Task 4

Question 1

The student knows and can explain the Beighton score

Answer 1

General laxity
9 point score system to measure joint laxity and hyper mobility.

1 = minimal laxity
9= hyper laxity

Question 2

The student knows the symptoms of PFPS.

Answer 2

• Instability patella
• Pain around patello-femoral joint
• Pain squat, theater sign

Question 3

The student knows the etiological factors of PFPS.

Answer 3

• Malalignment → entire leg; PF joint
- PF joint → muscular; non muscular

• Muscular dysfunction → Strength deficit; Neuromuscular dysfunction; Flexibility

• Strength deficit → VMO; quadriceps
• Neuromuscular dysfunction → VMO/VL Timing Dysfunction
• Flexibility → Hamstring; Quadriceps; Gastrocnemius; Iliotibial Band.

Question 4

The student is able to name a methodologic structure for patients with PFPS complaints.

Answer 4

• Reduction in load capacity (possibly anti-inflammatories)
• Adjust anatomical cause
• Exercise therapy targeting biomechanical causes, eg muscle strength and neuromuscular management
• Start ADL and sports activities according to the pain

Question 5

The student is able to name different tests for speed

Answer 5

• max speed flying start (30 - 80 meter)
• speed endurance flying start (60 -120 meter)
• start speed (0 - 5 meter)
• reaction speed

Question 6

The student is able to name different tests for strength

Answer 6

• Repetition maximum
• MRC (medical research council for manual muscle test)
• Isokinetic
• Hand-held dynometer (F ex microfet)
• Functional tests (F ex time up and go)

Question 7

The student is able to name the requirements that are part of a functional test

Answer 7

• Reliability
• Validitity
• Norms/reference groups
• Risks (par –q)
• Costs
• Performability

Question 8

The student is able to name different tests for stability

Answer 8

→ Trunc
• Functional movement screening

→ Upper extremity
• Davies Closed Kinetic Chain Upper Extremity Stability Test
• Upper quarter y-balance test

→ Under extremity
• Single leg hop test for distance
• Triple hop test for distance
• 30 cm side hop test
• Cross over hop
• 6 meter hop test for time
• One leg stance
• Star excursion/ Y balance test

Question 9

The student is able to name different tests related to endurance

Answer 9

→ Aerobic test submax
• Astrand
• 6 minuten wandel test
• Shuttle wandel test
• Shuttle run (20m-5m)
• Bruce protocol
• Cooper test
• Harvard step test
• RAMP/James protocol

→ Treshold test
• VIAD test
• Lactaat stress test
• Conconi (Cycle/running)

→ Anaerobic capacity Lactic
• Cunningham & Faulkner test
• MART test (max anaeroob running test)
• RAST test (running based anaeroob sprint test)

→ Anaerobic power lactic
• Shuttle tempo test
• 5 meter shuttle test (30”)
• Wingate 30 sec test
• Evans quinney test

→ Anaerobic capacity alatic
• Phosphate pool test
• 10x5 meter test
• 5x10 meter test
• Interval sprint test

→ Anaerobic power alatic
• Margaria kalamantest
• Sargent Jump test (praktijk)
• 10 mtr sprint (praktijk)
• Quebec 10” test