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Samenvatting Alle Vakken Periode 1.3 Fysiotherapie Fontys $16.61
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Samenvatting Alle Vakken Periode 1.3 Fysiotherapie Fontys

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Een samenvatting van 93 pagina's van alle colleges van periode 1.3 (2 blz per college). Het bevat de vakken medisch handelen, fysiotherapeutisch handelen, methodisch fysiotherapeutisch handelen, gedragswetenschappen, ethiek, anatomie en fysiologie. Het is een overzichtelijk samenvatting met inhouds...

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  • March 31, 2021
  • 93
  • 2020/2021
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Samenvatting kennistoets blok 3
Fysiotherapie leerjaar 1

,Inhoudsopgave
Medisch handelen ............................................................................................................................................ 4
Degeneratie ........................................................................................................................................................ 4
Artrose ................................................................................................................................................................ 6
Farmacotherapie ................................................................................................................................................ 8
Reumatoïde artritis........................................................................................................................................... 10
Tendinose en bursitis ........................................................................................................................................ 13
Farmacotherapie bursitis vs tendinitis ............................................................................................................. 16

Fysiotherapeutisch handelen ......................................................................................................................... 17
Lage rugpijn en nekpijn .................................................................................................................................... 17
Artrose heup en knie......................................................................................................................................... 21
Arthrokinematica en osteokinematica ............................................................................................................. 24
Richtlijn artrose heup knie ................................................................................................................................ 26
Totale heup- en knieprothese ........................................................................................................................... 28
Reumatoïde artritis diagnostisch proces .......................................................................................................... 29
Reumatoïde artritis therapeutisch proces ........................................................................................................ 32
Onderzoek Frozen shoulder .............................................................................................................................. 34
Onderzoek Subacromiaal pijnsyndroom (SAPS) ............................................................................................... 36
Behandeling Frozen shoulder (FS) en Subacromiaal pijnsyndroom (SAPS) ....................................................... 38
Belasting-belastbaarheid: overbelasting .......................................................................................................... 40
Anterieure kniepijn – patellapees tendinopathie ............................................................................................. 42
Achillespees ruptuur ......................................................................................................................................... 47

Methodisch fysiotherapeutisch handelen ...................................................................................................... 49
Stappen en kenmerken ..................................................................................................................................... 49
Verdieping modellen en klinisch redeneren ...................................................................................................... 50

Gedragswetenschappen ................................................................................................................................. 54
Adolescentie en volwassenheid ........................................................................................................................ 54
Ouderen ............................................................................................................................................................ 56
Gedragsverandering ......................................................................................................................................... 58
Motivational interviewing ................................................................................................................................ 60

Ethiek ............................................................................................................................................................. 62
Ethiek ................................................................................................................................................................ 62
Ethiek: morele dilemma’s en eenvoudige casuïstiek ........................................................................................ 63
Ethiek: morele dilemma’s en complexe casuïstiek ........................................................................................... 65

,Anatomie ....................................................................................................................................................... 67
Wervelkolom osteologie ................................................................................................................................... 67
Heup en knie osteologie en myologie ............................................................................................................... 70
Pols/hand osteologie en artrologie .................................................................................................................. 73
Schouder osteologie en artrologie: frozen shoulder en SAPS ........................................................................... 76
Elleboog osteologie en artrologie ..................................................................................................................... 79
Enkel/voet osteologie en arthrologie ............................................................................................................... 80

Fysiologie ....................................................................................................................................................... 82
Bindweefsel ...................................................................................................................................................... 82
Fysiologisch herstel huid, bot en kraakbeen ..................................................................................................... 85
Fysiologisch herstel kapsel, ligament, pees en spierweefsel ............................................................................ 88
Factoren van invloed op het herstelproces van bindweefsel ............................................................................ 90

Motor-control ................................................................................................................................................ 92
Posturale controle bij de ouder wordende mens .............................................................................................. 92

, Medisch handelen
Degeneratie

Screening
Geschiedenis Mogelijke oorzaak
Constante en hevige pijn Neoplasma en acute blessure van het
bewegingsapparaat
Onverklaarbaar gewichtsverlies Neoplasma
Algehele malaise (moe/duizelig/koorts) Infectie
Moeite met evenwicht en coördinatie Ruggenmerg of CZS letsel
(afwijkend gangpatroon)
Nachtelijk zweten Frequente bevindingen bij systemische
infecties en vele ziekten
Kortademigheid Cardiovasculaire en/of pulmonaire
dysfuncties en astma

Degeneratie – skelet
Osteopenie
- Afname botmassa en botstructuren worden minder sterk.
- Naarmate de leeftijd word je iets osteopenisch.
- Begint tussen de leeftijd van 30 en 40 jaar.
- Osteoblast → Celstructuren maken nieuwe botstructuren aan. Naarmate de leeftijd
neemt de activiteit af.
- Osteoclast → Celstructuren resorberen botstructuren (opruimen). Naarmate de
leeftijd blijft de activiteit op hetzelfde niveau.
- Vrouwen verliezen 8% en mannen 3% van skelet massa elk decennium.
Osteoporose
- Vermindering van botmassa volstaat om normale functie te kunnen uitvoeren.
- Breekbare botten zijn waarschijnlijker te breken bij blootstelling aan stressoren die
jongere mensen gemakkelijk kunnen verdragen.
- Omvang van het verlies van sponsachtig botmassa is gelijk aan het verlies aan
compacte botmassa.
- Kan zich ook ontwikkelen als een neveneffect van vormen van kanker (osteoclast-
activerende factor).

Degeneratie – gewricht
Reuma
- Pijn en stijfheid zijn van invloed op bewegingsapparaat.
Artrose
- Schade aan kraakbeen
- Artrose → Degeneratieve artrose = degeneratieve gewrichtsaandoening (DJD
Op leeftijd < 60 (25% vrouwen en 15% mannen)
- Reumatoïde artrisis (RA)
Op leeftijd 40-60 (0,5-1,0%)
- Jicht (kristal artritis)

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