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FT colleges blok 2.1
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Recente aantekeningen FT colleges blok 2.1!
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By: joelvansantbrink • 2 year ago
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InhoudsopgaveAspecifieke rugklachten................................................................................................................................. 2
Profielen KNGF.............................................................................................................................................. 4
Lage rugpijn..........................................................................................................................................................4
Nekpijn..................................................................................................................................................................4
Aspecifieke rugpijn deel 2.............................................................................................................................. 5
Uitstralende pijn...................................................................................................................................................5
Movement control:...............................................................................................................................................5
Treatment based classification.............................................................................................................................6
Motor control impairment....................................................................................................................................8
Lateral flexion pattern..........................................................................................................................................9
Multi-directional pattern......................................................................................................................................9
Terug naar KNGF-profielen........................................................................................................................... 11
Stappen stabiliteitstraining:...............................................................................................................................13
McKenzie..................................................................................................................................................... 15
Behandeling................................................................................................................................................. 17
,Aspecifieke rugklachten
Specifiek: er is een waarschijnlijkheid dat specifiek weefsel of een pathologie
verantwoordelijk is voor de pijn
Bijvoorbeeld:
- Discus prolaps (hernia)
- Kanaal stenose
- Spondylolysthesis
- Spinale tumor
- Infecties en reumatische aandoeningen
Aspecifiek: er is geen bewijs dat een specifiek weefsel of een pathologie verantwoordelijk
is voor de pijn. Weefsel kan een rol spelen, alleen weten we niet welke:
- Multifactoriële verklaring
o Lifestyle
Beweegactiviteit
Trauma
Gedachtes
Werkdruk
Relatiestress
Voeding
Roken/drinken
Slaap
- Pain is in the brain
- Bottom-up activatie sensoren
- Topdown modulatie in CZS
- Biopsychosociaalmodel/MDBB-model
Pijn is de bewuste uitkomst van een onbewuste perceptie van bedreiging van weefsel.
Lichaamsfuncties en structuren:
- Pijn
- Mobiliteit
- Motor control
- Spierfunctie: tonus, coördinatie uhv, kracht
Activiteiten
- Staan/liggen
- Zitten/opstaan
- Lopen
- Bukken/tillen
- Dragen
- Aankleden
- Schoonmaken, etc…
Persoonlijke factoren
- Cognitie, attributie, perceptie
, - Emotie
- Gedrag, locus of control, copingstijl
- Leeftijd, medische geschiedenis, etc…
Externe factoren
- Sociale samenhang
o Thuissituatie, partner, werk, etc…
Prognostische factoren rug gerelateerd
- Ernstige beperkingen in activiteiten
- Uitstralende pijn
- Wijdverspreide pijn
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