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aantekeningen lessen Minor lage rug & onderste extremiteit
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voorbereidingen en aantekeningen uit de Minor muskeloskeletale aandoeningen van de lage rug & onderste extremiteit.
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1,Inhoudsopgave
WEEK 1 – HEUP
RPS HEUP/LIES ............................................................................................................................................................. 3
Training 1 - Onderzoeksmogelijkheden lies/heup ...................................................................................................... 5
Werkcollege 2 - Journal club .....................................................................................................................................10
CBL 1 - Heup- en liesproblematiek............................................................................................................................12
WEEK 2 – ENKEL
RPS ENKEL/VOET .......................................................................................................................................................13
Training 3 – differentiaal diagnostiek onderbeen, enkel, voetklachten .................................................................15
Training 4 – testen sensomotorische coördinatie ...................................................................................................18
Werkcollege 4 – journal club, chronische enkelinstabiliteit....................................................................................19
CBL 2 – CAI.................................................................................................................................................................22
WEEK 3 - KNIE
RPS KNIE ...................................................................................................................................................................23
Training 5: Bewegingsanalyse onderste extremiteit ................................................................................................25
Training 6: Performance tests voor in de praktijk ....................................................................................................27
Werkcollege 6: Journal club - Risicofactoren patellofemorale pijn bij een VKBR ...................................................29
Case Based Learning 3 (VKBR en AKP) .....................................................................................................................31
WEEK 4 - MYOFASCIAAL + NEURODYNAMICA
RPS Myofasciaal + neurodynamica ..........................................................................................................................35
Training 7: Neurodynamica theorie en praktijk .......................................................................................................37
Training 8: differentiaal diagnostiek spier, fascie, peesproblematiek .....................................................................43
Werkcollege 8: Journal club – Neurodynamica .......................................................................................................48
Oefentoets week 4 ....................................................................................................................................................52
WEEK 5 - BEKKEN
RPS Bekken ................................................................................................................................................................54
Werkcollege 9: Casus bekken ...................................................................................................................................55
Training 10: Analyse complexe casuïstiek rondom het bekken ..............................................................................62
Werkcollege 10: Journal Club - De actieve straight leg raise nader bekeken .........................................................64
Case Based Learning 5: Klinisch redeneren bekken ................................................................................................66
Oefentoets week 5 ....................................................................................................................................................67
WEEK 6 - LAGE RUG
RPS – Lage rug ...........................................................................................................................................................70
Training 11: motorische controle en lichamelijk onderzoek bij langer bestaande lage rugklachten....................72
Training 12: in kaart brengen van de psychosociale factoren bij patiënten met langer bestaande pijn ..............75
Werkcollege 12: Journal club – Testen bij langer bestaande musculoskeletale pijn .............................................77
WEEK 7 - HIP SPINE SYNDROME & BACK SURGERY SYNDROME
RPS – Hip spine syndrome & Back surgery syndrome .............................................................................................81
Training 13 – bewegingsanalyse en lichamelijk onderzoek LBH-systeem ..............................................................83
Training 14 – gedrag en zelfredzaamheid ................................................................................................................85
Werkcollege 15 - ........................................................................................................... Error! Bookmark not defined.
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,WEEK 1 – HEUP
RPS HEUP/LIES
RPS formulier
- Sinds mei (1,5/2md) 1 dag na ontstaan klachten - Klassiek (dansen?)
- Mogelijk door verkeerde beweging
- Floorwork
- Eerst verkrampt gevoel, daarna nam pijn af
Volgens patiënt - Gevoel van bewegingsbeperking
- Pijn tijdens buigen
- Pijn provocerende bewegingen vermijdt in adl
- Vroeger lage rug klacht gehad met zenuwklemming
Anatomische functies & eigenschappen Activiteiten Participatie
Volgens
therapeut
Persoonlijke factoren Omgevingsfactoren
- Andere les gevolgd dan normaal
Volgens patiënt
Volgens
therapeut
Missende informatie: welk been (mogelijk rechts), bij welke sport/activiteit, uitvoeren werk, hulpvraag
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, WEEK 1 – HEUP
Hypothese(n)
1. Iliopsoas verminderde kracht
2. Iliopsaos verminderde lengte
3. FAI (cam/pincer)
4. Adductor verminderde kracht
5. Adductor verminderde lengte
6. Motorische controle
7. Buikwand
Onderzoeksplan
Hypothese nr. Onderzoeksdoelstellingen Onderzoeksmiddelen Evidentie
Spinnenweb van Allard: Gezondheid, patho-anatomisch, beweeggedrag, sociaal, lifestyle, sensitisatie, emotie, cognitie
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