Summary
Samenvatting vestibulaire revalidatie - Luc Vereeck
- Course
- Institution
samenvatting vereeck
[Show more]
Seller
Followmargojee
Reviews received
Content preview
Neurological Physiotherapy 3 1Ma Margo JacobsVestibulaire revalidatie
Anatomie en fysiologie vh vest systeem.................................................................................... 6
1 Components and tasks (function) of the vestibular system .......................................... 6
1.1 Input ....................................................................................................................... 6
1.1.1 Proprioceptie ................................................................................................. 6
1.1.2 Labyrinth ........................................................................................................ 6
1.1.3 Vision .............................................................................................................. 7
1.1.3.1 Detectie van obstakels in de omgeving ..................................................... 7
1.1.3.2 Detectie van eigen beweging tov stilstaande objecten ............................. 8
1.1.3.3 Visuele oriëntatie ....................................................................................... 8
1.1.4 Andere sensorische input .............................................................................. 8
1.2 Integratie................................................................................................................ 8
1.3 Output/taken ......................................................................................................... 8
1.3.1 Vestibulo-occulaire reflex .............................................................................. 8
1.3.2 Vestibulo-thalamo-corticale projecties ......................................................... 8
1.3.3 Vestibulospinale reflex................................................................................... 9
1.3.4 Vestibulo-autonomische interacties .............................................................. 9
1.3.5 Vestibulaire invloeden op de hypothalamische regulatie van het
circadiaanse ritme .......................................................................................................... 9
1.4 Overzicht ................................................................................................................ 9
2 Het labyrint .................................................................................................................... 9
2.1 Semicirculaire kanalen ......................................................................................... 10
2.2 Ampulla ................................................................................................................ 10
2.2.1 Crista ampullaris .......................................................................................... 10
2.2.2 Functie ampulla ............................................................................................ 11
2.2.3 Excitatie/inhibitie haarcellen ....................................................................... 11
2.3 Otolietorganen ..................................................................................................... 11
2.3.1 Compositie van de macula ........................................................................... 11
2.3.2 Functie otolietorganen ................................................................................ 11
2.4 Vascularisatie van het labyrint ............................................................................. 12
2.5 Innervatie van het labyrint................................................................................... 12
3 Vestibulaire connecties ................................................................................................ 12
3.1 Vestibulo-oculaire reflex (VOR) ........................................................................... 13
3.1.1 Push pull fenomeen ..................................................................................... 14
3.1.2 Nystagmus.................................................................................................... 14
3.2 Vestibulo-spinale reflex ....................................................................................... 14
1
,Neurological Physiotherapy 3 1Ma Margo Jacobs
3.2.1 Strategieën ................................................................................................... 14
3.2.2 Output voor de vestibulo-spinale reflex ...................................................... 14
...................................................................................................................................... 15
3.3 Vestibulo-thalamo-corticale projecties ............................................................... 15
3.3.1 Connecties vanaf de thalamus ..................................................................... 15
3.4 Vestibulo-cerebellaire connecties ....................................................................... 15
4 Bijdrage van het centrale vestibulaire systeem (CVS) ................................................. 16
4.1 Verder dan de reflexen ........................................................................................ 16
4.2 Problemen dat CVS moet oplossen ..................................................................... 16
4.2.1 Compensatie voor overload......................................................................... 16
4.2.2 Wagenziekte (motion sickness) ................................................................... 17
4.2.3 Herstel (plasticiteit vestibulocerebellum).................................................... 18
4.3 Rol van het cerebellum (en hersenstam)............................................................. 18
4.3.1 Cerebellum ................................................................................................... 18
4.3.2 Vestibulocerebellum: flocculus en paraflocculus ........................................ 18
4.3.3 Vestibulocerebellum: nodulus en ventrale uvula ........................................ 18
5 Korte samenvatting ...................................................................................................... 19
Oorzaken van vertigo en duizeligheid ..................................................................................... 20
1 Vestibulaire aandoeningen .......................................................................................... 20
1.1 Perifere vestibulaire aandoeningen..................................................................... 20
1.2 Centrale (functionele) vestibulaire aandoeningen .............................................. 20
1.3 Gemengde perifere en centrale aandoeningen .................................................. 21
2 Niet-vestibulaire aandoeningen .................................................................................. 21
3 Rol van de kinesitherapeut .......................................................................................... 21
3.1 Patroonherkenning .............................................................................................. 21
3.2 SO STONED anamnese ......................................................................................... 21
3.2.1 Symptomen .................................................................................................. 22
3.2.2 Occurence / Frequentie ............................................................................... 22
3.2.3 Since when ................................................................................................... 22
3.2.4 Triggers......................................................................................................... 22
3.2.5 Otologische symptomen .............................................................................. 23
3.2.6 Neurologische aspecten............................................................................... 23
3.2.7 Evolutie ........................................................................................................ 23
3.2.8 Duur ............................................................................................................. 23
4 De ogen zijn de spiegel van het vestibulaire systeem ................................................. 24
2
,Neurological Physiotherapy 3 1Ma Margo Jacobs
4.1 Nystagmus............................................................................................................ 24
4.1.1 Definitie........................................................................................................ 24
4.1.2 Observeren met of zonder onderdrukking van visuele fixatie .................... 24
4.1.3 Classificatie................................................................................................... 24
5 Vergelijking tussen perifere en centrale vestibulaire oorzaken van duizeligheid ....... 25
6 RODE VLAGGEN............................................................................................................ 26
Assessment van de VOR........................................................................................................... 27
1 Wat is de functie van de VOR ?.................................................................................... 27
2 Registratie oogbewegingen ......................................................................................... 27
2.1 Elektronystagmografie ......................................................................................... 27
2.2 3D-videonystagmografie (VNG) ........................................................................... 27
2.3 Video-occuloscopie .............................................................................................. 27
2.4 Sclerale zoekspoel test......................................................................................... 27
3 Labo testen................................................................................................................... 28
3.1 ENG of VNG test protocol (horizontale SCC (lage & medium frequentie): ......... 28
3.2 Video hoofd impuls test: ...................................................................................... 29
3.3 Unilaterale centrifugatie test (utriculus) ............................................................. 29
3.4 Retinal image slip velocity ................................................................................... 29
3.5 Vestibular Evoked Myogenic Potentials .............................................................. 29
3.6 Subjectieve visuele verticale test......................................................................... 30
4 Klinische bedside tests ................................................................................................. 30
4.1 Halmagyi head thrust test (HHTT) ....................................................................... 30
4.2 Head shaking test (Barany) .................................................................................. 30
4.3 Dynamic visual acuity test (DVA test) .................................................................. 30
4.4 VOR cancellation test ........................................................................................... 31
4.5 Dix-hallpike test, side lying test & roll test .......................................................... 31
5 Questionnaire .............................................................................................................. 31
5.1 Oscillopsia severity questionnaire ....................................................................... 31
Evaluatie en behandeling BPPV ............................................................................................... 32
1 Definitie........................................................................................................................ 32
2 Epidemiologie .............................................................................................................. 32
3 Etiologie ....................................................................................................................... 32
4 Pathogenese ................................................................................................................ 33
4.1 Oriëntatie semicirculaire kanalen ........................................................................ 33
4.2 Atypische vormen BPPV ....................................................................................... 33
3
, Neurological Physiotherapy 3 1Ma Margo Jacobs
5 Symptomen en tekens ................................................................................................. 34
6 Beoordeling .................................................................................................................. 34
6.1 Dix hallpike test.................................................................................................... 35
6.2 Sidelying test ........................................................................................................ 35
6.3 Roll test ................................................................................................................ 36
6.3.1 HSCC BPPV canalolithiase ............................................................................ 36
6.3.2 HSCC BPPV cupulolithiase ............................................................................ 36
6.4 Overzicht .............................................................................................................. 36
6.5 Voorbeelden ........................................................................................................ 37
7 Behandeling ................................................................................................................. 37
7.1 Posterieure SCC BBPV .......................................................................................... 38
7.1.1 Epley ............................................................................................................. 38
7.1.2 Sémont manoeuvre ..................................................................................... 39
7.1.3 Gans repositioning manoeuvre.................................................................... 39
7.2 Anterieure SCC BPPV............................................................................................ 39
7.2.1 Modified sémont voor anterieur SCC .......................................................... 40
7.3 Horizontale SCC BPPV .......................................................................................... 40
7.3.1 Lempert manoeuvre (BBQ- rol of log roll) ................................................... 40
7.3.2 Gufoni manoeuvre ....................................................................................... 40
7.4 Conclusie .............................................................................................................. 41
7.5 Vestibulaire Habituatie training ........................................................................... 41
Beoordeling vestibulo-spinale reflex ....................................................................................... 42
1 Kwantitatief .................................................................................................................. 42
1.1 Rechtstaand evenwicht ........................................................................................ 42
1.1.1 Romberg en afleidingen ............................................................................... 42
1.1.2 CTSIB (clinical test of sensory interaction in balance) ................................. 42
1.1.3 ENT-UZA protocol ........................................................................................ 42
1.1.4 Vier punten balans schaal ............................................................................ 43
1.2 Functioneel/wandel evenwicht (dynamisch)....................................................... 43
1.3 Meerdere testbatterijen ...................................................................................... 44
1.3.1 Dynamic gait index ....................................................................................... 44
2 Relatie tussen ENG (VOR-functie) resultaten en klinische balans testen resultaten
(VSR functie)......................................................................................................................... 44
3 Extra info ...................................................................................................................... 44
Behandelprotocol voor perifere vest dysfunctie ..................................................................... 45
1 Perifere vestibulaire dysfunctie ................................................................................... 45
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller margojee. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $6.40. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
56326 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now