Samenvatting Praktijk Fysiotherapie - Onderzoek en Behandeling (blok 2.2)

PRAKTIJK
FYSIOTHERAPIE
Blok 2.2 – Hart en Long

,INHOUDSOPGAVE

Onderzoeksvaardigheden ..................................................................................................................... 4
Hartfrequentie meten (pols tellen) ....................................................................................................... 4

Bloeddruk meten .................................................................................................................................. 4

Saturatiemeting .................................................................................................................................... 5

Inspectie ............................................................................................................................................... 6

Longfunctietesten ................................................................................................................................. 6

Ademhaling opnemen ...................................................................................................................... 6

Kortademigheid bepalen .................................................................................................................. 7

Ausculteren ...................................................................................................................................... 7

Spirometrie ...................................................................................................................................... 8

Peakflow .......................................................................................................................................... 9

Mucusretentie .................................................................................................................................. 9

Efficiëntie van hoesten..................................................................................................................... 9

Maximale inspiratoire monddrukmeting (Pi-max) .......................................................................... 10

Vaattest – Capillaire refill ................................................................................................................... 10

Conditietesten .................................................................................................................................... 11

6-minuten wandeltest..................................................................................................................... 11

1-minuut ‘sit-to-stand’ .................................................................................................................... 11

Timed Chair Stand Test ................................................................................................................. 12

Timed Up and Go Test .................................................................................................................. 12

Shuttle walk test ............................................................................................................................. 12

4-meter gait speed (4MGS) ........................................................................................................... 12

Tien meter-wandeltest ................................................................................................................... 13

Åstrand-test ................................................................................................................................... 13

Bruce-test....................................................................................................................................... 14

Functionele loopbandtest (sPAV) .................................................................................................. 14

Spierkracht ......................................................................................................................................... 15

Handheld dynamometer ................................................................................................................ 15

1 RM-test ....................................................................................................................................... 15



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, Vragenlijsten ...................................................................................................................................... 15

Borg-schaal .................................................................................................................................... 15

MRC-schaal voor dyspneu ............................................................................................................ 16

Patiëntspecifieke klacht (PSK) ...................................................................................................... 16

ACSM-schaal voor claudicatio intermittens ................................................................................... 16

Transfertraining (+ Onderzoek) .......................................................................................................... 17

Van lig naar zit ............................................................................................................................... 17

Bed naar stoel ................................................................................................................................ 17

Zit naar stand ................................................................................................................................. 17

Huidplooimeting ................................................................................................................................. 17

Knie-hiel-proef .................................................................................................................................... 18

Enkel-arm index ................................................................................................................................. 18

Hulpademhalingsspieren: origo, insertie en functie ........................................................................... 18

Spierlengtetest ................................................................................................................................... 20

Gangbeeldanalyse ............................................................................................................................. 20

Behandelvaardigheden ........................................................................................................................ 22
Leergesprek ....................................................................................................................................... 22

Inactieve leefstijl ............................................................................................................................ 22

Roken............................................................................................................................................. 22

ICD ................................................................................................................................................. 22

Alcoholgebruik ............................................................................................................................... 23

Ademhalingstechnieken ..................................................................................................................... 23

Active cycle of breathing techniques (ACBT) ................................................................................ 23

Pursed lip breathing ....................................................................................................................... 23

Hoesten.......................................................................................................................................... 24

Huffen ............................................................................................................................................ 24

Verlaging ademfrequentie in rust................................................................................................... 25

Houdingsinstructies ....................................................................................................................... 25

Houdingsdrainage.......................................................................................................................... 25

Threshold meter ............................................................................................................................. 26




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, Tri-flow ........................................................................................................................................... 26

Mobiliseren acute fase hartrevalidatie ............................................................................................... 26

Oefenschema 1 ............................................................................................................................. 26

Oefenschema 2 ............................................................................................................................. 27

Oefenschema 3 ............................................................................................................................. 27

Ontspanningsoefeningen ................................................................................................................... 28

Richtlijnen voor het geven van trainingen .......................................................................................... 29

Spierkrachtverbetering voor de grote spiergroepen .......................................................................... 30




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