Body of skills
Algemeen __________________________________________________________________________________ 5
Infectie __________________________________________________________________________________ 5
Tendinopathie ____________________________________________________________________________ 6
Artrose __________________________________________________________________________________ 7
Behandeling _______________________________________________________________________________ 10
Mobiliseren _____________________________________________________________________________ 10
Motor control ___________________________________________________________________________ 10
Tendinopathie ___________________________________________________________________________ 10
Lumbale wervelkolom ______________________________________________________________________ 11
Anatomie _______________________________________________________________________________ 11
Pathologie ______________________________________________________________________________ 13
Osteoporose __________________________________________________________________________ 13
Kanaalstenose ________________________________________________________________________ 14
Radiculair beeld _______________________________________________________________________ 15
Cauda Equina syndroom ________________________________________________________________ 17
Spondylolysthesis ______________________________________________________________________ 18
Testen _________________________________________________________________________________ 19
SLR test (straight leg raise) ______________________________________________________________ 19
Vinger-bodemafstand __________________________________________________________________ 20
Prone knee bend test ___________________________________________________________________ 20
Slump test ___________________________________________________________________________ 21
Achilles- en kniepeesreflexen ____________________________________________________________ 21
Krachttesten van myotomen _____________________________________________________________ 22
Sensibiliteitstest (dermatomen) __________________________________________________________ 22
Luomajoki ____________________________________________________________________________ 23
SI-gewricht ________________________________________________________________________________ 24
Pathologie ______________________________________________________________________________ 24
Ziekte van Bechterew __________________________________________________________________ 24
Zwangerschap gerelateerde bekkenklachten ________________________________________________ 25
Testen _________________________________________________________________________________ 26
Van der Wurff_________________________________________________________________________ 26
- Distraction test/ gapping test (v.d.Wurff) ______________________________________________ 26
- Compression test (v.d.Wurff) ________________________________________________________ 26
- Thigh thrust test (v.d.Wurff) ________________________________________________________ 26
- Gaenslen's test (v.d.Wurff) _________________________________________________________ 26
- Patrick sign (v.d.Wurff) ____________________________________________________________ 26
Cervicale wervelkolom ______________________________________________________________________ 27
Anatomie _______________________________________________________________________________ 27
Pathologie ______________________________________________________________________________ 28
Spanningshoofdpijn ____________________________________________________________________ 28
Cervicogene hoofdpijn __________________________________________________________________ 29
Cervicale Myelopathie __________________________________________________________________ 30
Referred pain _________________________________________________________________________ 31
TOS (thoracic outlet syndroom) __________________________________________________________ 32
, Testen _________________________________________________________________________________ 33
Romberg _____________________________________________________________________________ 33
Babinski _____________________________________________________________________________ 33
Pees reflexen _________________________________________________________________________ 34
Brachialispees reflex C6 _________________________________________________________________ 34
Cluster van Wainner ___________________________________________________________________ 35
- ULTT (Wainner) __________________________________________________________________ 35
- Actieve rotatie CWK (Wainner) ______________________________________________________ 35
- Distraction (Wainner) ______________________________________________________________ 35
- Spurling (Wainner) ________________________________________________________________ 35
Krachttesten van myotomen _____________________________________________________________ 36
Sensibiliteitstesten (dermatomen) ________________________________________________________ 36
Schouder _________________________________________________________________________________ 37
Anatomie art. Humeri _____________________________________________________________________ 37
Pathologie ______________________________________________________________________________ 38
Impingement schouder extern ___________________________________________________________ 38
Impingement schouder intern ____________________________________________________________ 39
Hyperlaxiteit habituele sub luxaties _______________________________________________________ 40
Bursitis ______________________________________________________________________________ 41
Labrumletsel__________________________________________________________________________ 42
AC-gerelateerde klachten _______________________________________________________________ 43
SC-gerelateerde klachten _______________________________________________________________ 44
Frozen schoulder ______________________________________________________________________ 45
Testen _________________________________________________________________________________ 46
Hyperabductie test (HAT) _______________________________________________________________ 46
Horizontale retroflexie & abductie test ____________________________________________________ 46
Posterior Jerk _________________________________________________________________________ 46
Lag Sign ______________________________________________________________________________ 47
- External rotation (lag sign) _________________________________________________________ 47
- Drop test (lag sign) ________________________________________________________________ 47
- Full can/ empty can test (Lag sign) ___________________________________________________ 47
Lift off test ___________________________________________________________________________ 48
Bear hug test _________________________________________________________________________ 48
Pianotoets fenomeen __________________________________________________________________ 48
Gemodificeerde Scapular Assist test _______________________________________________________ 49
Test van Roos (TOS-provocatietesten) _____________________________________________________ 49
Elleboog __________________________________________________________________________________ 50
Anatomie art. Cubiti ______________________________________________________________________ 50
Pathologie ___________________________________________________________________________ 51
Laterale epicondyalgie (tennis elleboog) ___________________________________________________ 51
Mediale epicondyalgie (golfers elleboog) _____________________________________________________ 52
Testen _______________________________________________________________________________ 53
Laterale & Mediale epicondyalgie _________________________________________________________ 53
Varus stress test (RCL) Lateraal ___________________________________________________________ 53
Valgus stress test (UCL) Mediaal __________________________________________________________ 53
Pols/ Hand ________________________________________________________________________________ 54
Anatomie _______________________________________________________________________________ 54
Pathologie ___________________________________________________________________________ 55
Carpaletunnelsyndroom ________________________________________________________________ 55
Ganglion _____________________________________________________________________________ 57
Quervain _____________________________________________________________________________ 58
2
, Dupuytren ___________________________________________________________________________ 59
Testen _________________________________________________________________________________ 60
Watson test (Scaphoid shift-test) _________________________________________________________ 60
Palpatie verdenking SL-dissociatie ________________________________________________________ 60
Midcarpal shift test “Catch-up clunk” ______________________________________________________ 60
TFCC-compressie test __________________________________________________________________ 60
Tinel-Hoffmann sign ____________________________________________________________________ 61
Sensibiliteitstests perifere zenuwen _______________________________________________________ 61
Heup _____________________________________________________________________________________ 62
Anatomie _______________________________________________________________________________ 62
Pathologie ___________________________________________________________________________ 64
Femoroactubulaire impingement (FAI) _____________________________________________________ 64
Iliopsoas gerelateerde pijnklachten _______________________________________________________ 65
Labrum letsel heup ____________________________________________________________________ 66
Laterale heuppijn ______________________________________________________________________ 67
Posterieure heuppijn ___________________________________________________________________ 67
Testen _______________________________________________________________________________ 68
Holmich spierruptuur (onderzoek) ________________________________________________________ 68
____________________________________________________________________________________ 69
FABER _______________________________________________________________________________ 69
FADDIR ______________________________________________________________________________ 69
Strech/ prococvatie & palpatie differentieren _______________________________________________ 70
Knie _____________________________________________________________________________________ 71
Anatomie art. Genu ______________________________________________________________________ 71
Pathologie ______________________________________________________________________________ 72
Patellofemorale klachten________________________________________________________________ 72
Patella tendinitis ______________________________________________________________________ 73
Quadriceps tendinitis ___________________________________________________________________ 74
Kraakbeen defecten ____________________________________________________________________ 75
Testen _________________________________________________________________________________ 76
Hydrops fluctuatie _____________________________________________________________________ 76
Lachman (ACL _________________________________________________________________________ 76
Pivot shift (ACL) _______________________________________________________________________ 76
Jointline tenderness (meniscus) __________________________________________________________ 77
Forced flexion (meniscus) _______________________________________________________________ 77
____________________________________________________________________________________ 77
Forced extension (meniscus) _____________________________________________________________ 77
McMurray (meniscus) __________________________________________________________________ 77
Posterior sag sign (PCL) _________________________________________________________________ 78
Ottawa knee rules _____________________________________________________________________ 78
Palpatie patellapees (tendinopathie) ______________________________________________________ 78
Varus stress test (LCL) __________________________________________________________________ 79
Valgus stress test (MCL) _________________________________________________________________ 79
Patella apprehension (patellainstabiliteit) __________________________________________________ 79
PFPS-provocatie tests/ Clarke’s sign _______________________________________________________ 80
Test van Noble (ITBS) ___________________________________________________________________ 80
Enkel_____________________________________________________________________________________ 81
Anatomie _______________________________________________________________________________ 81
____________________________________________________________________________________ 81
Pathologie ______________________________________________________________________________ 83
3
, Mediaal tibiaal stress-syndroom (MTSS)____________________________________________________ 83
Fascitis Plantaris _______________________________________________________________________ 84
Stressfractuur _________________________________________________________________________ 85
Charcot-voet _________________________________________________________________________ 86
Testen _________________________________________________________________________________ 87
Ottawa ankle rules _____________________________________________________________________ 87
Exorotatie stress test (Kleiger) ___________________________________________________________ 87
Schuiflade test ________________________________________________________________________ 87
Thomson/ Simmonds test _______________________________________________________________ 87
Sensibiliteitstests perifere zenuwen (OE) ___________________________________________________ 88
Palpatie (Achilles/ MTSS) ________________________________________________________________ 88
Palpatie enthesis fascia plantaris _________________________________________________________ 88
4
Algemeen __________________________________________________________________________________ 5
Infectie __________________________________________________________________________________ 5
Tendinopathie ____________________________________________________________________________ 6
Artrose __________________________________________________________________________________ 7
Behandeling _______________________________________________________________________________ 10
Mobiliseren _____________________________________________________________________________ 10
Motor control ___________________________________________________________________________ 10
Tendinopathie ___________________________________________________________________________ 10
Lumbale wervelkolom ______________________________________________________________________ 11
Anatomie _______________________________________________________________________________ 11
Pathologie ______________________________________________________________________________ 13
Osteoporose __________________________________________________________________________ 13
Kanaalstenose ________________________________________________________________________ 14
Radiculair beeld _______________________________________________________________________ 15
Cauda Equina syndroom ________________________________________________________________ 17
Spondylolysthesis ______________________________________________________________________ 18
Testen _________________________________________________________________________________ 19
SLR test (straight leg raise) ______________________________________________________________ 19
Vinger-bodemafstand __________________________________________________________________ 20
Prone knee bend test ___________________________________________________________________ 20
Slump test ___________________________________________________________________________ 21
Achilles- en kniepeesreflexen ____________________________________________________________ 21
Krachttesten van myotomen _____________________________________________________________ 22
Sensibiliteitstest (dermatomen) __________________________________________________________ 22
Luomajoki ____________________________________________________________________________ 23
SI-gewricht ________________________________________________________________________________ 24
Pathologie ______________________________________________________________________________ 24
Ziekte van Bechterew __________________________________________________________________ 24
Zwangerschap gerelateerde bekkenklachten ________________________________________________ 25
Testen _________________________________________________________________________________ 26
Van der Wurff_________________________________________________________________________ 26
- Distraction test/ gapping test (v.d.Wurff) ______________________________________________ 26
- Compression test (v.d.Wurff) ________________________________________________________ 26
- Thigh thrust test (v.d.Wurff) ________________________________________________________ 26
- Gaenslen's test (v.d.Wurff) _________________________________________________________ 26
- Patrick sign (v.d.Wurff) ____________________________________________________________ 26
Cervicale wervelkolom ______________________________________________________________________ 27
Anatomie _______________________________________________________________________________ 27
Pathologie ______________________________________________________________________________ 28
Spanningshoofdpijn ____________________________________________________________________ 28
Cervicogene hoofdpijn __________________________________________________________________ 29
Cervicale Myelopathie __________________________________________________________________ 30
Referred pain _________________________________________________________________________ 31
TOS (thoracic outlet syndroom) __________________________________________________________ 32
, Testen _________________________________________________________________________________ 33
Romberg _____________________________________________________________________________ 33
Babinski _____________________________________________________________________________ 33
Pees reflexen _________________________________________________________________________ 34
Brachialispees reflex C6 _________________________________________________________________ 34
Cluster van Wainner ___________________________________________________________________ 35
- ULTT (Wainner) __________________________________________________________________ 35
- Actieve rotatie CWK (Wainner) ______________________________________________________ 35
- Distraction (Wainner) ______________________________________________________________ 35
- Spurling (Wainner) ________________________________________________________________ 35
Krachttesten van myotomen _____________________________________________________________ 36
Sensibiliteitstesten (dermatomen) ________________________________________________________ 36
Schouder _________________________________________________________________________________ 37
Anatomie art. Humeri _____________________________________________________________________ 37
Pathologie ______________________________________________________________________________ 38
Impingement schouder extern ___________________________________________________________ 38
Impingement schouder intern ____________________________________________________________ 39
Hyperlaxiteit habituele sub luxaties _______________________________________________________ 40
Bursitis ______________________________________________________________________________ 41
Labrumletsel__________________________________________________________________________ 42
AC-gerelateerde klachten _______________________________________________________________ 43
SC-gerelateerde klachten _______________________________________________________________ 44
Frozen schoulder ______________________________________________________________________ 45
Testen _________________________________________________________________________________ 46
Hyperabductie test (HAT) _______________________________________________________________ 46
Horizontale retroflexie & abductie test ____________________________________________________ 46
Posterior Jerk _________________________________________________________________________ 46
Lag Sign ______________________________________________________________________________ 47
- External rotation (lag sign) _________________________________________________________ 47
- Drop test (lag sign) ________________________________________________________________ 47
- Full can/ empty can test (Lag sign) ___________________________________________________ 47
Lift off test ___________________________________________________________________________ 48
Bear hug test _________________________________________________________________________ 48
Pianotoets fenomeen __________________________________________________________________ 48
Gemodificeerde Scapular Assist test _______________________________________________________ 49
Test van Roos (TOS-provocatietesten) _____________________________________________________ 49
Elleboog __________________________________________________________________________________ 50
Anatomie art. Cubiti ______________________________________________________________________ 50
Pathologie ___________________________________________________________________________ 51
Laterale epicondyalgie (tennis elleboog) ___________________________________________________ 51
Mediale epicondyalgie (golfers elleboog) _____________________________________________________ 52
Testen _______________________________________________________________________________ 53
Laterale & Mediale epicondyalgie _________________________________________________________ 53
Varus stress test (RCL) Lateraal ___________________________________________________________ 53
Valgus stress test (UCL) Mediaal __________________________________________________________ 53
Pols/ Hand ________________________________________________________________________________ 54
Anatomie _______________________________________________________________________________ 54
Pathologie ___________________________________________________________________________ 55
Carpaletunnelsyndroom ________________________________________________________________ 55
Ganglion _____________________________________________________________________________ 57
Quervain _____________________________________________________________________________ 58
2
, Dupuytren ___________________________________________________________________________ 59
Testen _________________________________________________________________________________ 60
Watson test (Scaphoid shift-test) _________________________________________________________ 60
Palpatie verdenking SL-dissociatie ________________________________________________________ 60
Midcarpal shift test “Catch-up clunk” ______________________________________________________ 60
TFCC-compressie test __________________________________________________________________ 60
Tinel-Hoffmann sign ____________________________________________________________________ 61
Sensibiliteitstests perifere zenuwen _______________________________________________________ 61
Heup _____________________________________________________________________________________ 62
Anatomie _______________________________________________________________________________ 62
Pathologie ___________________________________________________________________________ 64
Femoroactubulaire impingement (FAI) _____________________________________________________ 64
Iliopsoas gerelateerde pijnklachten _______________________________________________________ 65
Labrum letsel heup ____________________________________________________________________ 66
Laterale heuppijn ______________________________________________________________________ 67
Posterieure heuppijn ___________________________________________________________________ 67
Testen _______________________________________________________________________________ 68
Holmich spierruptuur (onderzoek) ________________________________________________________ 68
____________________________________________________________________________________ 69
FABER _______________________________________________________________________________ 69
FADDIR ______________________________________________________________________________ 69
Strech/ prococvatie & palpatie differentieren _______________________________________________ 70
Knie _____________________________________________________________________________________ 71
Anatomie art. Genu ______________________________________________________________________ 71
Pathologie ______________________________________________________________________________ 72
Patellofemorale klachten________________________________________________________________ 72
Patella tendinitis ______________________________________________________________________ 73
Quadriceps tendinitis ___________________________________________________________________ 74
Kraakbeen defecten ____________________________________________________________________ 75
Testen _________________________________________________________________________________ 76
Hydrops fluctuatie _____________________________________________________________________ 76
Lachman (ACL _________________________________________________________________________ 76
Pivot shift (ACL) _______________________________________________________________________ 76
Jointline tenderness (meniscus) __________________________________________________________ 77
Forced flexion (meniscus) _______________________________________________________________ 77
____________________________________________________________________________________ 77
Forced extension (meniscus) _____________________________________________________________ 77
McMurray (meniscus) __________________________________________________________________ 77
Posterior sag sign (PCL) _________________________________________________________________ 78
Ottawa knee rules _____________________________________________________________________ 78
Palpatie patellapees (tendinopathie) ______________________________________________________ 78
Varus stress test (LCL) __________________________________________________________________ 79
Valgus stress test (MCL) _________________________________________________________________ 79
Patella apprehension (patellainstabiliteit) __________________________________________________ 79
PFPS-provocatie tests/ Clarke’s sign _______________________________________________________ 80
Test van Noble (ITBS) ___________________________________________________________________ 80
Enkel_____________________________________________________________________________________ 81
Anatomie _______________________________________________________________________________ 81
____________________________________________________________________________________ 81
Pathologie ______________________________________________________________________________ 83
3
, Mediaal tibiaal stress-syndroom (MTSS)____________________________________________________ 83
Fascitis Plantaris _______________________________________________________________________ 84
Stressfractuur _________________________________________________________________________ 85
Charcot-voet _________________________________________________________________________ 86
Testen _________________________________________________________________________________ 87
Ottawa ankle rules _____________________________________________________________________ 87
Exorotatie stress test (Kleiger) ___________________________________________________________ 87
Schuiflade test ________________________________________________________________________ 87
Thomson/ Simmonds test _______________________________________________________________ 87
Sensibiliteitstests perifere zenuwen (OE) ___________________________________________________ 88
Palpatie (Achilles/ MTSS) ________________________________________________________________ 88
Palpatie enthesis fascia plantaris _________________________________________________________ 88
4
