Fysiotherapie
Colleges
Blok 2.1
Hanze Hogeschool Groningen
Maaike ter Haar
416955
,Inhoud
College 1.................................................................................................................................................5
Wat weten we van lage rug klachten?................................................................................................5
Epidemiologische aspecten: ..........................................................................................................5
Wervelkolom klachten........................................................................................................................5
Multifactorieel ...................................................................................................................................5
Klinisch redeneren .............................................................................................................................6
Profielen ............................................................................................................................................6
Profiel 1 .........................................................................................................................................6
Profiel 2 .........................................................................................................................................6
Profiel 3 .........................................................................................................................................6
Nekpijn ..............................................................................................................................................7
Neck pain taskforce ...........................................................................................................................7
Prognostische factoren nekpijn .........................................................................................................7
Screening ...........................................................................................................................................8
Screeningsproces ..............................................................................................................................8
Generiek screeningsformulier: ......................................................................................................8
Specifieke screening lage rug .........................................................................................................8
Tractus anamnese ..............................................................................................................................9
Diagnostisch proces .........................................................................................................................10
SCEGS ...........................................................................................................................................10
Pijn ...................................................................................................................................................10
Nociceptieve pijn .........................................................................................................................11
Nociplastische pijn .......................................................................................................................12
College 2...............................................................................................................................................12
StarT Back Tool.................................................................................................................................12
Pijnmechanisme ..............................................................................................................................13
Lichamelijk onderzoek .....................................................................................................................13
Zorgproces .......................................................................................................................................14
1) Symptoom modulatie ..............................................................................................................15
2) movement control ...................................................................................................................15
3) functionele optimalisatie .........................................................................................................15
Eerste vorm binnen het TBC (symptoom modulatie) .......................................................................15
Klinische presentatie: ...................................................................................................................16
Centralizing responders voor nekpijn ..............................................................................................16
1
, Test procedure: ............................................................................................................................17
Procedure voor repeated movements lage rug ...............................................................................17
Test procedure: ............................................................................................................................17
De volgorde van testen ................................................................................................................17
Behandelopties ............................................................................................................................18
College 3...............................................................................................................................................19
Motor control ..................................................................................................................................19
Perspectief van de fysiotherapeut ...............................................................................................19
Perspectief van de medisch specialist ..........................................................................................19
Hoe kunnen we het probleem herkennen? .................................................................................19
Controle van houding en bewegen ..............................................................................................20
Actieve stabiliteit / motor control ...................................................................................................20
Feedback systeem ...........................................................................................................................20
Passief systeem ............................................................................................................................21
Actief systeem .............................................................................................................................21
Local stabilizers ............................................................................................................................22
Globale spieren ............................................................................................................................22
Neutrale zone ..............................................................................................................................22
Klinische presentatie van MCI ..........................................................................................................23
Wat voor gevoel: .........................................................................................................................23
Bewegingen .................................................................................................................................23
Patronen MCI ...............................................................................................................................24
MCI CWK ..........................................................................................................................................28
Testen ..........................................................................................................................................28
Forward head posture .................................................................................................................29
College 4...............................................................................................................................................30
Onderzoek .......................................................................................................................................30
Anamnese ....................................................................................................................................30
Lichamelijk onderzoek .................................................................................................................30
AROM / PROM .............................................................................................................................32
Specifieke testen ..........................................................................................................................32
Neurologische testen ...................................................................................................................33
Meetinstrumenten ......................................................................................................................34
Behandelingen .................................................................................................................................34
Bij profiel 1: ..................................................................................................................................34
Bij profiel 2 ...................................................................................................................................34
2
Colleges
Blok 2.1
Hanze Hogeschool Groningen
Maaike ter Haar
416955
,Inhoud
College 1.................................................................................................................................................5
Wat weten we van lage rug klachten?................................................................................................5
Epidemiologische aspecten: ..........................................................................................................5
Wervelkolom klachten........................................................................................................................5
Multifactorieel ...................................................................................................................................5
Klinisch redeneren .............................................................................................................................6
Profielen ............................................................................................................................................6
Profiel 1 .........................................................................................................................................6
Profiel 2 .........................................................................................................................................6
Profiel 3 .........................................................................................................................................6
Nekpijn ..............................................................................................................................................7
Neck pain taskforce ...........................................................................................................................7
Prognostische factoren nekpijn .........................................................................................................7
Screening ...........................................................................................................................................8
Screeningsproces ..............................................................................................................................8
Generiek screeningsformulier: ......................................................................................................8
Specifieke screening lage rug .........................................................................................................8
Tractus anamnese ..............................................................................................................................9
Diagnostisch proces .........................................................................................................................10
SCEGS ...........................................................................................................................................10
Pijn ...................................................................................................................................................10
Nociceptieve pijn .........................................................................................................................11
Nociplastische pijn .......................................................................................................................12
College 2...............................................................................................................................................12
StarT Back Tool.................................................................................................................................12
Pijnmechanisme ..............................................................................................................................13
Lichamelijk onderzoek .....................................................................................................................13
Zorgproces .......................................................................................................................................14
1) Symptoom modulatie ..............................................................................................................15
2) movement control ...................................................................................................................15
3) functionele optimalisatie .........................................................................................................15
Eerste vorm binnen het TBC (symptoom modulatie) .......................................................................15
Klinische presentatie: ...................................................................................................................16
Centralizing responders voor nekpijn ..............................................................................................16
1
, Test procedure: ............................................................................................................................17
Procedure voor repeated movements lage rug ...............................................................................17
Test procedure: ............................................................................................................................17
De volgorde van testen ................................................................................................................17
Behandelopties ............................................................................................................................18
College 3...............................................................................................................................................19
Motor control ..................................................................................................................................19
Perspectief van de fysiotherapeut ...............................................................................................19
Perspectief van de medisch specialist ..........................................................................................19
Hoe kunnen we het probleem herkennen? .................................................................................19
Controle van houding en bewegen ..............................................................................................20
Actieve stabiliteit / motor control ...................................................................................................20
Feedback systeem ...........................................................................................................................20
Passief systeem ............................................................................................................................21
Actief systeem .............................................................................................................................21
Local stabilizers ............................................................................................................................22
Globale spieren ............................................................................................................................22
Neutrale zone ..............................................................................................................................22
Klinische presentatie van MCI ..........................................................................................................23
Wat voor gevoel: .........................................................................................................................23
Bewegingen .................................................................................................................................23
Patronen MCI ...............................................................................................................................24
MCI CWK ..........................................................................................................................................28
Testen ..........................................................................................................................................28
Forward head posture .................................................................................................................29
College 4...............................................................................................................................................30
Onderzoek .......................................................................................................................................30
Anamnese ....................................................................................................................................30
Lichamelijk onderzoek .................................................................................................................30
AROM / PROM .............................................................................................................................32
Specifieke testen ..........................................................................................................................32
Neurologische testen ...................................................................................................................33
Meetinstrumenten ......................................................................................................................34
Behandelingen .................................................................................................................................34
Bij profiel 1: ..................................................................................................................................34
Bij profiel 2 ...................................................................................................................................34
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