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FMH VKB conservatief
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Fysiotherapeutisch methodisch handelen bij een voorste kruisband ruptuur met conservatieve behandeling. Stabiliteit onderzoek, mobiliteits onderzoek, kracht onderzoek.
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VKB conservatiefFMH
V
,Inhoudsopgave
Hypotheses.................................................................................................................................................... 3
Anamnese..................................................................................................................................................... 4
KOOS vragenlijst...................................................................................................................................................4
Inspectie........................................................................................................................................................ 6
Observeer relevante activiteiten uit het dagelijks leven (ADL)........................................................................6
Observeer het gangpatroon.............................................................................................................................6
Onderzoek..................................................................................................................................................... 7
Stroke test.............................................................................................................................................................7
Onderzoek art. Patellofemorale...........................................................................................................................7
Ballottement test..................................................................................................................................................7
Test passieve structuren.......................................................................................................................................8
Intra-articulaire zwelling...................................................................................................................................8
Flexie (160 graden), zacht eindgevoel..............................................................................................................8
Extensie (10 graden), ligamentair hard eindgevoel.........................................................................................8
Exorotatie ( 45 graden), elastisch eindgevoel..................................................................................................9
Endorotatie ( 15 graden), elastisch eindgevoel................................................................................................9
Abductie met extensie (0 graden), elastisch eindgevoel.................................................................................9
Abductie met 20 graden flexie knie (11 graden), elastisch eindgevoel...........................................................9
Adductie met extensie (0 graden), elastisch eindgevoel...............................................................................10
Adductie met 20 graden flexie knie (11 graden), elastisch eindgevoel.........................................................10
Test actieve structuren.......................................................................................................................................11
Flexie...............................................................................................................................................................11
Extensie...........................................................................................................................................................11
Test passieve stabiliteit.......................................................................................................................................12
Gravity sign.....................................................................................................................................................12
Lachman 20.....................................................................................................................................................12
Schuiflade 90..................................................................................................................................................12
Actieve stabiliteit, proprioceptie.........................................................................................................................13
Y-ebt...............................................................................................................................................................13
Op één been, onstabiele ondergrond............................................................................................................14
Weerstand knie..............................................................................................................................................14
Willekeurig aanspannen van de bovenbeenmusculatuur..............................................................................14
Fysiotherapeutische diagnose...................................................................................................................... 15
Behandelplan opstellen............................................................................................................................... 15
Therapeutisch proces................................................................................................................................... 16
Stabiliteitstraining..............................................................................................................................................16
, Krachttraining.....................................................................................................................................................18
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