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samenvatting epicondylis lateralos en medialis op basis van tendinose $3.51   Add to cart

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samenvatting epicondylis lateralos en medialis op basis van tendinose

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samenvatting over tennis elleboog, symptomen, uitleg tendinose, wat is een tendinose, behandeling etc

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  • June 14, 2016
  • 2
  • 2015/2016
  • Summary
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Epicondylis lateralis en medialis op basis van tendinose

Tendinose:
- een vermeerdering van de bloedvaten in de pees (neovasculairsatie)
- een groter aantal vrije zenuwuiteinden ter plaatste
- extra productie van sterk waterbindende proteoglycanen
- ongerichte depositie van type 3 collageen
- afgenomen dichtheid van collageen type 1

Rekken:
- Gedoseerde rek met excentrische contracties in een functionele
bewegingsketen stimuleer de tenoblasten, zodat de matrixsamenstelling
verbetert.
- De verdikking van de pees, de neovascularisatie en de overprikkeling van
vrije zenuwuiteinden nemen hierdoor ook af, dit kan een paar maanden
duren.

Onderzoek:
- Palpatie
- BFO Elleboog
- Evt BFO pols
- Weerstand test
- Specifieke testen
- Cossenstest: vuist maken, flexie, pronotatie en radiaal adductie.
- Extensor digitorum longus, met gestrekte vingers weerstand geven:
mauntslie
- Rek test: mills

Vragenlijst:
- PSK

Behandeling:
- voorlichting
- belastingafnemen
- massage elleboog musculatuur om de doorbloeding te stimuleren en
de tonus te verlagen
- rekken zowel passief als actief. 3x per dag korte rek
- na 2 weken excentrisch trainen. 3 x per dag 3x 15 herhalingen
- na 4 weken zwaardere training

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