Samenvatting WPO
2020-2021
gedeelte
2020-2021 VUB
, Samenvatting WPO MOB 2A VUB 2020-2021
Inhoudstafel
1. Inleiding....................................................................................................................................................6
1.1. FunctieStoornissen algemeen:...........................................................................................................6
1.2. FunctieStoornissen gewricht:.............................................................................................................7
1.3. FunctieStoornissen spier en pees:......................................................................................................7
1.4. FunctieStoornissen zenuw:................................................................................................................7
1.5. FunctieStoornissen huid:....................................................................................................................7
1.6. FunctieStoornissen vestibulair:..........................................................................................................8
1.7. FunctieStoornissen beweging:...........................................................................................................8
1.8. Vervolg: brug naar therapie...............................................................................................................8
2. Enkel- Voet................................................................................................................................................9
2.1. Inspectie.............................................................................................................................................9
2.2. Palpatie............................................................................................................................................10
2.2. Actief bewegingsonderzoek.............................................................................................................11
2.2.1. Analytische bewegingen............................................................................................................12
2.2.2. Functionele bewegingen............................................................................................................12
Unipodale stand..................................................................................................................................12
Tenenstand bilateraal of unipodaal....................................................................................................14
Bilaterale squat...................................................................................................................................14
Trap op en af.......................................................................................................................................15
Actieve dorsaalflexie tijdens stappen, hielengang..............................................................................17
Star Excursion Balance test.................................................................................................................18
Multiple Hop test................................................................................................................................18
Forward lunge test..............................................................................................................................19
2.3. Passief Bewegingsonderzoek...........................................................................................................20
2.3.1. Angulair passief bewegingsonderzoek......................................................................................21
Test: Inversie van de voet...................................................................................................................21
, Samenvatting WPO MOB 2A VUB 2020-2021
Test: Eversie van de voet....................................................................................................................22
Test: Dorsaalflexie talocruraal.............................................................................................................23
Test: Plantair flexie talocruraal...........................................................................................................23
Test: Inversie subtalair gewricht.........................................................................................................24
Test: Eversie subtalair gewricht..........................................................................................................25
Test: Hallux MTP: passieve extensie...................................................................................................25
Test: MTP 1 passieve flexie.................................................................................................................26
Test: IP 1 : passieve flexie en extensie................................................................................................26
27
2.3.2. Specifieke tests.............................................................................................................................27
Test: Squeeze test: provocatietest tibiofibulaire syndesmosis............................................................27
Test: Straight Leg Raise Test................................................................................................................28
3. Knie.........................................................................................................................................................29
3.1. Inleiding...........................................................................................................................................29
3.2. Fysiologische functiestoornissen: gewricht......................................................................................30
3.3. Fysiologische functiestoornissen: spier-pees...................................................................................31
3.4. Fysiologische functiestoornissen: zenuw.........................................................................................31
3.5. Fysiologische functiestoornissen: vestibulair...................................................................................31
3.6. Fysiologische functiestoornissen: bewegingsfunctie........................................................................32
3.7. Inspectie...........................................................................................................................................32
3.8. Palpatie............................................................................................................................................32
Ballottement patellair of sterke hydrops............................................................................................32
Swipe test of matige hydrops..............................................................................................................33
OTTAWA knee rules............................................................................................................................33
3.9. Actief bewegingsonderzoek.............................................................................................................34
35
3.9.1. Analytische bewegingen............................................................................................................35
3.9.2. Functionele bewegingen............................................................................................................35
, Samenvatting WPO MOB 2A VUB 2020-2021
Hurken en rechtkomen.......................................................................................................................35
Bilaterale squat...................................................................................................................................36
Unilaterale squad................................................................................................................................37
Traplopen............................................................................................................................................37
Unipodale stand in flexie.....................................................................................................................38
Bilaterale squat met controle medio-laterale stabiliteit knie..............................................................39
Springen..............................................................................................................................................39
Trap oefening met mediaal-laterale stabiliteit....................................................................................40
3.10. Passief bewegingsonderzoek.........................................................................................................40
Flexie knie...........................................................................................................................................40
(Hyper)extensie knie...........................................................................................................................41
Valgisatie in 20° en 0° flexie................................................................................................................42
Lachman test.......................................................................................................................................43
Ventrale schuiflade.............................................................................................................................43
Posterieure schuiflade........................................................................................................................44
Joint line tenderness test....................................................................................................................45
3.11. Spiertesting....................................................................................................................................45
3.10.1. Spierlengte..............................................................................................................................46
Oriënterende lengtetest: soleus (inclinometer)..................................................................................46
Oriënterende lengtetest: hamstrings..................................................................................................47
Actieve lengtetest: hamstrings of AKE (inclinometer).........................................................................47
Passieve lengtetest: hamstrings..........................................................................................................48
Oriënterende lengtetest: quadriceps..................................................................................................48
Actieve lengtetest: quadriceps (inclinometer)....................................................................................49
Passieve lengtetest: quadriceps..........................................................................................................49
3.10.2. Spierkracht..............................................................................................................................50
Isometrische krachttesting: knieflexie.................................................................................................50
Analytische krachttesting: hamstrings................................................................................................50
2020-2021
gedeelte
2020-2021 VUB
, Samenvatting WPO MOB 2A VUB 2020-2021
Inhoudstafel
1. Inleiding....................................................................................................................................................6
1.1. FunctieStoornissen algemeen:...........................................................................................................6
1.2. FunctieStoornissen gewricht:.............................................................................................................7
1.3. FunctieStoornissen spier en pees:......................................................................................................7
1.4. FunctieStoornissen zenuw:................................................................................................................7
1.5. FunctieStoornissen huid:....................................................................................................................7
1.6. FunctieStoornissen vestibulair:..........................................................................................................8
1.7. FunctieStoornissen beweging:...........................................................................................................8
1.8. Vervolg: brug naar therapie...............................................................................................................8
2. Enkel- Voet................................................................................................................................................9
2.1. Inspectie.............................................................................................................................................9
2.2. Palpatie............................................................................................................................................10
2.2. Actief bewegingsonderzoek.............................................................................................................11
2.2.1. Analytische bewegingen............................................................................................................12
2.2.2. Functionele bewegingen............................................................................................................12
Unipodale stand..................................................................................................................................12
Tenenstand bilateraal of unipodaal....................................................................................................14
Bilaterale squat...................................................................................................................................14
Trap op en af.......................................................................................................................................15
Actieve dorsaalflexie tijdens stappen, hielengang..............................................................................17
Star Excursion Balance test.................................................................................................................18
Multiple Hop test................................................................................................................................18
Forward lunge test..............................................................................................................................19
2.3. Passief Bewegingsonderzoek...........................................................................................................20
2.3.1. Angulair passief bewegingsonderzoek......................................................................................21
Test: Inversie van de voet...................................................................................................................21
, Samenvatting WPO MOB 2A VUB 2020-2021
Test: Eversie van de voet....................................................................................................................22
Test: Dorsaalflexie talocruraal.............................................................................................................23
Test: Plantair flexie talocruraal...........................................................................................................23
Test: Inversie subtalair gewricht.........................................................................................................24
Test: Eversie subtalair gewricht..........................................................................................................25
Test: Hallux MTP: passieve extensie...................................................................................................25
Test: MTP 1 passieve flexie.................................................................................................................26
Test: IP 1 : passieve flexie en extensie................................................................................................26
27
2.3.2. Specifieke tests.............................................................................................................................27
Test: Squeeze test: provocatietest tibiofibulaire syndesmosis............................................................27
Test: Straight Leg Raise Test................................................................................................................28
3. Knie.........................................................................................................................................................29
3.1. Inleiding...........................................................................................................................................29
3.2. Fysiologische functiestoornissen: gewricht......................................................................................30
3.3. Fysiologische functiestoornissen: spier-pees...................................................................................31
3.4. Fysiologische functiestoornissen: zenuw.........................................................................................31
3.5. Fysiologische functiestoornissen: vestibulair...................................................................................31
3.6. Fysiologische functiestoornissen: bewegingsfunctie........................................................................32
3.7. Inspectie...........................................................................................................................................32
3.8. Palpatie............................................................................................................................................32
Ballottement patellair of sterke hydrops............................................................................................32
Swipe test of matige hydrops..............................................................................................................33
OTTAWA knee rules............................................................................................................................33
3.9. Actief bewegingsonderzoek.............................................................................................................34
35
3.9.1. Analytische bewegingen............................................................................................................35
3.9.2. Functionele bewegingen............................................................................................................35
, Samenvatting WPO MOB 2A VUB 2020-2021
Hurken en rechtkomen.......................................................................................................................35
Bilaterale squat...................................................................................................................................36
Unilaterale squad................................................................................................................................37
Traplopen............................................................................................................................................37
Unipodale stand in flexie.....................................................................................................................38
Bilaterale squat met controle medio-laterale stabiliteit knie..............................................................39
Springen..............................................................................................................................................39
Trap oefening met mediaal-laterale stabiliteit....................................................................................40
3.10. Passief bewegingsonderzoek.........................................................................................................40
Flexie knie...........................................................................................................................................40
(Hyper)extensie knie...........................................................................................................................41
Valgisatie in 20° en 0° flexie................................................................................................................42
Lachman test.......................................................................................................................................43
Ventrale schuiflade.............................................................................................................................43
Posterieure schuiflade........................................................................................................................44
Joint line tenderness test....................................................................................................................45
3.11. Spiertesting....................................................................................................................................45
3.10.1. Spierlengte..............................................................................................................................46
Oriënterende lengtetest: soleus (inclinometer)..................................................................................46
Oriënterende lengtetest: hamstrings..................................................................................................47
Actieve lengtetest: hamstrings of AKE (inclinometer).........................................................................47
Passieve lengtetest: hamstrings..........................................................................................................48
Oriënterende lengtetest: quadriceps..................................................................................................48
Actieve lengtetest: quadriceps (inclinometer)....................................................................................49
Passieve lengtetest: quadriceps..........................................................................................................49
3.10.2. Spierkracht..............................................................................................................................50
Isometrische krachttesting: knieflexie.................................................................................................50
Analytische krachttesting: hamstrings................................................................................................50
