Manual
FMH knie complex
Institution
Hogeschool Zuyd (HZ)
Fysiotherapeutisch methodisch handelen bij een knie complex. Meniscus testen, voorste kruisband en achterste kruisband testen, testen voor passieve en actieve structuren, krachttesten en spierlengte testen.
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October 2, 2020
Number of pages
19
Written in
2019/2020
Type
Manual
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Institution
Hogeschool Zuyd (HZ)
Education
Fysiotherapie
Course
Competentie toets
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Knie Complex
FMH
V
,Inhoudsopgave
Anamnese..................................................................................................................................................... 3
Kop:.......................................................................................................................................................................3
Romp:....................................................................................................................................................................3
Staart:...................................................................................................................................................................3
Communicatieve vaardigheden:...........................................................................................................................3
Hypotheses.................................................................................................................................................... 3
Onderzoek..................................................................................................................................................... 4
Inspectie in stand:.................................................................................................................................................4
Inspectie in gang (ganganalyse):..........................................................................................................................4
Functionele inspectie............................................................................................................................................4
Test passieve structuren.......................................................................................................................................5
Intra-articulaire zwelling...................................................................................................................................5
Flexie (160 graden), zacht eindgevoel..............................................................................................................5
Extensie (10 graden), ligamentair hard eindgevoel.........................................................................................5
Exorotatie ( 45 graden), elastisch eindgevoel..................................................................................................6
Endorotatie ( 15 graden), elastisch eindgevoel................................................................................................6
Abductie met extensie (0 graden), elastisch eindgevoel.................................................................................6
Abductie met 20 graden flexie knie (11 graden), elastisch eindgevoel...........................................................6
Adductie met extensie (0 graden), elastisch eindgevoel.................................................................................7
Adductie met 20 graden flexie knie (11 graden), elastisch eindgevoel...........................................................7
Test actieve structuren.........................................................................................................................................8
Flexie.................................................................................................................................................................8
Extensie.............................................................................................................................................................8
Toegevoegd onderzoek.................................................................................................................................. 9
Testen voor passieve instabiliteit.........................................................................................................................9
Gravity sign.......................................................................................................................................................9
Lachman 20.......................................................................................................................................................9
Schuiflade 90....................................................................................................................................................9
Tracties & translaties:.........................................................................................................................................10
Tractie naar distaal (zittend in 80° knieflexie)................................................................................................10
Translatie naar dorsaal ventraal (80° knieflexie)............................................................................................11
Meniscustesten:..................................................................................................................................................12
McMurray test................................................................................................................................................12
Jointline tenderness (JLT) test........................................................................................................................13
Passieve flexie.................................................................................................................................................13
Passieve extensie............................................................................................................................................13
Thessaly test...................................................................................................................................................13
Therapeutisch proces................................................................................................................................... 14
Artrogene mobiliteit verbeteren:........................................................................................................................14
, Loopscholing:......................................................................................................................................................17
Spierkrachttraining:............................................................................................................................................18
Stabiliteitstraining:.............................................................................................................................................18
Pijnvermindering:...............................................................................................................................................18