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Samenvatting PA 2.2 Fontys Fysiotherapie. Uitwerking diagnostiek en behandeling met evidentie

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Course
Prakrijk examen

Institution
Fontys Hogeschool (Fontys)

Samenvatting PA 2.2 Fontys Fysiotherapie (Blessures in sportcontext). In deze samenvatting staan per gewricht alle aandoenignen uitgewerkt met de bijpassende diagnostiek en behandeling. Bij de diagnostiek staan alle testen benoemd en in stappen uitgewerkt en een afbeelding. Alle diagnostische teste...

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Uploaded on January 31, 2023
Number of pages 109
Written in 2022/2023
Type Summary

ckw
lwk
schouderinstabiliteit
schouder slap leasie
schouder saps
mci
knie meniscus
knie vkb
knie akb
elleboog
enkel
syndesmose letsel
heuplies
knie lcl mcl

Institution
Fontys Hogeschool (Fontys)
Education
Fysiotherapie
Course
Prakrijk examen

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DIAGNOSTIEK EN
BEHANDELING MET EVIDENTIE
Uitwerking praktijk Fontys Fysiotherapie P2.2

30 JANUARI 2022
JUDITH MAAS

, Behandeling heup/ liesklachten volgens Tak en Langhout.......... 51

Behandeling adductor gerelateerde heup/liesklachten volgens
het Copenhagen protocol ........................................................... 51

Behandeling adductoren gerelateerde heup/liesklachten

Inhoud gecombineerde oefentherapie van FIFA11 + Holmich +
Copenhagen protocol + Tak en Langhout ................................... 52
Opbouw fysiotherapeutisch proces .......................................................... 2
Behandeling ROM beperking SIG ................................................ 54
Algemene rode vlaggen ............................................................................ 2
Elleboog – Diagnostiek............................................................................ 55
Cervicale wervelkolom – Diagnostiek ....................................................... 3
Initiële hypotheses ........................................................................... 56
Initiële hypothese nekklachten........................................................... 4
Screening .......................................................................................... 56
Screening – Specifieke rode vlaggen ................................................... 4
BFO elleboog .................................................................................... 56
Gradering nekpijn ............................................................................... 5
Specifiek onderzoek elleboog ........................................................... 57
BFO nek .............................................................................................. 6
Elleboog – Behandeling .......................................................................... 61
Specifieke testen/ tekenen en symptomen ........................................ 6
Behandeling instabiliteit elleboog .............................................. 62
Klinimetrie ........................................................................................ 11
Behandeling tenniselleboog/ golfers elleboog ............................ 63
Cervicale wervelkolom – Behandeling .................................................... 12
Artrogene beperking .................................................................. 63
Nekklachten behandeling algemeen .......................................... 13
Lumbale wervelkolom – Diagnostiek ...................................................... 65
Behandeling MCI CWK ................................................................ 17
Initiële hypotheses ........................................................................... 66
Schouder – Diagnostiek .......................................................................... 18
Screening – specifieke rode vlaggen LWK ......................................... 66
Initiële hypotheses ........................................................................... 19
Gradering lage rug pijn ..................................................................... 67
Specifieke rode vlaggen .................................................................... 19
Inspectie en palpatie ........................................................................ 67
Inspectie/ palpatie............................................................................ 19
BFO LWK ........................................................................................... 68
BFO schouder ................................................................................... 20
Specifiek onderzoek LWK.................................................................. 69
Specifieke testen .............................................................................. 20
Lumbale wervelkolom – Behandeling ..................................................... 72
Trauma AC-gewricht ................................................................... 27
Behandeling lage rugklachten KNGF-richtlijn .............................. 73
Schouder – Behandeling ......................................................................... 31
Behandeling MCI LWK (MCI valt binnen behandelprofiel 3) ....... 75
Rotatorcuff pathologie/ Scapula dyskenisie/ Schouder instabiliteit
Enkel – Diagnostiek ................................................................................. 77
................................................................................................... 32
Initiële hypotheses ........................................................................... 78
Behandeling TUBS – Traumatic Unidirectional Brankart Surgery 35
Screening – specifieke rode vlaggen LWK ......................................... 78
Behandeling AMBRI – Atraumatic Multidirectional Bilateral
Rehabilitation Inferior ................................................................ 36 Inspectie en palpatie ........................................................................ 78

Definitie AMBRI .......................................................................... 36 BFO enkel ......................................................................................... 78

Behandeling AOIS – Acquired Instability Overstress Surgery ...... 36 Enkel – Behandeling ............................................................................... 83

Fases van het gooien/ serveren/ smashen/ enz. met spieren die Behandeling inversie trauma ...................................................... 84
betrokken zijn............................................................................. 37
Mobilisatie technieken enkel ...................................................... 87
Behandeling biceps gerelateerde schouderpijn en SLAP laesie
Knie – Diagnostiek .................................................................................. 88
volgens artikel: Rehabilitation Exercise for Athletes with Biceps
Disorders and SLAP lesions, Ann Cools, 21 maart 2014: ........... 38 Initiële hypotheses ........................................................................... 89
GIRD ........................................................................................... 40 Screening – specifieke rode vlaggen knie ......................................... 89
SAPS ........................................................................................... 40 Inspectie en palpatie ........................................................................ 89
Hands-on therapie...................................................................... 40 BFO Knie ........................................................................................... 89
Heup en liesklachten – Diagnostiek ........................................................ 42 Gradering letsels............................................................................... 90
Initiële hypothese ............................................................................. 43 Specifieke testen knie ....................................................................... 90
Screening.......................................................................................... 43 Knie – Behandeling ................................................................................. 95
Onderzoek heup/lies ........................................................................ 43 Behandeling meniscus conservatief............................................ 96
Specifieke testen .............................................................................. 46 Behandeling meniscopexie (hechten) ......................................... 97
Heup-/liesklachten – Behandeling .......................................................... 49 Behandeling meniscectomie (weghalen) .................................... 99
Behandeling heup/ liesklachten volgens Holmich ...................... 50 Behandeling VKB letsel volgens KNGF richtlijn ......................... 102

,Opbouw fysiotherapeutisch proces
1. Screenen
- Algemene rode vlaggen
- Regio specifieke rode vlaggen
- Ontstaansmoment
- (afwijkend) beloop
- Hulpvraag
- Indicatie voor fysiotherapie JA/NEE
2. Anamnese
3. Inspectie
4. Palpatie
- TVTVV
5. BFO
- Functioneel onderzoek
- AROM
- PROM
- Aangrenzende regio’s
- Algemene weerstand
6. Specieel onderzoek
7. Fysiotherapeutische diagnose
8. Behandeling

Algemene rode vlaggen
1. Algemeen onwel bevinden (koorts)
2. Belasten is niet mogelijk enige tijd na het trauma
3. Recent onverklaarbaar gewichtsverlies >5kg/ maand
4. Langdurig corticosteroïde gebruik
5. Kanker in voorgeschiedenis
6. Nachtelijke pijn (ook bij verandering van houding)
7. Uitgebreide neurologische tekenen/ symptomen (krachtverlies, dofheid,
tintelend gevoel, uitstraling, sensorische uitval)
8. Constante pijn, 24/7
9. Trauma

, Cervicale wervelkolom – Diagnostiek

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