Manual
FMH frozen shoulder/ capsulitis adheasia
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- Institution
Fysiotherapeutisch methodisch handelen bij een frozen shoulder. Het diagnostisch en therapeutisch proces
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Frozen shoulderFMH
V
,Inhoudsopgave
Anamnese..................................................................................................................................................... 2
Hypotheses...........................................................................................................................................................2
Inspectie........................................................................................................................................................ 3
Statische...............................................................................................................................................................3
Dynamische..........................................................................................................................................................3
Functionele...........................................................................................................................................................3
Palpatie................................................................................................................................................................3
Onderzoek..................................................................................................................................................... 4
TPS........................................................................................................................................................................4
Exorotatie.........................................................................................................................................................4
Abductie...........................................................................................................................................................4
Endorotatie......................................................................................................................................................5
TAS........................................................................................................................................................................5
Abductie art. glenohumerale...........................................................................................................................5
Addcutie art. glenohumerale...........................................................................................................................6
Exorotatie art. glenohumerale........................................................................................................................6
Endorotatie art. glenohumerale......................................................................................................................6
Flexie elleboog.................................................................................................................................................6
Extensie elleboog.............................................................................................................................................7
Tonisch.................................................................................................................................................................8
Trapezius pars descendens..............................................................................................................................8
M. pectoralis major..........................................................................................................................................8
M. pectoralis minor.........................................................................................................................................9
M. biceps brachii caput longum......................................................................................................................9
M. tricep brachii.............................................................................................................................................10
Tractie translatie................................................................................................................................................10
Tractie............................................................................................................................................................10
Translatie ventraal.........................................................................................................................................11
Translatie dorsaal..........................................................................................................................................11
Translatie caudaal..........................................................................................................................................11
Fysiotherapeutische diagnose...................................................................................................................... 13
Behandelplan opstellen............................................................................................................................... 13
Therapeutisch proces................................................................................................................................... 14
Mobilisatie schouder tractie translatie / pijndemping (oscillaties)...................................................................14
Mobilisatie oefeningen schouder.......................................................................................................................17
Endorotatie....................................................................................................................................................17
Exorotatie.......................................................................................................................................................18
Adductie.........................................................................................................................................................19
Abductie.........................................................................................................................................................19
, Anamnese
o Bekend bij fysio
o Verwijzing
o Wat is er gebeurt
Trauma of spontaan
o Hoelang geleden gebeurt/ hoe lang pijn
o SPADI
Vragenlijst
Heeft de patiënt al, dus bekijk die
o Pijn
Waar
Hoe erg
Wanneer
NPRS / PSK
In rust
Uitstraling (arm, rug, nek)
Nachtelijke pijn
o Vermoeidheid
o Nevenpathologie
Diabetes
Parkinson
Langdurige immobilisatie
o Hulpvraag
o Thuissituatie
o Externe factoren
o Participatie en activiteiten
Hobby’s
Werk
Zelfverzorging
Koken
o Medicijnen
o Geschiedenis schouderklachten
o Verwachtingen
Hypotheses
Verminderde myogene mobiliteit
Capsulair patroon
Joint-play
Pijn
Verminderde spierkracht
Verminderd spieruithoudingsvermogen
Vermoeidheid
Participatie en activiteit beperking
Verminderde passieve stabiliteit actieve stabiliteit versterken, stabiliteit oefeningen
Verminderde actieve stabiliteit spierkracht versterkende oefeningen, KRS tabel
Verminderde artrogene mobiliteit ondervonden bij TPS tractie translatie
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