Samenvatting enkel, voet en onderbeenregio masterproef
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Course
Masterproef
Institution
Saxion Hogeschool (Saxion)
Book
Extremiteiten
Uitgebreide samenvatting over het enkel gewricht, de voet en onderbeenregio voor de masterproef van de master Musculoskeletaal. Aan bod komen de kinematica van het enkelgewricht, het onderzoek, de behandeling, pathologieën en literatuur.
,Enkel, voet en onderbeenregio...............................................................................................................................1
Kinematica – Voet en onderbeenregio...................................................................................................................6
Onderzoek..............................................................................................................................................................20
Art tibiofibularis.................................................................................................................................................21
Oriëntatietest......................................................................................................................................................21
Art talocruralis – Passief functieonderzoek onbelast.........................................................................................22
Onderzoek functionele instabiliteit.....................................................................................................................24
Functionele instabiliteit art talocruralis.........................................................................................................24
Functionele instabiliteit syndesmosis tibiofibularis.......................................................................................27
Art subtalaris – Passief functieonderzoek onbelast............................................................................................29
Art tarsi transversa – Passief functieonderzoek onbelast..................................................................................30
Art calcaneocuboidea – Joint-play.....................................................................................................................31
Lijn van Lisfranc (artt tarsometatarsales) – Passief functieonderzoek onbelast...............................................32
Art metatarsophalangea 1 – Passief functieonderzoek onbelast........................................................................33
Achillespees testen..............................................................................................................................................34
Behandeling............................................................................................................................................................35
Manipulaties art tibiofibularis...........................................................................................................................36
Manipulaties syndesmosis tibiofibularis............................................................................................................38
Tracties en approximatie art talocruralis..........................................................................................................40
Rol-slip technieken art talocruralis....................................................................................................................42
Tracties art subtalaris........................................................................................................................................44
Manipulaties art subtalaris................................................................................................................................45
Manipulaties art talocalcaneonavicularis..........................................................................................................48
Manipulaties cuboid...........................................................................................................................................50
Schommel-glij technieken voetgewelven............................................................................................................52
Schommel-glij technieken mediaal voetgewelf.............................................................................................52
Schommel-glij technieken lateraal voetgewelf..............................................................................................54
Manipulaties voetgewelven................................................................................................................................56
Manipulaties art metatarsophalangea 1............................................................................................................59
Rekkingstechnieken.............................................................................................................................................60
Pathologie...............................................................................................................................................................61
Neoplastische ziekten en aandoeningen.............................................................................................................61
Ziekten en aandoeningen van het bot-spierstelsel en bindweefsel van de voet-onderbeenregio.......................62
Jicht................................................................................................................................................................62
Hallux valgus.................................................................................................................................................62
Hallux rigidus................................................................................................................................................62
Achillespeestendinopathie.............................................................................................................................63
Congenitale ziekten en aandoeningen van de voet-onderbeenregio..................................................................65
Artrose...........................................................................................................................................................65
Traumatische, exogene ziekten en aandoeningen van de voet-onderbeenregio.................................................66
3
, ...........................................................................................................................................................................66
Mechanische obstructie van de circulatie..........................................................................................................67
Compartimentsyndroom of logesyndroom....................................................................................................67
Shin splints/MTSS.........................................................................................................................................67
Trombose.......................................................................................................................................................68
Disposities van de voet-onderbeenregio............................................................................................................69
Instabiele enkelvork.......................................................................................................................................69
Statische disposities.......................................................................................................................................69
Dynamische disposities.................................................................................................................................70
Inversietrauma....................................................................................................................................................71
Disposities in de tarsus.......................................................................................................................................73
Dispositie van de calcaneus (hypomobiliteit)................................................................................................73
Dispositie van de talus door hypomobiliteit..................................................................................................74
Dispositie van het naviculare.........................................................................................................................74
Dispositie van het cuboid...............................................................................................................................75
Consequenties voor de praktijk ....................................................................................................................75
Sinus tarsi syndroom......................................................................................................................................75
Impingement.......................................................................................................................................................75
Anterieur impingement..................................................................................................................................75
Posterieur impingement.................................................................................................................................75
Onderzoeks- en behandeltechnieken...................................................................................................................82
Onderzoeken.......................................................................................................................................................82
Behandeling........................................................................................................................................................83
Onderzoek.......................................................................................................................................19
Art tibiofibularis...............................................................................................................................19
Oriëntatietest...................................................................................................................................20
Art talocruralis – Passief functieonderzoek onbelast.......................................................................21
Onderzoek functionele instabiliteit..................................................................................................23
Functionele instabiliteit art talocruralis.......................................................................................23
Functionele instabiliteit syndesmosis tibiofibularis.....................................................................26
Art subtalaris – Passief functieonderzoek onbelast..........................................................................28
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