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Samenvatting Skills boek Orthopedie 1 en 2 Leerjaar 2 Fysiotherapie Hogeschool Saxion Enschede $32.66
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Samenvatting Skills boek Orthopedie 1 en 2 Leerjaar 2 Fysiotherapie Hogeschool Saxion Enschede

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Aangezien ik via stuvia maar een aantal voorbeeldpagina's kan laten zien, zien jullie dus niet de inhoud van dit skillsboek. Wanneer je belang heb bij dit skillsboek laat het mij dan even weten via het volgende mailadres: mijn studentnummer en dan @ dan zou je dit in zijn geheel kunnen inzien, al...

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  • January 22, 2021
  • 241
  • 2020/2021
  • Summary
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© Illian Groothuismink 1

,VOORWOORD

Mijn naam is Illian Groothuismink, 20 jaar oud en woon achtend in Raalte, Overijssel. Momenteel zit ik in mijn tweede leerjaar van de studie tot fysiotherapeut,
deze studie volg ik aan de Hogeschool Saxion te Enschede. De aanleiding voor het schrijven van dit skills boek is om een beter overzicht te krijgen van alle
skills die plaatsvindt in het blok orthopedie 1 en 2 in kwartiel 1-2 of 3-4 van het tweede leerjaar en dit skills boek kan je gebruiken om je goed voor te
bereiden voor de Performance Assessments (PAS) aan het einde van kwartiel 1-2 en/of 3-4.

Het skills boek is bestemd voor alle tweede jaars studenten die het blok orthopedie 1 en 2 zullen gaan volgen aan de Hogeschool Saxion te Enschede. Echter is
het skills boek handig voor iedereen die een duidelijk inzicht en overzicht wil krijgen welke skills er allemaal plaatsvindt in het blok orthopedie 1 en 2.

Tijdens het schrijven van dit skills boek is er gebruik gemaakt van de moduleboeken I, II en III en de daarbij horende presentaties binnen het blok orthopedie 1
en 2.

Ik wens u allen veel lees- en studieplezier!




Illian Groothuismink

Raalte, 30 december 2020




© Illian Groothuismink 2

,INHOUDSOPGAVE:

Voorwoord .....................................................................................................................................................................................................................................................2

Inhoudsopgave:..............................................................................................................................................................................................................................................3

Onderbeen, enkel en voet ............................................................................................................................................................................................................................11

Screening en Anamnese ...................................................................................................................................................................................................................................... 11

Observatie totaal en lokaal + functieonderzoek.................................................................................................................................................................................................. 12

Algemene Dagelijkse Levensverrichtingen (ADL) ................................................................................................................................................................................................ 15

Actief onderzoek enkel ........................................................................................................................................................................................................................................ 16

Passief onderzoek Enkel ...................................................................................................................................................................................................................................... 19

Weerstandstesten enkel ...................................................................................................................................................................................................................................... 25

Aanvullende testen onderbeen en voet ............................................................................................................................................................................................................... 26

Knie ..............................................................................................................................................................................................................................................................42

Screening en Anamnese ...................................................................................................................................................................................................................................... 42

Observatie totaal en lokaal + functieonderzoek.................................................................................................................................................................................................. 43

Algemene Dagelijkse Levensverrichtingen (ADL) ................................................................................................................................................................................................ 46
Actief onderzoek knie .......................................................................................................................................................................................................................................... 47

Passief onderzoek knie ........................................................................................................................................................................................................................................ 49

Weerstandstesten knie ........................................................................................................................................................................................................................................ 51

Aanvullende testen knie ...................................................................................................................................................................................................................................... 52




© Illian Groothuismink 3

,Heup ............................................................................................................................................................................................................................................................69

Screening en Anamnese ...................................................................................................................................................................................................................................... 69

Observatie totaal en lokaal ................................................................................................................................................................................................................................. 70

Algemene Dagelijkse Levensverrichtingen (ADL) ................................................................................................................................................................................................ 71

Actief onderzoek heup ......................................................................................................................................................................................................................................... 72

Passief onderzoek heup ....................................................................................................................................................................................................................................... 77

Weerstandstesten heup ...................................................................................................................................................................................................................................... 82

Aanvullende testen heup ..................................................................................................................................................................................................................................... 84

Wervelkolom ...............................................................................................................................................................................................................................................90

Screening en Anamnese ...................................................................................................................................................................................................................................... 90

Observatie totaal + lokaal ................................................................................................................................................................................................................................... 91

Algemene Dagelijkse Levensverrichtingen (ADL) ................................................................................................................................................................................................ 93

Actief onderzoek wervelkolom ............................................................................................................................................................................................................................ 94

Passief onderzoek Wervelkolom.......................................................................................................................................................................................................................... 97

Weerstandstesten wervelkolom ........................................................................................................................................................................................................................ 102

Aanvullende testen wervelkolom: ..................................................................................................................................................................................................................... 104

Cervicale wervelkolom ............................................................................................................................................................................................................................... 111

Screening en Anamnese .................................................................................................................................................................................................................................... 111

Observatie totaal + lokaal ................................................................................................................................................................................................................................. 112

Algemene Dagelijkse Levensverrichtingen (ADL) .............................................................................................................................................................................................. 113

Actief onderzoek CWK ....................................................................................................................................................................................................................................... 114

Passief onderzoek CWK ..................................................................................................................................................................................................................................... 116



© Illian Groothuismink 4

, Weerstandstesten CWK ..................................................................................................................................................................................................................................... 119

Aanvullende testen CWK ................................................................................................................................................................................................................................... 120

Schouder .................................................................................................................................................................................................................................................... 128

Screening en Anamnese .................................................................................................................................................................................................................................... 128

Observatie totaal + lokaal ................................................................................................................................................................................................................................. 130

Algemene Dagelijkse Verrichtingen (ADL) ......................................................................................................................................................................................................... 130

Actief onderzoek schouder ................................................................................................................................................................................................................................ 131

Passief onderzoek schouder .............................................................................................................................................................................................................................. 132

Weerstandstesten schouder .............................................................................................................................................................................................................................. 137

Aanvullende testen schouder ............................................................................................................................................................................................................................ 139

Elleboog en Onderarm ............................................................................................................................................................................................................................... 152

Screening en Anamnese .................................................................................................................................................................................................................................... 152

Observatie totaal + lokaal ................................................................................................................................................................................................................................. 154

Algemene Dagelijkse Levensverrichtingen (ADL) .............................................................................................................................................................................................. 154

Actief onderzoek elleboog en onderarm ........................................................................................................................................................................................................... 155

Passief onderzoek elleboog en onderarm ......................................................................................................................................................................................................... 156

Weerstandstesten elleboog en onderarm ......................................................................................................................................................................................................... 158

Aanvullende testen elleboog en onderarm ....................................................................................................................................................................................................... 159

Pols en hand............................................................................................................................................................................................................................................... 168

Screening en Anamnese .................................................................................................................................................................................................................................... 168

Observatie totaal + lokaal ................................................................................................................................................................................................................................. 170

Algemene Dagelijkse Levensverrichtingen (ADL) .............................................................................................................................................................................................. 171



© Illian Groothuismink 5

, Actief onderzoek pols en hand .......................................................................................................................................................................................................................... 172

Passief onderzoek pols en hand ........................................................................................................................................................................................................................ 173

Weerstandstesten pols en hand ........................................................................................................................................................................................................................ 182

Aanvullende testen pols en hand ...................................................................................................................................................................................................................... 183

Spierlengtetesten bovenste en onderste extremiteit ................................................................................................................................................................................. 194

Spierkrachttesten bovenste en onderste extremiteit ................................................................................................................................................................................. 210

Perifeer neurologische testen .................................................................................................................................................................................................................... 224




© Illian Groothuismink 6

,© Illian Groothuismink 7

,Onderbeen, enkel en voet ............................................................................................................................................................................................... 11

Screening en Anamnese ...................................................................................................................................................................................................... 11

Observatie totaal en lokaal + functieonderzoek ................................................................................................................................................................... 12
Ottawa Ankle Rules: ......................................................................................................................................................................................................... 13
Test van Thompson ......................................................................................................................................................................................................... 14

Algemene Dagelijkse Levensverrichtingen (ADL) .................................................................................................................................................................. 15

Actief onderzoek enkel........................................................................................................................................................................................................ 16
Dorsaalflexie ................................................................................................................................................................................................................... 16
Plantairflexie ................................................................................................................................................................................................................... 16
Inversie ........................................................................................................................................................................................................................... 16
Eversie ............................................................................................................................................................................................................................ 17
Abductie/Adductie tenen ................................................................................................................................................................................................. 17
Extensie tenen ................................................................................................................................................................................................................. 17
Flexie tenen..................................................................................................................................................................................................................... 18

Passief onderzoek Enkel ...................................................................................................................................................................................................... 19
Plantairflexie ................................................................................................................................................................................................................... 19
Dorsaalflexie ................................................................................................................................................................................................................... 19
Inversie ........................................................................................................................................................................................................................... 19
Eversie ............................................................................................................................................................................................................................ 20
Lijn van Chopart .............................................................................................................................................................................................................. 20
Dorsaalflexie ................................................................................................................................................................................................................ 20
Plantairflexie ................................................................................................................................................................................................................ 20
Adductie ...................................................................................................................................................................................................................... 21
Abductie ...................................................................................................................................................................................................................... 21
Pronatie ....................................................................................................................................................................................................................... 21
Supinatie...................................................................................................................................................................................................................... 22




© Illian Groothuismink 8

, Lijn van Lis-Franc ............................................................................................................................................................................................................ 22
Supinatie...................................................................................................................................................................................................................... 22
Pronatie ....................................................................................................................................................................................................................... 22
Tenen .............................................................................................................................................................................................................................. 22
Extensie teen 1 ............................................................................................................................................................................................................ 23
Flexie teen 1 ................................................................................................................................................................................................................ 23
Abductie Hallux ........................................................................................................................................................................................................... 23
Adductie Hallux ........................................................................................................................................................................................................... 24
Flexie tenen 2 t/m 5 .................................................................................................................................................................................................... 24
Extensie tenen 2 t/m 5 ................................................................................................................................................................................................. 24

Weerstandstesten enkel....................................................................................................................................................................................................... 25

Aanvullende testen onderbeen en voet ................................................................................................................................................................................ 26
Varus stress .................................................................................................................................................................................................................... 26
Valgus stress ................................................................................................................................................................................................................... 26
Talo-crurale instabiliteitstesten (schuiflade) met gefixeerde voet ..................................................................................................................................... 26
Uitvoering 1: ................................................................................................................................................................................................................ 26
Uitvoering 2: ................................................................................................................................................................................................................ 27
Art. Talo cruralis .............................................................................................................................................................................................................. 27
Tractie uitvoering 1 ...................................................................................................................................................................................................... 27
Tractie uitvoering 2 ...................................................................................................................................................................................................... 28
Translatie ventraal uitvoering 1 .................................................................................................................................................................................... 28
Translatie ventraal uitvoering 2 .................................................................................................................................................................................... 28
Translatie ventraal uitvoering 3 .................................................................................................................................................................................... 29
Translatie dorsaal uitvoering 1 ..................................................................................................................................................................................... 29
Translatie dorsaal uitvoering 2 ..................................................................................................................................................................................... 29
Art. Subtalaris tractie ....................................................................................................................................................................................................... 30
Art. Talo-naviculare ......................................................................................................................................................................................................... 30




© Illian Groothuismink 9

, Translatie plantair ........................................................................................................................................................................................................ 30
Translatie dorsaal ........................................................................................................................................................................................................ 30
Art. Calcaneo-cuboidea ................................................................................................................................................................................................... 31
Translatie plantair ........................................................................................................................................................................................................ 31
Translatie dorsaal ........................................................................................................................................................................................................ 31
Tenen .............................................................................................................................................................................................................................. 32
Tractie art. MTP I t/m V ................................................................................................................................................................................................ 32
Tractie art. IP I ............................................................................................................................................................................................................. 32
Tractie art. PIP II t/m IV ................................................................................................................................................................................................ 33
Tractie art. DIP II t/m 5................................................................................................................................................................................................. 33
Translatie art. MTP I t/m V ........................................................................................................................................................................................... 34
Translatie art. IP I ......................................................................................................................................................................................................... 34
Translatie art. PIP II t/m IV ............................................................................................................................................................................................ 34
Translatie art. DIP II t/m IV ........................................................................................................................................................................................... 35
Compressie art. intermetatarsae ................................................................................................................................................................................... 35
Art. Tibio fibularis proximalis .......................................................................................................................................................................................... 36
Translatie ventraal ....................................................................................................................................................................................................... 36
Translatie dorsaal ........................................................................................................................................................................................................ 36
Art. Tibio fibularis distalis (syndesmosis) ......................................................................................................................................................................... 36
Translatie ventraal ....................................................................................................................................................................................................... 36
Translatie dorsaal ........................................................................................................................................................................................................ 37




© Illian Groothuismink 10

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