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Samenvatting Klinisch redeneren schema's $11.86   Add to cart

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Samenvatting Klinisch redeneren schema's

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Alle interventiedomeinen van het vak klinisch redeneren worden in schema's samengevat. Alle belangrijke onderzoeken en behandelingen worden opgesomd. Algemene denkwijze voor verschillende casussen. Ook algemene kennis komt terug zoals darmatomen, opbouw onderzoek/behandeling...

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  • May 25, 2021
  • 41
  • 2020/2021
  • Summary
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Onderzoek OL
Positieve testen

Meniscusletsel Kruisbandletsel Collaterale ligamenten Patellofemorale pijn ITBS
- Steinmann I test - Posterieure - Varusstresstest - Patellofemorale - Noble test
- McMurray test sagging - Valgusstresstest mobiliteitstest - Ober’s test
- Apley- - Anterieure - Patellaire
compressiontest schuifladetest aprehensietest (teken - Myofasciaal:
- Slocumtest van smillie) o TFL
- Hurkzit - Klassieke - Patelllacompressietest o Gluteus
- Eendengang lachmann test (patella grind test) o Vastus lateralis

- SK vastus medialis ENKEL
obliquus - DF mobiliteit
(weight bearing
lunge)

- Stijfheid
posterieure keten:
SLT

- Mobiliteit MTP I

- SK tibialis
posterior
(tenenstand 
normal met
supinatie)

, HEUP
- Heupendorotatie
- Flexibiliteit
spieren van de
heup
o TFL
o Rectus femoris
o Iliopsoas

- Kracht
exorotatoren/AB




Functionele testen
- Hoptesten (afstand en kwaliteit)
o Triple hop for distance
o Single hop fot distance
o 6 or 10m hop for time
o Triple hop cross over
- Lateral stepdown test (functionaliteit abductoren: gluteï)
- Squattest (excentrische en functionele belasting knie)
- Traptest (excentrische en functionele belasting knie)
- Loopanalyse
- Lumbopelvische controle (neutrale lordose)

, Behandeling OL
Altijd beginnen met EDUCATIE!

Meniscusletsel Kruisbandletsel Collaterale ligamenten Patellofemorale pijn ITBS Knieprothese
CI: maximale flexie + CI: DDF (geeft compressie CI: rotatie + tracties en
compressie + rotatie = wat de pijn veroorzaakt) translaties + OKK (<12
weken)

Menisectomie Week 2-3 - DDF - Q tonificatie Pijnfase Week 1
Hurkverbod 4w!! - NMC: - NMC - Q en TFL - Load modificatie: - Transfers
ontspannen H stretchen intensiteit - Verplaatsen
Week 1: - Lateraal verminderen of met HM (2
- POLICE Week 3-4 retinaculum helemaal stoppen krukken)
- NMC: stretch - Fietsen, zwemmen, - Trappen met
Week 3 opspannen Q - Heup- en wandelen… kruk
- Lopen in GKK rompstabilisatie - Stretchen - Evenwicht
- ROM enkel: DF o Gluteus - Flexie 0-100°
Week 4 Week 4 - VMO optrainen o TFL - Max extensie
- Volledige - OKK: 40-90° - Patella o Vastus lateralis - Thuisoefn
flexie flexie mobilisatie - Foamroll (trigger - Ijs: 15-20min en
- RTS points) 3x/d
- Passieve en
Week 6: actieve OT
- Q re-educatie Load fase - Actieve flexie
- Patella - KK: analytisch min 70°
mobilisatie - Acceleratie - Zitten 15min/d
- Stretch H en (unipodaal: - NMC: Q en H
kuiten concentrisch) a- leren op- en
- OKK: Q d (bipodaal)  ontspannen

, isometrisch deceleratie
Week 6-14 (unipodaal) Week 1-3
- Volledige - Plyometrie - 1 kruk
ROM - Kracht: - Kracht: GKK
- Normaal excentrische ITB - Proprioceptie:
wandelen oef GKK
- NMC: Q en H - Evenwicht
- Heup: - AROM 120°
Week 14-22 o Mobiliseren endo flexie
- Lunges, squat o Stretch (individu) - Max extensie
- Isotonische o Kracht ABn en exo- - Hometrainer
knieflexie/- rotatoren (vanaf 120°):
extensie 15min/d
- Hop test - Enkel: - Wall slides
- Isokinetische o Mobiliseren DF
training (min 30°) Week 3-5
o Mobiliseren MTP I - 1 kruk
Meniscushechting o Stretchen post - Hometrainer:
Hurkverbod 4-6m!! keten 15min 2x/d
o Kracht opbouwen - Unipodaal stand
Week 1-4 tibialis post en - Halve squat:
- POLICE intrinsieke controle
- OKK  GKK voetspieren excentrische
- Krukken o NMC: enkel-voet fase
- Vermijden - Q oefeningen
lang staan - CORE inbouwen in - AROM tot 120°
- Flexie OT
W2: 60° Week 5-10
W4: 90° RTS - Zonder krukken
- Loopschema - AROM 135°

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