BOS MSA
1
,Inhoud
Schouder............................................................................................................................................................................................................................................ 6
Acuut ½ .......................................................................................................................................................................................................................................... 6
Beoordelen reactiviteit art. glenohumerale .............................................................................................................................................................................. 6
ROM glenohumeraal ................................................................................................................................................................................................................. 6
Specifieke testen voor kapsulaire mobiliteit ............................................................................................................................................................................. 7
Specifieke testen voor Cuff ruptuur letsel ................................................................................................................................................................................ 8
Specifieke testen voor het AC-gewricht .................................................................................................................................................................................. 11
Persisterend ½ ............................................................................................................................................................................................................................. 13
ROM art. Scapula thorecaal..................................................................................................................................................................................................... 13
Provocatietest TOS(Thoracale outlet syndroom) .................................................................................................................................................................... 18
Elleboog ........................................................................................................................................................................................................................................... 19
Acuut ½ ........................................................................................................................................................................................................................................ 19
Beoordelen reactiviteit art. cubiti ........................................................................................................................................................................................... 19
ROM art. cubiti ........................................................................................................................................................................................................................ 19
Specifieke testen voor bandletsel ........................................................................................................................................................................................... 19
Posterolaterale rotatoire instabiliteit:..................................................................................................................................................................................... 20
Persisterend..................................................................................................................................................................................................................................... 21
Testen ter bepaling van laterale of mediale epicondyalgie (= overbelasting, zoals tenniselleboog) ..................................................................................... 21
Pols .................................................................................................................................................................................................................................................. 23
Acuut ½ ........................................................................................................................................................................................................................................ 23
Beoordelen reactiviteit art. radio-carpale ............................................................................................................................................................................... 23
ROM art. radio-carpale ............................................................................................................................................................................................................ 23
2
, Specifieke testen voor de pols ................................................................................................................................................................................................. 23
Persisterend ½ ............................................................................................................................................................................................................................. 26
Specifieke pols testen .............................................................................................................................................................................................................. 26
Heup ................................................................................................................................................................................................................................................ 28
Acuut ½ ........................................................................................................................................................................................................................................ 28
ROM art. coxae ........................................................................................................................................................................................................................ 28
Specifieke test voor spierruptuur ............................................................................................................................................................................................ 28
Specifieke testen voor de heup ............................................................................................................................................................................................... 29
Persisterend ½ ............................................................................................................................................................................................................................. 30
Provocatie impingement (CAM): ............................................................................................................................................................................................. 30
Specifieke test voor spierfunctie:............................................................................................................................................................................................. 31
Knie .................................................................................................................................................................................................................................................. 34
Acuut ½ ........................................................................................................................................................................................................................................ 34
Beoordelen reactiviteit art. radio-carpale ............................................................................................................................................................................... 34
ROM art. radio-carpale ............................................................................................................................................................................................................ 34
Beoordelen indicatie Rötgenfoto (fractuur) ............................................................................................................................................................................ 35
Testen integriteit voorste kruisband ....................................................................................................................................................................................... 35
Testen integriteit achterste kruisband .................................................................................................................................................................................... 37
Specifieke testen voor bandletsel ........................................................................................................................................................................................... 38
Specifieke testen voor de meniscus ........................................................................................................................................................................................ 40
Test voor integriteit mediale patellofemoraal ligament ......................................................................................................................................................... 42
Persisterend ½ ............................................................................................................................................................................................................................. 43
Enkel ................................................................................................................................................................................................................................................ 46
3
, Acuut ½ ........................................................................................................................................................................................................................................ 46
Beoordelen reactiviteit ............................................................................................................................................................................................................ 46
ROM art. talocrurale................................................................................................................................................................................................................ 46
ROM art. subtalare .................................................................................................................................................................................................................. 46
Beoordelen indicatie Rötgenfoto (fractuur) ............................................................................................................................................................................ 47
Testen integriteit kapselbandapparaat ................................................................................................................................................................................... 47
Testen integriteit syndesmose letsel ....................................................................................................................................................................................... 48
Testen integriteit achillespees................................................................................................................................................................................................. 48
Skills loophulpmiddelen .......................................................................................................................................................................................................... 49
Persisterend ½ ............................................................................................................................................................................................................................. 49
Specifieke testen ..................................................................................................................................................................................................................... 49
Lumbale wervelkolom ..................................................................................................................................................................................................................... 50
Persisterende klachten ½ ............................................................................................................................................................................................................ 50
Inspectie .................................................................................................................................................................................................................................. 50
ROM van LWK .......................................................................................................................................................................................................................... 51
Pijnprovecatietest ter lokalisatie ............................................................................................................................................................................................. 54
Motorische controle ................................................................................................................................................................................................................ 57
Neurologisch onderzoek.......................................................................................................................................................................................................... 62
Performance tillen ................................................................................................................................................................................................................... 70
Cervicale wervelkolom ..................................................................................................................................................................................................................... 71
Persisterende klachten ½ ............................................................................................................................................................................................................. 71
ROM van CWK.......................................................................................................................................................................................................................... 71
Pijnprovecatietest ter lokalisatie.............................................................................................................................................................................................. 73
4
1
,Inhoud
Schouder............................................................................................................................................................................................................................................ 6
Acuut ½ .......................................................................................................................................................................................................................................... 6
Beoordelen reactiviteit art. glenohumerale .............................................................................................................................................................................. 6
ROM glenohumeraal ................................................................................................................................................................................................................. 6
Specifieke testen voor kapsulaire mobiliteit ............................................................................................................................................................................. 7
Specifieke testen voor Cuff ruptuur letsel ................................................................................................................................................................................ 8
Specifieke testen voor het AC-gewricht .................................................................................................................................................................................. 11
Persisterend ½ ............................................................................................................................................................................................................................. 13
ROM art. Scapula thorecaal..................................................................................................................................................................................................... 13
Provocatietest TOS(Thoracale outlet syndroom) .................................................................................................................................................................... 18
Elleboog ........................................................................................................................................................................................................................................... 19
Acuut ½ ........................................................................................................................................................................................................................................ 19
Beoordelen reactiviteit art. cubiti ........................................................................................................................................................................................... 19
ROM art. cubiti ........................................................................................................................................................................................................................ 19
Specifieke testen voor bandletsel ........................................................................................................................................................................................... 19
Posterolaterale rotatoire instabiliteit:..................................................................................................................................................................................... 20
Persisterend..................................................................................................................................................................................................................................... 21
Testen ter bepaling van laterale of mediale epicondyalgie (= overbelasting, zoals tenniselleboog) ..................................................................................... 21
Pols .................................................................................................................................................................................................................................................. 23
Acuut ½ ........................................................................................................................................................................................................................................ 23
Beoordelen reactiviteit art. radio-carpale ............................................................................................................................................................................... 23
ROM art. radio-carpale ............................................................................................................................................................................................................ 23
2
, Specifieke testen voor de pols ................................................................................................................................................................................................. 23
Persisterend ½ ............................................................................................................................................................................................................................. 26
Specifieke pols testen .............................................................................................................................................................................................................. 26
Heup ................................................................................................................................................................................................................................................ 28
Acuut ½ ........................................................................................................................................................................................................................................ 28
ROM art. coxae ........................................................................................................................................................................................................................ 28
Specifieke test voor spierruptuur ............................................................................................................................................................................................ 28
Specifieke testen voor de heup ............................................................................................................................................................................................... 29
Persisterend ½ ............................................................................................................................................................................................................................. 30
Provocatie impingement (CAM): ............................................................................................................................................................................................. 30
Specifieke test voor spierfunctie:............................................................................................................................................................................................. 31
Knie .................................................................................................................................................................................................................................................. 34
Acuut ½ ........................................................................................................................................................................................................................................ 34
Beoordelen reactiviteit art. radio-carpale ............................................................................................................................................................................... 34
ROM art. radio-carpale ............................................................................................................................................................................................................ 34
Beoordelen indicatie Rötgenfoto (fractuur) ............................................................................................................................................................................ 35
Testen integriteit voorste kruisband ....................................................................................................................................................................................... 35
Testen integriteit achterste kruisband .................................................................................................................................................................................... 37
Specifieke testen voor bandletsel ........................................................................................................................................................................................... 38
Specifieke testen voor de meniscus ........................................................................................................................................................................................ 40
Test voor integriteit mediale patellofemoraal ligament ......................................................................................................................................................... 42
Persisterend ½ ............................................................................................................................................................................................................................. 43
Enkel ................................................................................................................................................................................................................................................ 46
3
, Acuut ½ ........................................................................................................................................................................................................................................ 46
Beoordelen reactiviteit ............................................................................................................................................................................................................ 46
ROM art. talocrurale................................................................................................................................................................................................................ 46
ROM art. subtalare .................................................................................................................................................................................................................. 46
Beoordelen indicatie Rötgenfoto (fractuur) ............................................................................................................................................................................ 47
Testen integriteit kapselbandapparaat ................................................................................................................................................................................... 47
Testen integriteit syndesmose letsel ....................................................................................................................................................................................... 48
Testen integriteit achillespees................................................................................................................................................................................................. 48
Skills loophulpmiddelen .......................................................................................................................................................................................................... 49
Persisterend ½ ............................................................................................................................................................................................................................. 49
Specifieke testen ..................................................................................................................................................................................................................... 49
Lumbale wervelkolom ..................................................................................................................................................................................................................... 50
Persisterende klachten ½ ............................................................................................................................................................................................................ 50
Inspectie .................................................................................................................................................................................................................................. 50
ROM van LWK .......................................................................................................................................................................................................................... 51
Pijnprovecatietest ter lokalisatie ............................................................................................................................................................................................. 54
Motorische controle ................................................................................................................................................................................................................ 57
Neurologisch onderzoek.......................................................................................................................................................................................................... 62
Performance tillen ................................................................................................................................................................................................................... 70
Cervicale wervelkolom ..................................................................................................................................................................................................................... 71
Persisterende klachten ½ ............................................................................................................................................................................................................. 71
ROM van CWK.......................................................................................................................................................................................................................... 71
Pijnprovecatietest ter lokalisatie.............................................................................................................................................................................................. 73
4
