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Samenvatting PA2.2 - ALLE testen LWK $3.26   Add to cart

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Samenvatting PA2.2 - ALLE testen LWK

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In dit document vind je alle testen voor de LWK casus terug.

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  • May 18, 2022
  • 18
  • 2021/2022
  • Summary
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TESTEN CASUS 5 – LUMBALE SEGMENTALE INSTABILITEIT
BEWEGINGSPATROON/INSPECTIE
 Inspectie van O’Sullivan
Flexie patroon
Provocatie is in
dezelfde richting
als het patroon. Als
iemand een
flexiepatroon
heeft, zal dit
opvallen bij flexie
van de LWK.




Extensie patroon
Provocatie is
dezelfde richting
als het patroon.
Extensie patroon
zal opvallen bij
extensie van de
LWK.




Lateraal patroon
Meeste provocatie
naar één zijde toe.

,UITSLUITEN AANGRENZE REGIO’S
 Test van Menell (specificeren)
o Druk bij het tuber ischiadicum i.c.m. heup extensie = heup problematiek.
 FAI: FABER/FADDIR
 Atrose: Drehmann/Sutlive
o Druk op het sacrum rond S2 i.c.m. = SI problematiek.
 Cluster van der Wurff
 Cluster van Laslett
o Fixeer T12 i.c.m. heup extensie = LWK problematiek.
 LRS: SLR van Lasegue
 Femoral Nerve Stretch Test

,  Clinical Prediction Rules van Sutlive (atrose)
Bij drie van de 5 testen is de kans op artrose erg hoog, hoe meer positief hoe sensitiever
de test is. De CPR bestaat uit:
 Een niet ondersteunde squat met verergering van klachten,
compensatie strategieën.
 Endorotatie < 25 graden.
 Scours test (FADDIR) met adductie welke herkenbare lies pijn of
laterale pijn veroorzaakt.
 Actieve heup flexie welke herkenbare pijn veroorzaakt.
 Actieve heup extensie welke herkenbare pijn veroorzaakt.

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