, SAPS, GIRD, Scapulaire dyskinesie vallen onder arthrogeen en tendomyogeen.
Cluster van Park -> verdenking van een ruptuur van de rotator cuff
- Leeftijd > 60
- Painful ARC
- Drop arm test positief -> abductie en deze langzaam laten zakken (sens: 73%, spec:
77%)
- Infraspinatus test positief -> weerstandstest exorotatie, elleboog in de zij in 90
graden. Therapeut duwt de arm naar binnen.
AC cluster: AC pathologie
- uitstralende pijn
- zwelling AC
- pijn is afwezig bij passieve glenohumerale abductie
- pijn bij passieve exorotatie in 90 graden abductie
Bevestigen/ ontkennen van -> door middel van: trauma
1. B/O van inflammatie of hydrops/ haemathros d.m.v. Inspectie/ palpatie
2. B/O van bewegingsbeperking d.m.v. AFO/PFO
3. B/O van ruptuur d.m.v. specifieke testen -> cluster van park
4. B/O van anterieure instabiliteit d.m.v. specifieke testen en Instabiliteit Cluster
5. B/O van AC luxatie/distorsie d.m.v. specifieke testen en AC Cluster
6. B/O van Labrumletsel d.m.v. specifieke testen
Bevestigen/ ontkennen van -> door middel van: niet-trauma
1. B/O van inflammatie of hydrops/ haemathros d.m.v. Inspectie/ palpatie
2. B/O van bewegingsbeperking d.m.v. AFO/PFO
3. B/O van tendinopathie d.m.v. specifieke testen
4. B/O van SAPS d.m.v. specifieke testen en triggerpoints Infraspinatus
5. B/O van degeneratieve AC d.m.v. specifieke testen en AC cluster
6. B/O van GIRD d.m.v. specifieke testen en triggerpoints
7. B/O van Scapulaire dyskinesie d.m.v. specifieke testen -> kracht/lengte testen
8. B/O van Frozen Shoulder
Instabiliteit bevestigen ontkennen -> richting aangeven (MDI, anterieur, posterieur), kan
zowel traumatisch als niet traumatisch
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