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Summary

samenvatting jumpersknee

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uitleg tendinose, wat is een tendinose? wat is een jumpers knee? behandeling prognose etc.

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  • June 14, 2016
  • 1
  • 2015/2016
  • Summary
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Jumpersknee

Tendinose:
- een vermeerdering van de bloedvaten in de pees (neovasculairsatie)
- een groter aantal vrije zenuwuiteinden ter plaatste
- extra productie van sterk waterbindende proteoglycanen
- ongerichte depositie van type 3 collageen
- afgenomen dichtheid van collageen type 1

Rekken:
- Gedoseerde rek met excentrische contracties in een functionele
bewegingsketen stimuleer de tenoblasten, zodat de matrixsamenstelling
verbetert.
- De verdikking van de pees, de neovascularisatie en de overprikkeling van
vrije zenuwuiteinden nemen hierdoor ook af, dit kan een paar maanden
duren.


Onderzoek:
- palpatie
- BFO knie (voornamelijk flexie en extensie)
- Weerstand test
- Ganganalyse

Vragenlijst:
- PSK
- Ganganalyse

Behandeling:
- voorlichting
- belasting afnemen
- massage bovenbeen musculatuur om de doorbloeding te stimuleren
en de tonus te normaliseren
- rekken zowel passief als actief van de quadriceps
- na 2 weken excentrisch traingen 3 x per dag 3x15 herhalingen
- na 4 weken zwaardere training

prognose:
- na 10 weken weer sporten
- na 3 maanden klachten vrij
- na 15 weken behandeling afgesloten

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