Praktijk samenvatting blok 1.2 (bovenste extremiteit)

Fysiotherapeutisch onderzoek &
behandeling schouder, elleboog en
1-1-2017 pols/hand

Inhoudsopgave
Fysiotherapeutisch onderzoek schouder .......................................................................... 4
Tractie ............................................................................................................................ 4
Translatie voor abductie ................................................................................................. 4
Translatie voor exorotatie ............................................................................................... 4
Translatie voor endorotatie ............................................................................................. 4
Onderzoek Glenohumerale gewricht .............................................................................. 4
Onderzoek AC- & SC-gewricht ........................................................................................ 5
Tractie ............................................................................................................................ 5
Translatie ....................................................................................................................... 5
Specifieke testen voor subacromiale klachten .............................................................. 5
Neer impingement test (pijn)........................................................................................... 5
Hawkins-Kennedy impingement test (pijn) ...................................................................... 5
Empty can & full can (spierkracht verlies) ....................................................................... 5
Drop-arm test (spierkrachtverlies) .................................................................................. 6
Lag of Spring Back testen ............................................................................................... 6
Lateral Rotation Lag sign................................................................................................ 6
External Rotation Sign .................................................................................................... 6
Internal Rotation Lag Sign .............................................................................................. 6
Testen voor onderzoeken glenohumerale stabiliteit ..................................................... 7
Apprehension test .......................................................................................................... 7
Relocation & release test................................................................................................ 7
Load & shift test.............................................................................................................. 7
Fysiotherapeutische behandeling schouder ..................................................................... 7
Pijndemping door mobilisering voor het glenohumerale gewricht .............................. 7
Tractie ............................................................................................................................ 7
Translatie voor abductie ................................................................................................. 7
Translatie voor exorotatie ............................................................................................... 8
Translatie voor endorotatie ............................................................................................. 8
Pijndemping door mobilisering voor AC- en SC-gewricht ............................................ 8
Tractie ............................................................................................................................ 8
Translatie ....................................................................................................................... 8
Mobilisering van het scapulo-thoracale glijvlak ............................................................ 9
Mobilisering .................................................................................................................... 9



Manon van Aurich | HANZE HOGESCHOOL GRONINGEN

,2 Fysiotherapeutisch onderzoek & behandeling schouder, elleboog en pols/hand.



Pijndemping door mobilisering middels MWM-techniek .............................................10
Anteflexie ......................................................................................................................10
Exorotatie ......................................................................................................................10
Endorotatie ....................................................................................................................10
Fysiotherapeutisch onderzoek CWK ................................................................................11
Testen voor de verdenking bij inklemming van de cervicale zenuwwortels ..............11
Oriënterende testen voor doorgankelijkheid van de arteria vertebralis .....................11
Cervical quadrant test ...................................................................................................11
Test van Spurling ..........................................................................................................11
Jackson’s Compression test ..........................................................................................11
Onderzoek CWK ..............................................................................................................11
Tractie ...........................................................................................................................11
Fysiotherapeutische behandeling CWK ...........................................................................12
Pijndemping door mobilisering middels tractie............................................................12
Tractie CWK ..................................................................................................................12
Fysiotherapeutisch onderzoek elleboog ..........................................................................12
Tractie ter onderzoek in gewrichten ..............................................................................12
Humero-radiaire gewricht ..............................................................................................12
Humero-ulnaire gewricht ...............................................................................................12
Translatie ter onderzoek in gewrichten .........................................................................12
Humero-radiaire gewricht ..............................................................................................12
Diagnostische testen voor epicondylalgia lateralis .....................................................13
Cozen’s test ..................................................................................................................13
Mill’s test .......................................................................................................................13
Maudsley’s test .............................................................................................................13
Diagnostische testen voor epicondylalgia medialis .....................................................13
Golfer’s elbow test. ........................................................................................................13
Fysiotherapeutische behandeling elleboog .....................................................................14
Pijndemping door mobilisering middels .......................................................................14
Tracties voor elleboog ...................................................................................................14
Translaties voor elleboog ..............................................................................................14
Pijndemping door mobilisering middels MWM’s ..........................................................15
Flexie van elleboog .......................................................................................................15
Extensie van elleboog ...................................................................................................15
Bij epicondylitis lateralis.................................................................................................15
Fysiotherapeutisch onderzoek pols/hand ........................................................................16
Radiocarpaal gewricht ...................................................................................................16

, 3 Fysiotherapeutisch onderzoek & behandeling schouder, elleboog en pols/hand.



CMC I ............................................................................................................................16
MCP I t/m V ...................................................................................................................16
PIP- & DIP-gewrichten digitorum II t/m 5 .......................................................................16
Tractie ter onderzoek in gewrichten ..............................................................................16
Translatie ter onderzoek in gewrichten .........................................................................17
Radiocarpaal gewricht ...................................................................................................17
CMC I ............................................................................................................................17
MCP I t/m V ...................................................................................................................17
PIP- & DIP- gewrichten digitorum II t/m 5 ......................................................................18
Fysiotherapeutische behandeling pols/hand ...................................................................18
Pijndemping door mobilisering middels translatie voor ..............................................18
palmair- en dorsaalflexie, ulnair- en radiaaldeviatie pols................................................18
Pijndemping door mobilisering middels tractie............................................................19
Radiocarpaal gewricht ...................................................................................................19
CMC I ............................................................................................................................19
MCP I t/m V ...................................................................................................................19
PIP- en DIP- gewrichten digitorum II t/m 5 .....................................................................19