RUG
Inleiding op de evaluatie van de lumbale wervelzuil en het perifeer zenuwstelsel
1. Relevantie voor de podoloog
§ Stijgende ketting: invloed van OL op de LWZ
§ Tekort aan schokbreking
§ BLV (structureel of functioneel)
§ E.a. …
§ Dalende ketting: symptomen thv OL met oorzaak thv de LWZ
§ Krachtsverlies
§ Pijn of veranderde gevoelsgewaarwording
§ Functiestoornis
§ E.a. …
6 Non-structural Structural Non-structural (major*) Thoracolumbar/lumbar-
main thoracic (TL/L-
MT)
Classificatie van structurele scoliose
, LATERAAL ZICHT
VOET
1. Longitudinaal gewelf
Naviculaire drop?
Bilateraal?
Zeer lage voetboog => zware asymmetrie
Compensatie BLV
Eversie in valgus
Compensatie BLV
= vals kort maken
Soms P gewoon drop 1 zijde creatie
Vals beenlengteverschil
FRONTAAL, ACHTERAANZICHT
VOETEN
Grotere tibiale torsie (30°) makkelijker staan voeten nr buiten
Grotere ganghoek
Malleolaire torsie -> fietsen met klikkers pijn in knieën
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