Uitwerkingen van de casussen van periode 1.3. Hierin is het raamwerkondezoek, ICF model, hypotheses, specieel onderzoek en behandelingen uitgebreid en uitgewerkt terug te vinden. Het document bestaat dan ook uit 65 pagina's
, Klinimetrie ......................................................................................................................................... 21
Vragenlijsten NDI (Neck Disability Index) .......................................................................................... 21
Basisonderzoek.................................................................................................................................. 21
Specieele testen ................................................................................................................................ 21
HWO .................................................................................................................................................. 23
Casus 3 → Artrose heup ........................................................................................................................ 25
Ingedeeld op ICF niveau .................................................................................................................... 25
Mogelijke hypothesen ....................................................................................................................... 26
Raamwerkonderzoek......................................................................................................................... 26
Functioneel onderzoek ...................................................................................................................... 28
Specieel onderzoek ........................................................................................................................... 28
HWO .................................................................................................................................................. 29
Casus 4 → Artrose knie ......................................................................................................................... 31
Ingedeeld op ICF niveau .................................................................................................................... 31
Mogelijke hypothesen ....................................................................................................................... 31
Raamwerkonderzoek......................................................................................................................... 32
Specieel onderzoek ........................................................................................................................... 33
Behandeling ....................................................................................................................................... 34
HWO .................................................................................................................................................. 34
Casus 5 → Postoperatieve fysiotherapie .............................................................................................. 35
Ingedeeld op ICF niveau .................................................................................................................... 35
Mogelijke hypothesen ....................................................................................................................... 36
Raamwerkonderzoek......................................................................................................................... 36
HWO .................................................................................................................................................. 37
Verwachtte complicaties na de operatie .......................................................................................... 39
Casus 6 → Reumatoïde artritis (RA) ...................................................................................................... 41
Ingedeeld op ICF niveau .................................................................................................................... 41
Mogelijke hypothesen ....................................................................................................................... 42
Raamwerkonderzoek......................................................................................................................... 42
Oefentherapie ................................................................................................................................... 44
Mobilisatie ......................................................................................................................................... 44
KNGF, behandeling, oefenen en sturen ............................................................................................ 44
Pijndemping....................................................................................................................................... 45
Casus 7 → Frozen shoulder ................................................................................................................... 46
Ingedeeld op ICF niveau .................................................................................................................... 46
Mogelijke hypothesen ....................................................................................................................... 46
2
, Raamwerkonderzoek......................................................................................................................... 47
Specieel onderzoek ........................................................................................................................... 48
Behandelen........................................................................................................................................ 48
HWO .................................................................................................................................................. 48
Casus 8 → Subacromiaal pijnsyndroom ................................................................................................ 50
Ingedeeld op ICF niveau .................................................................................................................... 50
Mogelijke hypothesen ....................................................................................................................... 50
Raamwerkonderzoek......................................................................................................................... 51
Specieel onderzoek ........................................................................................................................... 52
HWO .................................................................................................................................................. 53
Casus 9 → Jumpers knee....................................................................................................................... 54
Ingedeeld op ICF niveau .................................................................................................................... 54
Mogelijke hypothesen ....................................................................................................................... 55
Raamwerkonderzoek......................................................................................................................... 55
HWO .................................................................................................................................................. 56
Casus 10 → Epicondylitis lateralis humeri ............................................................................................ 57
Ingedeeld op ICF niveau .................................................................................................................... 57
Mogelijke hypothesen ....................................................................................................................... 57
Raamwerkonderzoek......................................................................................................................... 58
Specieel onderzoek ........................................................................................................................... 59
HWO .................................................................................................................................................. 59
Casus 11 → Tendinosis achillei met partiële ruptuur ........................................................................... 60
Ingedeeld op ICF niveau .................................................................................................................... 60
Mogelijke hypothesen ....................................................................................................................... 61
Raamwerkonderzoek......................................................................................................................... 61
Specieel onderzoek ........................................................................................................................... 63
Behandeling ....................................................................................................................................... 63
3
, Algemene informatie met betrekking tot raamwerkonderzoek
Hier worden de inspectie in rust, palpatie en andere aspecten van het raamwerkonderzoek
uitgewerkt om zo dit niet bij elke casus te hoeven herhalen.
Capsulair patroon (CP) → volgorde van bewegingen die beperkt wordt als je een bepaalde
aandoening hebt. Kenmerkende bewegingsvolgorde van een bepaald gewricht. Het capsulair patroon
geeft aan of je een bepaalde ziekte of aandoening aan gekoppeld kan worden, het toont een
gewrichtsbeperking aan. Je kan dan herkennen of het een gewrichtsprobleem of een myogeen
probleem is.
MLPP: maximum loosed pack position → ruststand van het gewricht, minste spanning op het kapsel
en ligamenten.
Anatomische structuur → specifiek (dus bijvoorbeeld welke spieren), welke structuur die veroorzaker
is (bewegingsangst, kapsel, spieren, etc.). Zo secuur mogelijk.
Inspectie (in rust)
Lichaamstype
- Ectomorph
- Mesomorph
- Endomorph
(a)symmetrie: linkerkant van het lichaam wordt vergeleken met
rechts.
Stand van de bekken (bekkentype):
- Neutral pelvis
- Anterior pelvic tilt
- Posterior pelvic tilt
Stand van het lichaam → loodlijnen
Ruggenwervelkolom:
- Kyphose
- Lordose
- Scoliose
Lokaal:
- Contour
- Kleur
- Huid
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