Manual
FMH VKB reconstructie
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- Institution
Fysiotherapeutisch methodisch handelen bij een voorste kruisband reconstructie, herstel na een operatie.
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VKB operatiefFMH
V
,Inhoudsopgave
Anamnese..................................................................................................................................................... 2
KOOS vragenlijst............................................................................................................................................ 2
Inspectie........................................................................................................................................................ 3
Palpatie................................................................................................................................................................3
Onderzoek..................................................................................................................................................... 4
Stroke test............................................................................................................................................................4
Onderzoek art. Patellofemorale...........................................................................................................................4
Test passieve structuren.......................................................................................................................................5
Intra-articulaire zwelling..................................................................................................................................5
Flexie (160 graden), zacht eindgevoel.............................................................................................................5
Extensie (10 graden), ligamentair hard eindgevoel.........................................................................................5
.........................................................................................................................................................................5
Actieve stabiliteit, proprioceptie..........................................................................................................................6
Y-ebt................................................................................................................................................................6
Willekeurig aanspannen van de bovenbeenmusculatuur...............................................................................7
Op één been, onstabiele ondergrond.............................................................................................................7
Weerstand knie................................................................................................................................................7
Fasisch onderzoek................................................................................................................................................8
Fysiotherapeutische diagnose........................................................................................................................ 8
Behandelplan opstellen................................................................................................................................. 8
Therapeutisch proces..................................................................................................................................... 9
Fase 1...................................................................................................................................................................9
Doelstelling......................................................................................................................................................9
Welke behandeling..........................................................................................................................................9
Afwijkend beloop...........................................................................................................................................11
.......................................................................................................................................................................11
Fase 2.................................................................................................................................................................12
Doelstelling....................................................................................................................................................12
Welke behandeling........................................................................................................................................12
Fase 3.................................................................................................................................................................14
Doelstelling....................................................................................................................................................14
Welke behandeling........................................................................................................................................14
Evaluatie...................................................................................................................................................... 15
Stroke test..........................................................................................................................................................15
Temperatuur meten...........................................................................................................................................15
Intra-articulaire zwelling....................................................................................................................................15
Flexie (160 graden), zacht eindgevoel................................................................................................................15
Extensie (10 graden), ligamentair hard eindgevoel...........................................................................................15
, Anamnese
- Bent u al eerder bij een fysiotherapeut geweest?
- Wanneer is het gebeurd?
- Hoe is het gebeurd?
- Hoe is het gegaan vanaf het moment van het afscheuren?
- Hoe lang geleden bent u geopereerd?
- Hoe is de operatie gegaan?
- Hoe is het herstel tot nu toe?
- Heeft u pijn?
- Zoja waar en wat voor pijn?
- Met welke activiteiten hebt u het meeste last? (PSK)
- Wat voor hobbys heeft u?
- Sport u?
- Zoja hoe vaak en wat voor sport?
- Hoe ziet uw thuis situatie eruit?
o Woont u thuis of op u zelf?
o Woont u samen of alleen?
o Hoe ziet uw huis eruit? Veel trappen of opstapjes?
- Wat zou u willen bereiken met de therapie?
KOOS vragenlijst
Deze vragenlijst vraagt naar uw mening over uw knie. Beantwoord elke vraag door één hokje aan te
kruisen. Als u twijfelt over de beantwoording van een vraag, kruis dan de best mogelijke optie aan.
De score op de KOOS varieert van 0-100, waarbij 0 de grootst mogelijke problemen en 100 geen
problemen weergeeft.
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