Summary
PA14 Samenvatting jaar 1 en 2
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Samenvatting ter voorbereiding PA14. Alles van jaar 1 en 2
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InhoudsopgaveOnderste extremiteit..........................................................................................................................4
Thema 2 Enkelletsel............................................................................................................................4
Differentieel onderzoek........................................................................................................................ 5
‘Ottawa Ankle Rules’............................................................................................................................................................... 5
Schuifladetest............................................................................................................................................................................. 6
Belangrijke vragen anamnese enkleletsel:..................................................................................... 7
Uitleg aan patiënt belasting/belastbaarheid:................................................................................ 7
Oefeningen per fase................................................................................................................................ 8
Thema 3 Spier en peesruptuur.......................................................................................................9
Fases van herstel bij spierschade (gemiddeld);............................................................................ 9
Belangrijke vragen anamnese spierschade.................................................................................................................... 9
Verschijnselen hamstring ruptuur/verreking............................................................................ 10
Lichamelijk onderzoek:....................................................................................................................................................... 10
Uitleg aan patiënt Spierverreking:.................................................................................................................................. 10
Uitleg patiënt ruptuur:......................................................................................................................................................... 11
Therapie.................................................................................................................................................................................... 12
Verschijnselen achillespees verreking/ruptuur........................................................................ 13
Lichamelijk onderzoek:....................................................................................................................................................... 13
Therapie bij volledig ruptuur............................................................................................................................................ 14
Thema 4 artrose................................................................................................................................15
ACR-criteria:........................................................................................................................................... 16
Patiënt uitleg artose............................................................................................................................ 20
Acute knieletsel..................................................................................................................................21
Ottawa Knee Rules............................................................................................................................... 22
Tendinopathie....................................................................................................................................28
Uitleg pfps................................................................................................................................................................................. 28
Uitleg tendinopathie............................................................................................................................................................. 29
Differentieel diagnostiek Patella pees/PFPS............................................................................... 30
Enkel......................................................................................................................................................25
7uSpierruptuur OE...........................................................................................................................28
Tendinopathie OE.............................................................................................................................30
Acute knieletsel (VKB, AKB, LCL, sMCL, Meniscus).................................................................32
Meniscectomie....................................................................................................................................37
VKB reconstructie.............................................................................................................................39
Artrose heup / knie...........................................................................................................................45
,THP & TKP...........................................................................................................................................50
Kwetsbare ouderen..........................................................................................................................57
Wervelkolom (lumbaal, thoracaal, cervicaal)........................................................................63
Schouder (aspecifiek & specifiek)................................................................................................75
Elleboog / Pols....................................................................................................................................85
COPD......................................................................................................................................................88
CVA.........................................................................................................................................................96
Algemene kennis (bindweefsel bijv.).......................................................................................104
,
, Onderste extremiteit
Thema 2 Enkelletsel
De fysiotherapeut maakt een inschatting van de fase waar de patiënt zich in
bevindt en stelt daarop de indicatiestelling en het behandelbeleid van. Een
‘normaal’ herstelproces is van 6 - 8 weken voor functieherstel en genezing,
zonder restletsels (bijv. functionele instabiliteit).
Binnen een week zal het lopen weer mogelijk zijn binnen 1 - 2 weken. Als dit niet
het
geval
is,
spelen
er
belemmeringsfactoren mee zoals;
o ● Overbelasting
o ● Artrose
o ● Een ‘uit de hand gelopen ontstekingsreactie’
o ● Pijn die voor de patiënt op geen enkele manier onder controle
heeft
o ● Angst om te belasten
Binnen 12 weken hebben de meeste patiënten het sporten op
hetzelfde niveau hervat als voor het trauma.
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