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Samenvatting Skillslijst PAS Mobiliseren uitgewerkt

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In deze samenvatting zijn alle skills uitgewerkt die je moet kennen voor de PAS Mobiliseren van de minor Musculoskeletaal. Hiervoor is het boek "Extremiteiten" van Egmond en Schuitemaker gebruikt.

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  • April 16, 2021
  • 173
  • 2020/2021
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SKILLS
M I N O R M U S C U L O S K E L E T A A L

,Inhoudsopgave

6Vaardigheid schouder 1 en 2 onderzoek .................................................................................................................................... 6
Palpaties .................................................................................................................................................................................................... 6

Spierkracht/weerstandstesten ............................................................................................................................................................ 6
Humero Scapular Motion Interface (HSMI) – isometrische retroflexie ............................................................................... 6
Humero Scapular Motion Interface (HSMI) – isometrische abductie ................................................................................... 6
Humero Scapular Motion Interface (HSMI) – isometrische adductie ................................................................................... 7
Humero Scapular Motion Interface (HSMI) – isometrische exorotatie................................................................................ 7
Humero Scapular Motion Interface (HSMI) – isometrische endorotatie ............................................................................. 7

Angulaire mobilisatie............................................................................................................................................................................. 7

Stenvers testen ...................................................................................................................................................................................... 10
Okselhaargrens / angulus inferior............................................................................................................................................. 10
Clavicula-rol ..................................................................................................................................................................................... 11
Caudaalglijden van de scapula ................................................................................................................................................... 11
Cervico-thoracale-overgang-rotatie (CTO-rotatie) .............................................................................................................. 12
Passief horizontale adductie........................................................................................................................................................ 12

Tractie in ruststand (MLPP) ................................................................................................................................................................ 13

Instabiliteitstesten ................................................................................................................................................................................ 13
Apprehension test (provocatietest) ........................................................................................................................................... 13
Augmentation test .......................................................................................................................................................................... 14
Relocation test (reductietest) ...................................................................................................................................................... 14
Release test (provocatietest)........................................................................................................................................................ 14

Specifieke tracties................................................................................................................................................................................. 15

Rol-glij technieken ............................................................................................................................................................................... 16

AC-Gewricht; onderzoek joint play ................................................................................................................................................. 18

Primair en secundair impingement.................................................................................................................................................. 18

Instabiliteitstesten glenohumeraal .................................................................................................................................................. 21

Ruptuurtesten ........................................................................................................................................................................................ 24

Vaardigheid schouder 1 en 2 therapie ......................................................................................................................................... 26

Kubis tractie voor AC ........................................................................................................................................................................... 26

Kubis tractie voor SC ........................................................................................................................................................................... 27

Vaardigheid elleboog 3 en 4 onderzoek ...................................................................................................................................... 27

Passief ( + pas. Stabiliteit) ................................................................................................................................................................. 27

Weerstandstesten ................................................................................................................................................................................. 30

Palpaties .................................................................................................................................................................................................. 32

Screeningstesten................................................................................................................................................................................... 32

Stabiliteitstesten ................................................................................................................................................................................... 33
Tracties en translaties in ruststand (l.p.p.) en in eindstand (c.p.p.) ................................................................................ 35
Rol-glij bewegingen humero-ulnair.......................................................................................................................................... 36
Rol-glij beweging humero-radiaal ............................................................................................................................................ 38


Vaardigheid elleboog 3 en 4 therapie .......................................................................................................................................... 39

Spierrekken....................................................................................................................................................................................... 39



1

,Vaardigheid pols 5 en 6 onderzoek .............................................................................................................................................. 45

Palpaties ............................................................................................................................................................................................ 45
Artrogene mobiliteit....................................................................................................................................................................... 45
TFCC provocatie test in supinatie en pronatie ....................................................................................................................... 48
Tractie ................................................................................................................................................................................................ 50
Translatie dorsaalflexie verbetering.......................................................................................................................................... 50
Translatie plantairflexie verbetering ......................................................................................................................................... 50
Instabiliteitsonderzoek.................................................................................................................................................................. 51
Rol-glij dorsaalflexie ..................................................................................................................................................................... 53
Rol-glij palmairflexie ..................................................................................................................................................................... 54
Rol-glij radiaal- en ulnairabductie ............................................................................................................................................ 55


Vaardigheid enkel 7 en 8 onderzoek............................................................................................................................................ 58

Art. subtalaris (OSG) ...................................................................................................................................................................... 59
Lijn van Lisfranc (artt. tarsometatarsales I-V) ........................................................................................................................ 61

Functionele instabiliteitstesten ......................................................................................................................................................... 62
Schuifladetest (anterior drawer test) ......................................................................................................................................... 62
Ligamentaire stresstesten ............................................................................................................................................................ 62
Palpatie .............................................................................................................................................................................................. 63
Joint-play art. tibiofibularis proximalis .................................................................................................................................... 63
HVT-manipulatie – fibula naar ventrolateraal ........................................................................................................................ 63
Onderzoek syndesmosis tibiofibularis distalis ...................................................................................................................... 64
Fibula naar dorsaal ......................................................................................................................................................................... 64
Tibia naar dorsaal ........................................................................................................................................................................... 64
Varus-kliktest .................................................................................................................................................................................. 65

Artrogeen onderzoek .......................................................................................................................................................................... 65

Art. talocruralis ..................................................................................................................................................................................... 65

Art. subtalaris ........................................................................................................................................................................................ 67
Mobilisatie mediaal voetgewelf................................................................................................................................................... 71
Mobilisatie lateraal voetgewelf ................................................................................................................................................... 72
Mobilisatie van de tenen (tractie, rol/schuif, kantel)............................................................................................................ 73


Vaardigheid knie 9 en 10 onderzoek ........................................................................................................................................... 75

Ottawa knee rules................................................................................................................................................................................. 75

Palpatie .................................................................................................................................................................................................... 75

Angulair onderzoek ............................................................................................................................................................................. 75
Art. genus – oriëntatie in gesloten keten................................................................................................................................. 75

Passieve instabiliteitstesten ............................................................................................................................................................... 79
Varus (0 en 20° flexie) ................................................................................................................................................................... 79
Apprehension-test patella (vrij naar Fairbanks) .................................................................................................................... 80

Hydropstesten ....................................................................................................................................................................................... 80
Art. genus – palpatie – intra-articulaire zwelling .................................................................................................................. 80
Art. genus – palpatie – ‘ballottement’ van de patella ........................................................................................................... 81

Kruisbandtesten .................................................................................................................................................................................... 82

Voorste kruisband ................................................................................................................................................................................ 82
Hyperextensietest ........................................................................................................................................................................... 82

Achterste kruisband............................................................................................................................................................................. 84

Menicustesten........................................................................................................................................................................................ 86

Bohler ....................................................................................................................................................................................................... 87

2

, Tracties .................................................................................................................................................................................................... 90

Rolglijden – flexie ................................................................................................................................................................................. 90
Rolglijden – extensie...................................................................................................................................................................... 92
HVT-manipulaties .......................................................................................................................................................................... 93

Functionele stabiliteitstesten (samengesteld door G. Koel) ..................................................................................................... 95

Vaardigheid heup 11 onderzoek ................................................................................................................................................... 95

Angulair onderzoek ............................................................................................................................................................................. 95

Tracties/ translaties in ruststand ................................................................................................................................................... 102

Palpatie .................................................................................................................................................................................................. 103

Tractie specifiek .................................................................................................................................................................................. 103

Lokale belastbaarheidsonderzoek ................................................................................................................................................. 108

Rol/schuif flexie.................................................................................................................................................................................. 112

• Uitgangshouding patiënt: Rugligging. De therapeut draagt met de gelijknamige onderarm het onderbeen
van de patiënt...................................................................................................................................................................................... 112

Rol/schuif abductie ............................................................................................................................................................................ 113

Rol/schuif extensie ............................................................................................................................................................................ 113

Vaardigheid wervelkolom 1 SI onderzoek ................................................................................................................................. 114

Voert screening uit waarbij rode vlaggen worden uitgesloten .............................................................................................. 114

DTF-verslag maken conform de richtlijn verslaglegging ........................................................................................................ 114

Palpaties ................................................................................................................................................................................................ 115
Cristae .............................................................................................................................................................................................. 116
SIAS ................................................................................................................................................................................................... 116
SIPS.................................................................................................................................................................................................... 116

SIG testen, als provocatietesten ..................................................................................................................................................... 117
Distractietest .................................................................................................................................................................................. 117
Thigh thrust test ........................................................................................................................................................................... 117
Compressietest.............................................................................................................................................................................. 117
Faber-test (Patrick-test) ............................................................................................................................................................. 118
Test volgens Gaenslen ................................................................................................................................................................ 118

Passief functieonderzoek ................................................................................................................................................................. 119
HVT-manipulatie ilium anterior ............................................................................................................................................... 119
HVT-manipulatie ilium posterior ............................................................................................................................................. 119

(Active) Straight Leg Raise voor bekkeninstabiliteit.................................................................................................................. 120


Vaardigheid wervelkolom 2 SIG LWK onderzoek ...................................................................................................................... 120

Belast onderzoek in stand ((geleid) actief), regionaal .............................................................................................................. 120
1D Flexie ......................................................................................................................................................................................... 120
1D Extensie .................................................................................................................................................................................... 120
1D Lateroflexie .............................................................................................................................................................................. 121

Belast onderzoek in zit (geleid actief), regionaal ...................................................................................................................... 121

3D homoniem ...................................................................................................................................................................................... 121
Flexie ................................................................................................................................................................................................ 121
Extensie ........................................................................................................................................................................................... 122
3D heteroniem ............................................................................................................................................................................... 122
Flexie ................................................................................................................................................................................................ 122


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