Samenvatting Uitwerking alle testen periode 2.2 Fontys fysiotherapie
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Course
Fysiotherapeutisch Handelen
Institution
Fontys Hogeschool (Fontys)
In dit document staan alle testen die in periode 2.2 aan bod komen beschreven. Denk hierbij aan de Lachmann Test, Bicepsload test en Prone Instability test bijvoorbeeld. Van elke test staat met test en plaatjes beschreven hoe de test uitgevoerd moet worden. Ook staan er linkjes bij met filmpjes.
D...
Inhoudsopgave
NEK: ............................................................................................................................................. 5
• Teken van L’hermitte................................................................................................................... 7
rone
Anterior stability test........................................................................................................................... 8
Cluster van Wener: ............................................................................................................................. 9
1. Spurling test (Cluster van Wener) ............................................................................................... 9
2. Distractie test (traction-distraction-test) (Cluster van Wener) ............................................... 9
3. Upper limp tension test 1a: (Cluster van Wener) .................................................................... 10
Transverse Ligament Stress Test ....................................................................................................... 10
Vertebral Arterie test: ....................................................................................................................... 10
Cranio Cervicale Flexie Test (CCFT) .................................................................................................. 11
Cervical extensor endurance test ...................................................................................................... 11
Harris Endurance test: ....................................................................................................................... 12
Upper Crossed Syndroom: .................................................................... Error! Bookmark not defined.
Schouder:................................................................................................................................... 13
Labrum letsel/ instabiliteit superior: ................................................................................................. 13
Biceps load test: (labrum test) ...................................................................................................... 13
Labrum test - O’brien (actieve compressie) test ........................................................................... 13
Labrum letsel/ instabiliteit inferior: .................................................................................................. 14
Labrum test - Kim’s test................................................................................................................. 14
Sulcus Sign ..................................................................................................................................... 14
Anterieure instabilitiet/ labrum letsel:.............................................................................................. 15
Apprehension test: ............................................................................................................................ 15
Anterior release test:......................................................................................................................... 15
Relocation test................................................................................................................................... 16
Posterieure instabiliteit/labrum letsel: ............................................................................................. 16
Load & Shift test (schoulder instability) ........................................................................................ 17
Scapula dyskinesie: ............................................................................................................................ 17
De Scapula Assistance test (SAT)....................................................................................................... 17
De scapula retractie test (SRT) ...................................................................................................... 18
Impigement testen: ........................................................................................................................... 18
Impingement test - Painful arc test ............................................................................................... 18
NEER-test ....................................................................................................................................... 18
, Houding: ........................................................................................................................................... 18
- Zittend met afhangende arm. ................................................................................................ 18
Hawkings-test: ............................................................................................................................... 19
Houding: ........................................................................................................................................... 19
- Zittend, de elleboog in 90 graden flexie en de schouder in 90 graden anteflexie. ....... 19
Rotator cuff tests: .............................................................................................................................. 19
Internal rotation lag sign (IRLS) (rotator cuff test) ...................................................................... 19
External rotation lag sign (ELRS) (rotator cuff test) .................................................................... 20
Empty can (rotator cuff test) ....................................................................................................... 20
Glide-testen: ...................................................................................................................................... 21
Tractie-test : .................................................................................................................................. 21
Inferior Glide Test ( The G-H joint test) ......................................................................................... 21
Posterior Glide Test ( G-h joint test).............................................................................................. 21
Anterior Glide Test ( G-h joint-test)............................................................................................... 22
Drop-arm (Codman’s) test ................................................................................................................. 22
Jobe-test ............................................................................................................................................ 22
Glenohumeral Internal Rotation Deficit (GIRD) ................................................................................ 22
Lies ............................................................................................................................................ 23
Cluster van der Wurff ....................................................................................................................... 23
Thigh Trust Test ................................................................................................................................ 24
Patrick’s test/ Faber test ................................................................................................................... 25
Gaenslen’s test (pelvic torsion test) .................................................................................................. 25
Distraction test .................................................................................................................................. 26
Compressie test: ................................................................................................................................ 26
Faddir test: ........................................................................................................................................ 26
Active straight leg raise: (SI-instabiliteit) ......................................................................................... 26
Adductor Squueze test ..................................................................................................................... 27
Cluster van laslett ............................................................................................................................. 28
Sacral Trust .................................................................................................................................... 29
Compressie test ............................................................................................................................. 29
Thigh trust ..................................................................................................................................... 29
Distraction test: ............................................................................................................................. 29
Liesonderzoek holmich ...................................................................................................................... 30
Rug ............................................................................................................................................ 34
Prone instability test: ....................................................................................................................... 34
Cluster van Rehorst: ............................................................................. Error! Bookmark not defined.
, Cluster van Rehorst: ......................................................................................................................... 34
• PA-springtest in combinatie met pijnprovocatietests ........................................................... 35
• Prone Instability Test ............................................................................................................. 35
• Generalized Ligamentous laxity en Straigh Leg Raise > 90 graden ....................................... 35
• Aberrant motions tijdens de flexie-extensietest (schockend patroon) ................................ 35
Posterior-anterior spring test ........................................................................................................... 35
Stabilizer testen (testen van uithoudingsvermogen m. transversus abdominus en m. multifidus) . 35
Straight Leg Raise ( proef van Lasègue) ........................................................................................... 35
Federungs test: (veringstest) ............................................................................................................ 35
Elleboog: .................................................................................................................................... 39
Posterolaterale rotatoire instabiliteit................................................................................................ 39
The Posterolateral Rotatory Drawer Test | ................................................................................. 39
- Posterolateral Rotatory Instability of the Elbow ......................................................... 39
Tabletop Relocation Test | ........................................................................................................... 40
Posterolateral Rotatory Instability of the Elbow ................................................................ 40
The Lateral Pivot-Shift / Apprehension Test > ............................................................................. 40
Stand-up test: ............................................................................................................................ 41
Mediale collaterale band:.................................................................................................................. 41
Elbow Valgus Instability Stress Test (Medial Ulnar collateral ligament) ................................... 41
Moving valgus test: ....................................................................................................................... 41
Laterale collaterale ligament ............................................................................................................. 42
Elbow Varus instability stress test: .............................................................................................. 42
Tennis elleboog testen: ..................................................................................................................... 42
Chair test (tennis elleboog) ?? ...................................................................................................... 42
Maudley’s test: (tennis elleboog) ................................................................................................. 42
Cozen’s test (tennis elleboog) ...................................................................................................... 43
Mill’s test: (tennis elleboog) > lateraal ........................................................................................ 43
Golverselleboog > mediale epicondylitis........................................................................................... 43
Test voor golferselleboog: ............................................................................................................ 43
Grip & Grind test: ....................................................................................................................... 44
Cubitaal tunnelsyndroom: ................................................................................................................. 44
Elbow flexion test (cabital tunnel syndroom) .............................................................................. 44
Pressure-provocative test (cabital tunnel syndroom) ................................................................. 44
Percussion test/ Tinel’s sign (cabital tunnel syndroom) .............................................................. 45
Biceps ruptuur: .................................................................................................................................. 45
Biceps squeeze test:...................................................................................................................... 45
, Olecranon fractuur: ........................................................................................................................... 45
Elbow extension test: ....................................................................................................................... 45
DE enkel:.................................................................................................................................... 47
Y Balance Test.................................................................................................................................... 47
Single-leg stance test:........................................................................................................................ 47
Static balance: stork test ................................................................................................................... 47
Side-step test ..................................................................................................................................... 47
Star excursion balance test ............................................................................................................... 48
........................................................................................................................................................... 48
Ottowa ankle rules: ........................................................................................................................... 48
Impingement injury - Forced dorsiflexion test: ................................................................................. 48
Ligament Testen - Anterior drawer .................................................................................................. 48
Ligament Testen - Inversion stress test ........................................................................................... 49
Ligament Testen - Proximal and Distal tibiofibular compression test / squeeze test.................... 49
Syndesmose lestel - External rotation test ...................................................................................... 50
Syndesmose lestel - Fibula translation test ..................................................................................... 50
Stabiliteit subtalare gewricht - Medial subtalar glide test .............................................................. 51
Cotton Test/ lateral stress test for Syndesmosis Injury .................................................................. 51
Dorsiflexion External Rotation Stress Test for Syndesmosis Injury ................................................. 51
Talar Tilt Test for Lateral Ankle Sprain .............................................................................................. 52
Weight Bearing Lunge Test or Wall Test .......................................................................................... 52
Navicular Drop Test for Foot Overpronation.................................................................................... 52
Syndesmosis Squeeze Test for Syndesmosis Sprain ............................ Error! Bookmark not defined.
Knie: .................................................................................................. Error! Bookmark not defined.
Ottowa Knee rules: ........................................................................................................................... 53
Strijktest: > kijkt of er vocht aanwezig is ........................................................................................... 53
Specifieke meniscustesten (Mc.Murrey, JLT test, Thessaly test) ...................................................... 54
Cluster van Lowery et al. -> meest betrouwbaar. Deze testen opzich niet betrouwbaar genoeg
....................................................................................................................................................... 54
McMurray test: ............................................................................................................................. 54
Joint line tenderness (JTL) test ..................................................................................................... 55
Thessaly test.................................................................................................................................. 55
Specifieke Voorste Kruisband testen (Lever sign, Lachman, voorste schuiflade) ............................. 56
Lachman test (voorste kruisband letsel) ...................................................................................... 56
Voorste schuiflade test: (voorste kruisband letsel).......................................................................... 56
Lateral Pivot-shift test: ................................................................................................................. 57
, Lever Sign: / Lelli’s test (voorste kruisband letsel) ...................................................................... 57
Valgus Stress Test ......................................................................................................................... 57
Varus stress test:........................................................................................................................... 58
Specifieke Achterste Kruisband testen (Step off test, Achterste schuiflade, Actieve quadriceps test)
........................................................................................................................................................... 59
Step Off test: ................................................................................................................................. 59
Achterste schuiflade > (posterior drawer test) Achterste kruisband letsel .................................... 60
Actieve quadriceps test: (achterste kruisband)/ Active drawer test .......................................... 60
Specifieke Collaterale Band testen (valgus, varus testen, AMRI, Dialtest) ....................................... 61
- Varus test/adductie test -Lateraal collateral ligament letsel ......................................................... 61
Valgus test/ abductie test -Mediaal collateraal ligament letsel................................................... 61
Collaterale banden: .......................................................................................................................... 61
AMBRI TEST: Collaterale Band testen ........................................................................................... 61
Dialtest: Collaterale Band testen .................................................................................................. 62
Dial Test / Loomer Test | Posterolateral Rotatory Instability of the Knee ....................... 62
Algemeen:
Beighton score
Kijk of iemand hypermobiel is
1. Kun je met je duim je pols aanraken
2. Kun je je pink verder dan 90 graden
buigen
3. Hyperextensie elleboog <10 graden
4. Hyperextensie knieen < 10 graden
5. Finger tip to floor> vloer aan kunnen
raken
, Nek
• Canadian C-spine rule
- https://www.youtube.com/watch?v=F4AbC9FQ-sA
- Hiermee wordt gekeken of er een röntgenfoto of CT-scan van de nek moet worden
gemaakt na een trauma
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