In dit document heb ik alle testen van het tweedejaars fysiotherapie (deeltijd) uitgewerkt met mogelijke behandelprogramma's. Verder zijn alle regio's voorzien van informatie (oorzaken, symptomen, klachten etc.). Tevens links naar youtube video's voor meer informatie of toelichtingen.
Body of Skills testen uitgewerkt
MSA-extramuraal
H. El Aarbaoui - 2020
Inhoudsopgave
Lumbale wervelkolom ................................................................................................................................ 4
Vinger-bodemafstand ............................................................................................................................ 6
Straight Leg Raise test/Lasèque test .................................................................................................... 6
Slump test .................................................................................................................................................. 7
Prone knee bending test/Reverse Lasèque test ............................................................................... 7
Kniepeesreflex test ................................................................................................................................ 12
Achillespeesreflex test .......................................................................................................................... 12
2. Luomajoki – Sitting knee extension ................................................................................................ 19
3. Luomajoki – Rocking backwards.................................................................................................... 19
4. Luomajoki – Rocking forwards ........................................................................................................ 19
5. Luomajoki – Prone knee bend ........................................................................................................ 20
6. Luomajoki – Posterior tilt of pelvis ................................................................................................... 20
Prone instability test ............................................................................................................................... 21
Generalized Ligamentous Laxity ........................................................................................................ 21
PA (posterior-anterior) druktest ........................................................................................................... 21
SI-gewricht .................................................................................................................................................. 27
Distraction test/gapping test............................................................................................................... 28
Compression test ................................................................................................................................... 28
Thigh Thrust test ...................................................................................................................................... 29
Gaenslen's test ....................................................................................................................................... 29
Patrick sign test/FABER test .................................................................................................................. 30
Active Straight Leg Raise test .............................................................................................................. 31
SI-gewricht Nutatie ................................................................................................................................ 32
SI-gewricht Counter-nutatie ................................................................................................................ 32
Cervicale wervelkolom ............................................................................................................................ 35
2. Distraction test ................................................................................................................................... 37
3. Spurling test......................................................................................................................................... 37
4. Actieve rotatie ................................................................................................................................... 38
Bicepspeesreflex test ............................................................................................................................ 41
Tricepspeesreflex test............................................................................................................................ 41
Romberg test (vestibulaire test) .......................................................................................................... 42
, Babinksi reflex test (voetzoolreflex) .................................................................................................... 42
Hoffman’s sign (vingerflexiereflex) ..................................................................................................... 43
Cervical ROM testing ............................................................................................................................ 47
Deep neck flexor endurance test ...................................................................................................... 47
Cervical extensor edurance test (CEET) ........................................................................................... 48
Schouder ..................................................................................................................................................... 51
Stenvers 1 ................................................................................................................................................ 52
Stenvers 2 ................................................................................................................................................ 52
Stenvers 3 ................................................................................................................................................ 52
Stenvers 4 ................................................................................................................................................ 53
Stenvers 5 – Horizontale Adductie Test .............................................................................................. 53
Scapular Assistance Test ...................................................................................................................... 55
Scapular Retraction Test ...................................................................................................................... 55
Pianotoetsfenomeen ............................................................................................................................ 58
Full can test ............................................................................................................................................. 60
External Rotation test ............................................................................................................................ 61
Drop arm sign test.................................................................................................................................. 61
Bear Hug test .......................................................................................................................................... 62
Lift off test ................................................................................................................................................ 62
Posterior Jerk test ................................................................................................................................... 64
Cluster voor SLAP laesies ...................................................................................................................... 65
Roos test .................................................................................................................................................. 71
Wright test (hyperabductietest) ......................................................................................................... 71
Elleboog....................................................................................................................................................... 73
Varus instability stress test ..................................................................................................................... 74
Valgus instability stress test ................................................................................................................... 76
Pols................................................................................................................................................................ 78
Midcarpal shift test ................................................................................................................................ 79
Watson test ............................................................................................................................................. 80
Tinel’s sign (teken van Tinel) ................................................................................................................ 82
TFCC Compression test......................................................................................................................... 84
Heup ............................................................................................................................................................. 86
Palpatie ................................................................................................................................................... 91
Spierruptuur............................................................................................................................................. 95
Knie ............................................................................................................................................................... 96
Strijk test (Stroke/Brush/Bulge test) ...................................................................................................... 98
Ballottement test.................................................................................................................................... 99
Patellar Apprehension test/Patella dislocatie ................................................................................ 99
, Ottawa knee rules ............................................................................................................................... 100
Lachman test ....................................................................................................................................... 101
Pivot Shit test ......................................................................................................................................... 101
Posterior sag sign test .......................................................................................................................... 103
Valgus stress test .................................................................................................................................. 104
Varus stress test .................................................................................................................................... 105
Jointline tenderness test ..................................................................................................................... 107
McMurray test ...................................................................................................................................... 107
PFPS Cluster test ................................................................................................................................... 109
Noble’s test ........................................................................................................................................... 111
Enkel ........................................................................................................................................................... 113
Ottawa ankle rules .............................................................................................................................. 114
Exorotatie stress test (KLEIGER) .......................................................................................................... 114
Voorste schuiflade test ....................................................................................................................... 114
Thompson test ...................................................................................................................................... 115
, Lumbale wervelkolom
De lage rug heeft vijf wervels (L1-L5). Dit zijn de grootste wervels van de hele wervelkolom.
Deze vijf wervels dragen het gewicht van het bovenlichaam. Bovendien is het ook een heel
beweeglijk deel van de wervelkolom. Het hoge gewicht in combinatie met de grote
beweeglijkheid, zorgt ervoor dat deze wervels het snelst beschadigd raken met als gevolg
lage rugpijn.
Lage rugpijn wordt doorgaans ingedeeld in specifieke en aspecifieke lage rugpijn.
aangegeven. Aspecifieke lage rugpijn wordt gedefinieerd als rugpijn waarvoor geen
aanwijsbare specifieke oorzaak voor de klachten te vinden is. Dit is het geval bij
ongeveer 90% van alle patiënten met lage rugpijn. Specifieke lage rugpijn wordt
onderscheiden in:
- het lumbosacraal radiculair syndroom: een vorm van specifieke lage rugpijn met radiculaire
pijn in 1 been, die al dan niet gepaard gaat met neurologische uitvalsverschijnselen.
- rugpijn als gevolg van een mogelijk ernstige onderliggende specifieke aandoening, zoals
(osteoporotische) wervelfracturen, maligniteiten, spondylitis ankylopoetica, ernstige vormen
van kanaalstenose, of ernstige vormen van spondylolisthesis.
Radiculair syndroom
Dit is een verzamelnaam voor de pijn die ontstaat door compressie van een zenuwwortel
(radix) in de rug. De zenuwen kunnen hierdoor minder goed signalen doorgeven, zo worden
spieren minder goed aangestuurd (krachtsverlies) en ook het gevoel wordt verstoord
(prikkelingen of doof gevoel). Aangezien lumbale en sacrale wervels naar de benen toe
lopen, komen hier de symptomen tot stand. De meest voorkomende oorzaak van een
lumbosacrale radiculair syndroom is de hernia nuclei pulposi (HNP). Een ander oorzaak is de
lumbale spinale stenose (vernauwing in de lendenwervels).
Mogelijke risicofactoren lage rugklachten:
- Zwaar lichamelijk werk (vooral indien dit gecombineerd wordt met frequent vooroverbuigen
en draaien van de wervelkolom)
- Zwaar lichamelijk werk
- Mentale stress
- Langdurig roken
- Frequent langdurig autorijden (>2 uur per dag, meer dagen per week)
- Genetica
Klachten en symptomen radiculair syndroom
- Pijn in de rug met uitstralende pijn/doofheid/tintelingen naar extremiteiten
- Uitstralende pijn tot voorbij de knieholte
- Zeer heftige pijn in been, vaak met een scheut
- Vooral pijn bij lang zitten, vooroverbuigen en hoesten/niezen/persen
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