Praktijk handleiding voor basis functie onderzoek van de schouder. alle onderzoekstechnieken( extra) de in de less worden gebruikt met toelichting van hoe men ze kan interpreteren
§ Where the patient moves the limb/joint and examiner observes and notes
the range obtained, symmetry between sides, (apparent) pain produced,
and sometimes, specific features such as a painfu arc during the movement.
It is also useful for giving an impression of patinet’s willingness to move the
joint and give some insight into cases in which psychological features may
be prominent. It can be performed at any joint but is more useful at some
sites (spine and shoulder) than at others (hand, knee)-prehaps because
psychological factores tend to be more common in the former areas, and
so, in the interests of time efficiency.
§ The most important function of the shoulder – arm elevation – has been
extensively studied, in particular the relationship and contribution of the
glenohumeral and scapulo- thoracic joints and the ‘scapulothoracic’ rhythm
has been determined. During full elevation of 180° only 90° takes place at
the glenohumeral joint. The remaining half is the conse- quence of scapular
rotation, clavicular movement and, finally, adduction of the humerus which
is only possible when the scapula has been fully rotated.
§ Where the patient moves the limb/joint and examiner observes and notes
the range obtained, symmetry between sides, (apparent) pain produced,
and sometimes, specific features such as a painfu arc during the movement.
It is also useful for giving an impression of patinet’s willingness to move the
joint and give some insight into cases in which psychological features may
be prominent. It can be performed at any joint but is more useful at some
sites (spine and shoulder) than at others (hand, knee)-prehaps because
psychological factores tend to be more common in the former areas, and
so, in the interests of time efficiency.
Similarly in the upper limb, various screening test can be carried out to
stress the medial, radial, or ulnaire nerve trunk and brachial plexus.
Cursus Functie Onderzoek 2e Bach VUB- Faculteit LK-Vakgroep KINE
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