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Summary Ergotherapie In De Fysieke Revalidatie 2
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dit is een samenvatting van de lessen fysieke revalidatie
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FYSIEKE REVALIDATIEInhoudsopgave
Handrevalidatie en amputatie........................................................................................................................................... 2
Inleiding handletsels..................................................................................................................................................................2
Anatomie...............................................................................................................................................................................2
Behandeling handletsels............................................................................................................................................................9
Flexorletsels / extensorpeesletsels........................................................................................................................................9
PERIFEER ZENUWLETSEL........................................................................................................................................................9
COMPRESSIE SYNDROMEN..................................................................................................................................................10
DEGENERATIEVE AANDOENINGEN......................................................................................................................................10
NEUROLOGISCHE AANDOENINGEN.....................................................................................................................................10
Ergotherapie in de handtherapie.............................................................................................................................................12
Taken van de ergotherapeut...............................................................................................................................................12
taken van de ergotherapeut................................................................................................................................................16
practicum Joke Raats...............................................................................................................................................................18
Amputatie en prothesiologie van de bovenste ledenmaten Marco........................................................................................19
Inleiding...............................................................................................................................................................................19
Prothesiologie per niveau....................................................................................................................................................20
Kinderprothese....................................................................................................................................................................21
Activiteiten met armprothese.............................................................................................................................................22
Nieuwe ontwikkelingen.......................................................................................................................................................22
Targeted muscle reinnervation TMR...................................................................................................................................22
Osseoïntegratie....................................................................................................................................................................23
Practicum 1 Marco 28 maart...................................................................................................................................................23
Pre-prothesetraining...........................................................................................................................................................23
Protesetraining....................................................................................................................................................................24
Advisering....................................................................................................................................................................... 25
, inleiding...................................................................................................................................................................................25
peo -model...........................................................................................................................................................................25
Motiverende gespreksvoering.............................................................................................................................................25
energiemanagment.................................................................................................................................................................26
Gedragsverandering en energiemanagement.....................................................................................................................26
Ziektebeelden......................................................................................................................................................................30
CHRONISCHE VERMOEIDHEIDSSYNDROOM (CVS)..............................................................................................................30
Werken aan geheugenproblemen.......................................................................................................................................38
Grip op planning..................................................................................................................................................................39
Ziektebeeld..........................................................................................................................................................................43
Ergonomie....................................................................................................................................................................... 54
inleidende begrippen ergonomie.............................................................................................................................................54
evolutie van de arbeid.............................................................................................................................................................55
beroep en afwezigheid op werk...............................................................................................................................................56
ergonomie in de be wetgeving................................................................................................................................................56
ergonomie , et en preventie.....................................................................................................................................................56
specialisatie domeinen van de ergonomie..............................................................................................................................57
conceptergonomie vs correctie -ergonomie............................................................................................................................58
FYSIEKE REVALIDATIE 2
HANDREVALIDATIE EN AMPUTATIE
AAFKE GOOS
INLEIDING HANDLETSELS
ANATOMIE
1. Osteologie
2. Spieren en pezen
3. Innervatie
1. OSTEOLOGIE
,VINGER GEWRICHTEN DUIMBASIS GEWRICHT
= SCHARNIER GEWRICHTEN = ZADEL GEWRICHT
2. SPIEREN EN PEZEN
INTRINSIEKE HANDSPIEREN EXTRINSIEKE HANDSPIEREN
(in de hand) (buiten de hand)
INTRINSIEKE HANDSPIEREN
Duimspieren – thenarmusculatuur
Pinkspieren – hypothenar musculatuur
Mm. Lumbricales en Mm. Interossei (flexie MCP’s en extensie vingers)
EXTRINSIEKE HANDSPIEREN
Buigers – flexoren
Strekkers – extensoren
3. INNERVATIE – MOTORISCH EN SENSIBEL
3 zenuwen
N. Medianus Motorisch: de meeste extrinsieke
flexoren van de hand en pols muv
FCU en FDP IV en V,
thenarmusculatuur, twee meest
radiale Mm. lumbricales
, N. Ulnaris Motorisch: FCU en FDP IV en V,
hypothenar musculatuur, twee
meest ulnaire Mm. lumbricales,
Mm. Interossei en de adductor
pollicis
N. Radialis extrinsieke extensoren van de
hand en pols
3.1 HANDLETSELS – OVERZICHT
Traumatologie
Flexorpeesletsel Brandwonden
Extensorpeesletsel Perifere zenuwletsels
Amputatie Dwarslaesie
Compressie
Carpaal tunnel syndroom
M. Quervain
Triggerfinger
Degeneratieve aandoeningen
CMC I artrose
Ziekte van dupuytren
Congenitale afwijkingen
Dystrofie
Neurologische aandoeningen
1. TRAUMATOLOGIE
FLEXORPEESLETSELS
Letsel buigpees (FDS en/of FPD)
Meestal traumatische oorzaak (snijverwonding, zaagletsel, …)
Open / gesloten letsel
Moment van diagnostiseren belangrijk voor prognose!
Zone
Nog OK foto toevoegen
Herstel pees = letterlijk uiteinden van een koord aan elkaar naaien
Belang van kennis OK -> nabehandeling!
EXTENSORPEESLETSEL
Letsel strekpees (EDC)
Meestal traumatische oorzaak (snijverwonding, glasverwonding, …)
Moment van diagnostiseren belangrijk voor prognose!
Zones
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