeure.................................................................................. 147
Patiënt 1: acuut LRK; hockeyspeler 22 j (student) ................................................................................................ 147
Casus 2: specifieke LRK: turnster 15 jaar .............................................................................................................. 149
Herhalingsles lumbopelvische regio – I.Demeure............................................................................................... 150
2022 - 2023
Onderste extremiteit: praktijk
Gabriëlle Van Eekert
,Inhoudsopgave
Complexe enkelinstabiliteit – W. Waterschoot ...................................................................................................... 5
Case 1 ....................................................................................................................................................................... 5
Chronic ankle instability ........................................................................................................................................... 8
Ottawa ankle rules ................................................................................................................................................. 10
Case 1 ..................................................................................................................................................................... 11
Case 2: Bone stress injury (BSI) .............................................................................................................................. 12
Bone stress injury (BSI) ........................................................................................................................................... 13
Running injuries – W. Waterschoot...................................................................................................................... 18
Klinisch onderzoek .................................................................................................................................................. 21
Noble ...................................................................................................................................................................... 21
Renne ..................................................................................................................................................................... 21
McMurray .............................................................................................................................................................. 21
Appley .................................................................................................................................................................... 22
Thessaly .................................................................................................................................................................. 22
Varus/valgus .......................................................................................................................................................... 22
Palpatie Steinmann ................................................................................................................................................ 22
Casus ...................................................................................................................................................................... 23
Running injuries scientific evidence ........................................................................................................................ 24
Behandeldoelen & return to sport: load en load capacity ..................................................................................... 25
Pelvic girdle pain – W. Waterschoot .................................................................................................................... 29
Casus ...................................................................................................................................................................... 29
Definitie en epidemiologie ..................................................................................................................................... 30
Pijnmechanismen ................................................................................................................................................... 30
Pijn comorbiditeiten ............................................................................................................................................... 32
Classificatie ............................................................................................................................................................ 32
Klinisch redeneren - anamnese .............................................................................................................................. 35
Klinisch redeneren – klinisch onderzoek ................................................................................................................. 35
Casus ...................................................................................................................................................................... 36
Redcord 1 – D. Lambeets ..................................................................................................................................... 37
Oefentherapie – behandeling – motorische controle ............................................................................................. 39
Redcord 2 - D. Lambeets ...................................................................................................................................... 41
Prone position (Jelle) .............................................................................................................................................. 41
Prone position (Cédric) ........................................................................................................................................... 41
Sidelying position ................................................................................................................................................... 42
Contra-indicaties: ................................................................................................................................................... 43
Casuïstiek – K. Everaerts ...................................................................................................................................... 44
Casus 1 ................................................................................................................................................................... 44
Casus 2 ................................................................................................................................................................... 48
,Onderste Extremiteit &LBP – Communicatie – S. Van Dijk ................................................................................... 49
Werkpakket Communicatieve vaardigheden in de brede MSK-context ................................................................. 49
Ziektepercepties begrijpen en inventariseren ........................................................................................................ 50
Common Sense Model ...................................................................................................................................... 50
Hoe bevraag je de ziektepercepties? ................................................................................................................ 53
Communicatieve vaardigheden.............................................................................................................................. 55
Patiëntgericht communiceren ........................................................................................................................... 56
Basishoudingen in patiëntgerichte communicatie ............................................................................................ 56
Calgary-Cambridge Observatielijst .................................................................................................................... 56
Shared Decision Making ......................................................................................................................................... 57
Wat is Shared Decision Making (SDM)? ............................................................................................................ 57
Hoe SDM toepassen? ........................................................................................................................................ 58
SDM als kinesitherapeut ................................................................................................................................... 59
Artikel 1 (De Morgen) ............................................................................................................................................. 61
Artikel 2: ................................................................................................................................................................. 62
Onderzoek knie – L. Poppe................................................................................................................................... 63
Voorbereiding......................................................................................................................................................... 63
Palpaties: adductoren ............................................................................................................................................ 64
Casus NVC .............................................................................................................................................................. 64
Conservatieve behandeling van intra-articulaire pathologieën – L.Poppe............................................................ 73
Casus E.V. ............................................................................................................................................................... 73
De stijve patiënt - L. Poppe .................................................................................................................................. 85
Casus ...................................................................................................................................................................... 85
Foamrollen ............................................................................................................................................................. 85
Percussive massage treatment .............................................................................................................................. 88
Stretching ............................................................................................................................................................... 88
Foamrollen + stretchen .......................................................................................................................................... 89
Training .................................................................................................................................................................. 90
Blood Flow Restriction Training in revalidatie – L.Poppe ..................................................................................... 93
Casus: B.M. ............................................................................................................................................................. 93
Hoe kan BFR de revalidatie bevorderen? ............................................................................................................... 94
High quality research ............................................................................................................................................. 99
Veiligheid.............................................................................................................................................................. 102
Casus B.M: resultaten .......................................................................................................................................... 103
Praktijk ................................................................................................................................................................. 104
Notities: ................................................................................................................................................................ 105
Specificiteit van oefentherapie – T. Debaerdemaecker ...................................................................................... 106
Specifieke oefentherapie ...................................................................................................................................... 106
Taakspecifiek ................................................................................................................................................... 107
Mediatoren ..................................................................................................................................................... 108
Regiospecificiteit ............................................................................................................................................. 110
Specifiek weefselletsel/blessure ..................................................................................................................... 113
Coping strategieën .......................................................................................................................................... 113
, Webinar zenuwgerelateerde klachten – T. Debaerdemaecker ........................................................................... 115
Differentiaaldiagnose ........................................................................................................................................... 115
Zenuwgerelateerde letsels: onderzoek – T.Debaerdemaecker ........................................................................... 122
Casus 1: Summer .................................................................................................................................................. 122
Casus 2: Freddy .................................................................................................................................................... 125
Zenuwgerelateerde klachten: behandeling – T. Debaerdemaecker ................................................................... 131
Educatie................................................................................................................................................................ 131
Identiteit .......................................................................................................................................................... 131
Oorzaak ........................................................................................................................................................... 131
Tijdlijn .............................................................................................................................................................. 131
Prognose.......................................................................................................................................................... 131
Risicofactoren .................................................................................................................................................. 132
Controle:.......................................................................................................................................................... 132
Farmacologie ....................................................................................................................................................... 133
Oefentherapie ...................................................................................................................................................... 134
Manuele therapie ................................................................................................................................................. 136
Differentiaal diagnose .......................................................................................................................................... 137
Casuïstiek & regionaal onderzoek - I.Demeure.................................................................................................. 138
Casus .................................................................................................................................................................... 138
Onderzoek lumbopelvische regio ......................................................................................................................... 139
Actief 3D regionaal .......................................................................................................................................... 140
Passief 3D regionaal ........................................................................................................................................ 140
Onderzoek: passief 3D segmentaal ................................................................................................................. 141
Onderzoek: motorische controle .......................................................................................................................... 142
Triggerpunten .................................................................................................................................................. 143
Behandeling ......................................................................................................................................................... 145
Casus .................................................................................................................................................................... 145
Oefentherapie bij lumbopelvische klachten – I. Demeure.................................................................................. 147
Patiënt 1: acuut LRK; hockeyspeler 22 j (student) ................................................................................................ 147
Casus 2: specifieke LRK: turnster 15 jaar .............................................................................................................. 149
Herhalingsles lumbopelvische regio – I.Demeure............................................................................................... 150
