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Samenvatting schouderregio masterproef

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Uitgebreide samenvatting over het schouder gewricht voor de masterproef van de master Musculoskeletaal. Aan bod komen de kinematica van het schoudergewricht, het onderzoek, de behandeling, pathologieën en literatuur.

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  • Hoofdstuk 9
  • February 11, 2021
  • 146
  • 2020/2021
  • Summary

1  review

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By: mojdattai • 1 year ago

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Schouder

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,Inhoudsopgave
Kinematica – Schouderregio ......................................................................................................... 7

Schouderpijn .............................................................................................................................. 18

Screening ................................................................................................................................... 19

Clusters ...................................................................................................................................... 20

Klinisch redeneren...................................................................................................................... 22

Onderzoek ................................................................................................................................. 27
Observatie/Inspectie ......................................................................................................................... 28
Passief functieonderzoek................................................................................................................... 29
Weerstandstesten ............................................................................................................................. 31
Scapula onderzoek ............................................................................................................................ 34
Stenvers testen .................................................................................................................................. 36
Extern-impingementtesten ............................................................................................................... 42
Intern-impingementtesten ................................................................................................................ 46
Testen letsel rotator cuff (lag testen)................................................................................................ 50
Instabiliteitstesten glenohumeraal ................................................................................................... 55
Tests bij GH instabiliteit passief .................................................................................................... 55
Tests bij GH instabiliteit actief ...................................................................................................... 62
Labrumtesten................................................................................................................................ 63
Tests voor lengte dorsale kapsel ....................................................................................................... 64
SSMP / Reductiestests ....................................................................................................................... 65
Onderzoek schoudergordel ............................................................................................................... 67
Onderzoek art acromioclavicularis ............................................................................................... 67
Onderzoek SC gewricht................................................................................................................. 70
Onderzoek CTO ............................................................................................................................. 73
MTrP .................................................................................................................................................. 74
Vragenlijsten ..................................................................................................................................... 81

Behandeling ............................................................................................................................... 82
Tracties .............................................................................................................................................. 82
Manipulaties ..................................................................................................................................... 83
Rol-slip technieken ............................................................................................................................ 84
Manipulaties AC ................................................................................................................................ 86
Rol-glijden scapulothoracaal............................................................................................................. 94
Behandelen SC gewricht.................................................................................................................... 96
Behandelen CTO – Thoracaal – Bovenste ribben .............................................................................. 99



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, MWM .............................................................................................................................................. 100

Pathologie................................................................................................................................ 102
Specifieke en aspecifieke schouderpijn ........................................................................................... 103
Specifieke schouderpijn .............................................................................................................. 103
Aspecifieke schouderpijn ............................................................................................................ 103
SAPS / RCR-SP .................................................................................................................................. 104
Stijve GH schouder (concentrisch en/of unidirectioneel) ................................................................ 107
Concentrisch beperkte schouder (Frozen shoulder) .................................................................. 108
Unidirectioneel beperkte schouder ............................................................................................ 112
Cuff ruptuur ..................................................................................................................................... 113
Instabiele schouder (met name MDI: Multidirectionele instabiliteit) ............................................. 114
Scapuladyskinesie............................................................................................................................ 118
SC gewricht...................................................................................................................................... 122
Neoplastische ziekten en aandoeningen die gevolgen hebben voor de schouder .......................... 123
Longkanker ................................................................................................................................. 123
Longtoptumor ............................................................................................................................. 123
Ziekten en aandoeningen van het bot-spierstelsel en bindweefsel van de schouderregio ............. 123
Reumatoïde artritis ..................................................................................................................... 123
Congenitale ziekten en aandoeningen van de schouderregio ........................................................ 124
Degeneratieve ziekten en aandoeningen van de schouderregio .................................................... 124
Traumatische, exogene ziekten en aandoeningen van de schouderregio ...................................... 125
Hill-Sachs laesie .......................................................................................................................... 125
Bankart-laesie ............................................................................................................................. 125
SLAP-laesie .................................................................................................................................. 126
Proximale humerusfractuur........................................................................................................ 127
Disposities van de schouderregio .................................................................................................... 127
Statische disposities.................................................................................................................... 127
Dynamische disposities............................................................................................................... 127

Artikelen .................................................................................................................................. 128

Onderzoekshypothesen Schouder ............................................................................................. 130
ICD ................................................................................................................................................... 130
ICF.................................................................................................................................................... 133
Pijn................................................................................................................................................... 136

Onderzoeks- en behandeltechnieken ........................................................................................ 137
Onderzoeken ................................................................................................................................... 137
Behandeling .................................................................................................................................... 140

Skills ........................................................................................................................................ 141

Bijlagen .................................................................................................................................... 143



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