Introductie
- De schouder: complex
- Grote beweeglijkheid vs lage stabiliteit
- Kleine vormsluiting vraagt om grote
krachtsluiting → gevoelig voor
overbelasting
Scapulothoracaal ritme
0-30° Met name humerale beweging– setting phase
30-90° 2:1 humerus abductie: scapula exorotatie
90°-volledige abd. 1:1 ratio
, In de sport, schouder spieren, 5 P’s
Positioners → romp
en extremiteiten, je
romp werkt mee met
armbewgingen
Pivoters → scapula
bewegers
Protectors →
beschermen
glenohumeraal
Positioners → klaar
voor bewegen,
humerus
Propellors→ grote,
snelle bewegingen
Meest voorkomende schouderpathalogie
- Stabiliteit
o glenohumerale (sub)luxatie
- Impingement
o bursitis
- Rotator cuff tendinopathie
- Rotator cuff ruptuur
- Biceps tendinopathie, rupture
- Labrum ruptuur
- Frozen shoulder
- Arthritis
- GIRD
- AC
Instabiliteit
- Neutral zone → geen kapsel of banden op spanning
- Buiten deze zone kan er schade komen aan de banden of aan het kapsel
Systemen van stabilisatie
- Controle en feedback subsysteem
o Neuraal: centraal en perifeer
- Actief subsysteem
o Spieren (stabilizers en mobilizers)
- Passieve subsystemen
o Ligamenten, capsule en bot
Als met een van de systemen iets mis is, duurt het langer voor de andere systemen
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