Deze samenvatting bevat een overzichtelijk geheel van de theorie gegeven in het onderdeel articulair en belichten het gevorderd klinisch redeneren. Theorie uit de slides aangevuld met eigen notities.
GEVORDERD KLINISCH
REDENEREN
a.Concepten in de manuele therapie
a.1. Het Maitland concept
- Principes
o Brickwall – analogie: scheiding pathologische en klinische informatie – klinisch
redeneren
o Klinisch redeneren: via hypothese inductie- en deductie; ontwikkeling klinische
patronen
o Assessment
First assessment
Re-assessment
Assessment during interventions
Retrospective assessment
Final analytical assessment.
o Patient centred therapy
Bio-psycho-sociaal model
Communicatie
Ziektebeleving
o Behandeling en progressie: continu bijsturen van doelen en modaliteiten, passief en
actief.
- Bewegingsgraden
- Notitiesysteem Maitland
1
, a.2. Kaltenborn-Evjenth
- Principes
o Functionele diagnose gebaseerd op toegepaste biomechanisch principes
Convex – concaaf regel
Wetten van Lovett
o Symptoom lokalisatie testen:
Provocatie of symptoomreductie
Bepalen nociceptieve bron (weefsel, regio, gewricht,…)
o Joint – play testing
o Graden van beweeglijkheid: slack zone – transitie zone
o Behandelingsfocus
Pijninhibitie
Functie herstel
Stabilisatie
Educatie
o Behandeling
Tracties-translaties
2
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