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Samenvatting Theorie msk 5: frozen shoulder $3.18
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Samenvatting Theorie msk 5: frozen shoulder

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Dit is een samenvatting van het hoofdstuk over frozen shoulder voor het vak msk 5.

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  • May 16, 2020
  • 5
  • 2019/2020
  • Summary
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Frozen shoulder: praktijkrichtlijn in de kinesitherapie
Definitie en kenmerken
= adhesieve capsulitis
Definitie
Frozen shoulder kenmerkt zich in de beginfase door pijn in de
schouder, uitstralend in de bovenarm en geleidelijk verlies aan
actieve en passieve bewegingsvrijheid, wat voortkomt uit een
diffuse ontsteking van de synoviale membraan en een
progressieve fibrosering die binnen de 1 tot 9 maanden leidt tot
een contractuur van het totale glenohumerale gewrichtskapsel.

Fasen frozen shoulder
1) Ontstekings- of inflammatiefase
 Pijn in deltoideusregio
 Nachtelijke pijn
 Toenemende beperking ROM (onder anaesthesie bijna normale ROM)
 Myofibroblastenactiviteit neemt toe
 Hypertrofische vasculaire synovitis
 Duur: gemiddeld 3 maanden



2) Pijn- of freezingfase
 Pijn blijft gelijk of neemt toe
 Afnemende ROM
 Gewrichtskapsel begint te verkleven
 Duur: gemiddeld 3-9 maanden



3) Stijfheids- of frozen fase
 Schouder is relatief pijnvrij
 Forse afname van de ROM door verklevingen kapsel
 Duur: gemiddeld 9-15 maanden



4) Chronische of thawing fase
 Minimale pijn
 Langzaam herstel van de ROM
 Arthroscopisch mature verklevingen zichtbaar




1

,  zie toepassingen slide 21-26




2

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