PRFYS SAMENVATTING BLOK 5 A-SPECIFIEKE KLACHTEN
Inhoud
Week 1..................................................................................................................................................... 4
Casus nek/ schouder klacht ............................................................................................................ 5
Casus lage rugpijn ............................................................................................................................ 5
Educatief gesprek ............................................................................................................................ 5
Relatie pijn en houding.................................................................................................................... 6
Biomechanisch counselen ............................................................................................................... 7
Kinesthetic awareness ..................................................................................................................... 7
Houdingscorrectie ........................................................................................................................... 9
Tiltraining....................................................................................................................................... 10
Week 2................................................................................................................................................... 11
Casus lage rugklachten/nekklachten ............................................................................................. 14
Behandeling posterior derangement ............................................................................................ 15
Vervolg behandeling posterior derangement ............................................................................... 17
Patiënttechniek ............................................................................................................................. 18
Educatiegesprek ............................................................................................................................ 18
Globale angulaire mobilisatie van LWK ......................................................................................... 18
PA’s ................................................................................................................................................ 19
NAGS .............................................................................................................................................. 21
SNAGS ............................................................................................................................................ 22
Week 3................................................................................................................................................... 25
Casus rugpijn/ nekpijn ................................................................................................................... 26
Leergesprek casus ......................................................................................................................... 27
Cervicale local stabilizers ............................................................................................................... 27
Spierkrachttraining thoracale extensoren en scapula retractoren ............................................... 35
Tiltraining met gestabiliseerde wervelkolom ................................................................................ 36
Training voor dragen voorwerpen................................................................................................. 37
Activering lumbale local stabilizers ............................................................................................... 37
Training stabiliteit LWK ................................................................................................................. 45
Training stabiliteit WK bij trekken en duwen ................................................................................ 54
Training stabiliteit van wervelkolom bij reiken en grijpen ............................................................ 55
Week 4................................................................................................................................................... 56
McKenzie CWK bij posterior derangement ................................................................................... 57
McKenzie lateral shift in stand ...................................................................................................... 58
McKenzie LWK bij posterior derangement ................................................................................... 59
1
, NAG’s en SNAG’s .......................................................................................................................... 59
Triggerpoints lumbaal.................................................................................................................... 60
Triggerpoints cervicaal .................................................................................................................. 65
Week 5 & 6 ............................................................................................................................................ 70
Casus schouder/ rug ...................................................................................................................... 70
Anamnese ...................................................................................................................................... 70
Inspectie ........................................................................................................................................ 71
Inspectie stand bekken .................................................................................................................. 72
Palpatie .......................................................................................................................................... 73
Palpeer segmenten cervicaal, thoracaal en lumbaal. ................................................................... 73
Bewegingsonderzoek CWK en LWK ............................................................................................... 73
Bewegingsonderzoek herhaald bewegen ..................................................................................... 75
Sneltesten ...................................................................................................................................... 76
Wurf ............................................................................................................................................... 76
Onderzoeken lumbale stabiliteit ................................................................................................... 78
Spierkracht global movers ............................................................................................................. 79
Onderzoeken cervicale stabiliteit .................................................................................................. 80
Triggerpoints ................................................................................................................................. 80
Spierlengtetesten .......................................................................................................................... 80
Neurologische testen motoriek, sensibiliteit en reflexactiviteit ................................................... 81
SLUMP, SLR, PKB, ULTT1................................................................................................................ 83
Behandelprogramma..................................................................................................................... 84
Week 7................................................................................................................................................... 85
Casus Lumbale stenose ................................................................................................................. 85
Casus Heup en knie klachten ......................................................................................................... 86
Anamnese ...................................................................................................................................... 86
Anamnese ...................................................................................................................................... 86
Onderzoek naar dysfunctioneren heup......................................................................................... 87
Behandeling mobiliteitsbeperking heup ....................................................................................... 87
Oefeningen stabiliteit LWK en heup.............................................................................................. 88
Behandeling dysfuncties................................................................................................................ 89
Week 8................................................................................................................................................... 90
Casus 1 nek-, schouderklachten. ................................................................................................... 90
Casus 2 Laterale epicondylalgia ..................................................................................................... 90
Anamnese ...................................................................................................................................... 90
Anamnese ...................................................................................................................................... 90
Onderzoek dysfunctioneren schouder .......................................................................................... 91
Stabiliteit schouder trainen ........................................................................................................... 93
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, Dysfunctie behandelen.................................................................................................................. 93
Interventies ................................................................................................................................... 93
Extra informatie..................................................................................................................................... 94
Het cervicaal posturaal syndroom................................................................................................. 94
Behandeling van het cervicaal posturaal syndroom ..................................................................... 95
Behandeloverzicht van het posturaal syndroom .............................. Error! Bookmark not defined.
Het cervicaal dysfunctie syndroom ............................................................................................... 96
Behandeling van het cervicaal dysfunctiesyndroom ..................................................................... 97
Behandeloverzicht van het dysfunctie syndroom ............................. Error! Bookmark not defined.
Het cervicale derangement syndroom .......................................................................................... 99
Het cervicaal derangement en de behandeling .......................................................................... 100
Behandeloverzicht van een derangement 1 ..................................... Error! Bookmark not defined.
Het posturaalsyndroom lumbaal................................................................................................. 103
Het behandelplan bij een posturaal syndroom ................................. Error! Bookmark not defined.
Het dysfunctiesyndroom lumbaal ............................................................................................... 105
Behandeling van het dysfunctiesyndroom .................................................................................. 106
Het behandelplan bij het dysfunctiesyndroom ................................. Error! Bookmark not defined.
Het derangement syndroom lumbaal ......................................................................................... 108
Behandeling van het derangement syndroom ............................................................................ 110
De derangementen en hun behandeling .................................................................................... 111
Behandelplan bij een derangement 1 ............................................... Error! Bookmark not defined.
3
Inhoud
Week 1..................................................................................................................................................... 4
Casus nek/ schouder klacht ............................................................................................................ 5
Casus lage rugpijn ............................................................................................................................ 5
Educatief gesprek ............................................................................................................................ 5
Relatie pijn en houding.................................................................................................................... 6
Biomechanisch counselen ............................................................................................................... 7
Kinesthetic awareness ..................................................................................................................... 7
Houdingscorrectie ........................................................................................................................... 9
Tiltraining....................................................................................................................................... 10
Week 2................................................................................................................................................... 11
Casus lage rugklachten/nekklachten ............................................................................................. 14
Behandeling posterior derangement ............................................................................................ 15
Vervolg behandeling posterior derangement ............................................................................... 17
Patiënttechniek ............................................................................................................................. 18
Educatiegesprek ............................................................................................................................ 18
Globale angulaire mobilisatie van LWK ......................................................................................... 18
PA’s ................................................................................................................................................ 19
NAGS .............................................................................................................................................. 21
SNAGS ............................................................................................................................................ 22
Week 3................................................................................................................................................... 25
Casus rugpijn/ nekpijn ................................................................................................................... 26
Leergesprek casus ......................................................................................................................... 27
Cervicale local stabilizers ............................................................................................................... 27
Spierkrachttraining thoracale extensoren en scapula retractoren ............................................... 35
Tiltraining met gestabiliseerde wervelkolom ................................................................................ 36
Training voor dragen voorwerpen................................................................................................. 37
Activering lumbale local stabilizers ............................................................................................... 37
Training stabiliteit LWK ................................................................................................................. 45
Training stabiliteit WK bij trekken en duwen ................................................................................ 54
Training stabiliteit van wervelkolom bij reiken en grijpen ............................................................ 55
Week 4................................................................................................................................................... 56
McKenzie CWK bij posterior derangement ................................................................................... 57
McKenzie lateral shift in stand ...................................................................................................... 58
McKenzie LWK bij posterior derangement ................................................................................... 59
1
, NAG’s en SNAG’s .......................................................................................................................... 59
Triggerpoints lumbaal.................................................................................................................... 60
Triggerpoints cervicaal .................................................................................................................. 65
Week 5 & 6 ............................................................................................................................................ 70
Casus schouder/ rug ...................................................................................................................... 70
Anamnese ...................................................................................................................................... 70
Inspectie ........................................................................................................................................ 71
Inspectie stand bekken .................................................................................................................. 72
Palpatie .......................................................................................................................................... 73
Palpeer segmenten cervicaal, thoracaal en lumbaal. ................................................................... 73
Bewegingsonderzoek CWK en LWK ............................................................................................... 73
Bewegingsonderzoek herhaald bewegen ..................................................................................... 75
Sneltesten ...................................................................................................................................... 76
Wurf ............................................................................................................................................... 76
Onderzoeken lumbale stabiliteit ................................................................................................... 78
Spierkracht global movers ............................................................................................................. 79
Onderzoeken cervicale stabiliteit .................................................................................................. 80
Triggerpoints ................................................................................................................................. 80
Spierlengtetesten .......................................................................................................................... 80
Neurologische testen motoriek, sensibiliteit en reflexactiviteit ................................................... 81
SLUMP, SLR, PKB, ULTT1................................................................................................................ 83
Behandelprogramma..................................................................................................................... 84
Week 7................................................................................................................................................... 85
Casus Lumbale stenose ................................................................................................................. 85
Casus Heup en knie klachten ......................................................................................................... 86
Anamnese ...................................................................................................................................... 86
Anamnese ...................................................................................................................................... 86
Onderzoek naar dysfunctioneren heup......................................................................................... 87
Behandeling mobiliteitsbeperking heup ....................................................................................... 87
Oefeningen stabiliteit LWK en heup.............................................................................................. 88
Behandeling dysfuncties................................................................................................................ 89
Week 8................................................................................................................................................... 90
Casus 1 nek-, schouderklachten. ................................................................................................... 90
Casus 2 Laterale epicondylalgia ..................................................................................................... 90
Anamnese ...................................................................................................................................... 90
Anamnese ...................................................................................................................................... 90
Onderzoek dysfunctioneren schouder .......................................................................................... 91
Stabiliteit schouder trainen ........................................................................................................... 93
2
, Dysfunctie behandelen.................................................................................................................. 93
Interventies ................................................................................................................................... 93
Extra informatie..................................................................................................................................... 94
Het cervicaal posturaal syndroom................................................................................................. 94
Behandeling van het cervicaal posturaal syndroom ..................................................................... 95
Behandeloverzicht van het posturaal syndroom .............................. Error! Bookmark not defined.
Het cervicaal dysfunctie syndroom ............................................................................................... 96
Behandeling van het cervicaal dysfunctiesyndroom ..................................................................... 97
Behandeloverzicht van het dysfunctie syndroom ............................. Error! Bookmark not defined.
Het cervicale derangement syndroom .......................................................................................... 99
Het cervicaal derangement en de behandeling .......................................................................... 100
Behandeloverzicht van een derangement 1 ..................................... Error! Bookmark not defined.
Het posturaalsyndroom lumbaal................................................................................................. 103
Het behandelplan bij een posturaal syndroom ................................. Error! Bookmark not defined.
Het dysfunctiesyndroom lumbaal ............................................................................................... 105
Behandeling van het dysfunctiesyndroom .................................................................................. 106
Het behandelplan bij het dysfunctiesyndroom ................................. Error! Bookmark not defined.
Het derangement syndroom lumbaal ......................................................................................... 108
Behandeling van het derangement syndroom ............................................................................ 110
De derangementen en hun behandeling .................................................................................... 111
Behandelplan bij een derangement 1 ............................................... Error! Bookmark not defined.
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