Summary

Samenvatting Volledig fysische/revalidatie van het vak Problemen van het Bewegingsstelsel

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Course
Problemen Van Het Bewegingsstelsel

Institution
Universiteit Gent (UGent)

Dit document is een gestructureerde samenvatting van alles van het onderdeel fysische geneeskunde en revalidatiegeneeskunde van het vak. Alles staat er in van de slides. Extra zaken van het boek zijn niet in dit document opgenomen, gezien deze niet dienen gekend te zijn voor het examen. Document be...

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Uploaded on June 21, 2022
Number of pages 92
Written in 2021/2022
Type Summary

bewegingsstelsel
geneeskunde
fysische geneeskunde
revalidatie
gent

Institution
Universiteit Gent (UGent)
Education
Geneeskunde
Course
Problemen Van Het Bewegingsstelsel

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Fysische geneeskunde & revalidatie

Inhoudsopgave
Doelstelling behandeling....................................................................................................................................13

Pijnstilling.................................................................................................................................................... 14
1. Oppervlakkige warmte-applicatie..................................................................................................................14
Indicaties........................................................................................................................................................14
Contra-indicatie.............................................................................................................................................14
Opletten bij....................................................................................................................................................14
Voorbeelden..................................................................................................................................................14
2. Koude therapie/cryotherapie.........................................................................................................................14
Doel................................................................................................................................................................15
Indicaties........................................................................................................................................................15
Contra-indicaties............................................................................................................................................15
Werking pijninhibitie.....................................................................................................................................15
Voorbeelden..................................................................................................................................................15
3. Elektrotherapie...............................................................................................................................................15

Mobilisatie.................................................................................................................................................. 16
Passieve mobilisatie...........................................................................................................................................16
Actieve mobilisatie.............................................................................................................................................16
Spierversterkende oefeningen......................................................................................................................17
Isokinetische oefeningen...............................................................................................................................17

Massage...................................................................................................................................................... 17
Indicaties............................................................................................................................................................17
Contra-indicaties................................................................................................................................................17
Andere technieken..............................................................................................................................................17

Hydrotherapie............................................................................................................................................. 18
Indicaties............................................................................................................................................................18
Contra-indicaties................................................................................................................................................18

Coördinatieoefeningen................................................................................................................................ 18

Trilplaat....................................................................................................................................................... 18
Indicatie..............................................................................................................................................................18

Extracorporele Shock Wave Therapie (ESWT)............................................................................................... 18
Indicaties............................................................................................................................................................18
Praktisch.............................................................................................................................................................18

Acute cervicale (< strain) spierpijn................................................................................................................ 19
Etiologie........................................................................................................................................................19
Behandeling..................................................................................................................................................19
Acute torticollis ~ acute lumbago......................................................................................................................19
Ontstaan.......................................................................................................................................................19
Gevolgen.......................................................................................................................................................20
Hyperflexie trauma........................................................................................................................................20

1

,Fysische geneeskunde & revalidatie

Hyperextensie trauma...................................................................................................................................20
Onderzoeken......................................................................................................................................................20
Behandeling........................................................................................................................................................20

Chronische cervicale strain – nekpijn............................................................................................................ 21
M. trapeziussyndroom..................................................................................................................................21
Behandeling chronische spieroverbelasting.......................................................................................................22

Facetdysfunctie............................................................................................................................................ 22
Ontstaan.............................................................................................................................................................22
Kliniek.................................................................................................................................................................22
Diagnose.............................................................................................................................................................22
KO...................................................................................................................................................................22
Beeldvorming.................................................................................................................................................22
Behandeling........................................................................................................................................................22

Cercivale spondylose / artrose..................................................................................................................... 23
Pathofysiologie...................................................................................................................................................23
Kliniek.................................................................................................................................................................23
Diagnose.............................................................................................................................................................23
Behandeling........................................................................................................................................................23

Cervicale discopathie................................................................................................................................... 24
Kliniek.................................................................................................................................................................24
Behandeling........................................................................................................................................................24

Syndroom van Barré-Liéou........................................................................................................................... 24
Kliniek.................................................................................................................................................................25
Behandeling........................................................................................................................................................25

Syndroom van Tietze................................................................................................................................... 25
Behandeling........................................................................................................................................................25

Facettaire dysfunctie.................................................................................................................................... 25
Behandeling........................................................................................................................................................25

Costovertebrale dysfunctie.......................................................................................................................... 25
Behandeling........................................................................................................................................................25

Ziekte van Scheuermann.............................................................................................................................. 26
Behandeling........................................................................................................................................................26

Discogene aandoeningen............................................................................................................................. 26

Artrosis deformans...................................................................................................................................... 26

Pseudoradiculaire pijnen.............................................................................................................................. 26

2

,Fysische geneeskunde & revalidatie

Musculaire pathologie................................................................................................................................. 26

Slipping-ribsyndroom/ribtipsyndroom......................................................................................................... 27
Kliniek.................................................................................................................................................................27
Behandeling........................................................................................................................................................27

Costo-iliacaal compressiesyndroom............................................................................................................. 27
Behandeling........................................................................................................................................................27
Klachten..............................................................................................................................................................27
Rode vlaggen......................................................................................................................................................27
Gele vlaggen.......................................................................................................................................................28
Hoe screenen.................................................................................................................................................28
Oorzaken............................................................................................................................................................28

Acute lumbago............................................................................................................................................. 28
Kliniek.................................................................................................................................................................28
Oorzaken............................................................................................................................................................28
Advies.................................................................................................................................................................28

Musculaire letsels........................................................................................................................................ 29
Behandeling..................................................................................................................................................29
Behandeling..................................................................................................................................................29

Discuslijden................................................................................................................................................. 29
Acuut.................................................................................................................................................................29
Kliniek............................................................................................................................................................29
Uitlokkende factoren....................................................................................................................................29
Aanpak..........................................................................................................................................................30
Chronisch...........................................................................................................................................................30
Kliniek............................................................................................................................................................30
Aanpak..........................................................................................................................................................30
Heelkunde.....................................................................................................................................................30
Met radiculaire compressie...............................................................................................................................30
Klinisch onderzoek........................................................................................................................................31
Technisch onderzoek....................................................................................................................................31
Aanpak...........................................................................................................................................................31
Heelkunde.....................................................................................................................................................31

Facettair probleem....................................................................................................................................... 31
Kliniek.................................................................................................................................................................32
Beleid..................................................................................................................................................................32

Artrosis deformans...................................................................................................................................... 32
Kliniek.................................................................................................................................................................32
Complicaties.......................................................................................................................................................32
Diagnose.............................................................................................................................................................32
Aanpak...............................................................................................................................................................32

3

,Fysische geneeskunde & revalidatie

Spondylolyse – spondylothisthesis............................................................................................................... 33
Oorzaken...........................................................................................................................................................33
Kliniek................................................................................................................................................................33
Diagnose............................................................................................................................................................33
Aanpak..............................................................................................................................................................33
Kliniek................................................................................................................................................................33
Behandeling.......................................................................................................................................................33

Sacro-iliacale dysfunctie............................................................................................................................... 33
Kliniek............................................................................................................................................................34
Diagnose.......................................................................................................................................................34
Behandeling..................................................................................................................................................34

Overgangsanomalie..................................................................................................................................... 34

Andere oorzaken van lage rugpijn................................................................................................................ 34

Rotatorcuff pathologie................................................................................................................................. 34
M. supraspinatus................................................................................................................................................35
Oorzaak.........................................................................................................................................................35
Kliniek............................................................................................................................................................35
KO..................................................................................................................................................................35
Technisch onderzoek....................................................................................................................................35
Behandeling..................................................................................................................................................35
Oorzaak.........................................................................................................................................................36
Kliniek............................................................................................................................................................36
KO..................................................................................................................................................................36
Technisch onderzoek....................................................................................................................................36
Behandeling..................................................................................................................................................36
Verloop.........................................................................................................................................................36
Oorzaak.........................................................................................................................................................36
Kliniek............................................................................................................................................................36
KO..................................................................................................................................................................36
Technisch onderzoek....................................................................................................................................36
Therapie........................................................................................................................................................37
M. infraspinatus.................................................................................................................................................37
Oorzaak.........................................................................................................................................................37
Kliniek............................................................................................................................................................37
KO..................................................................................................................................................................37
Technisch onderzoek....................................................................................................................................37
Behandeling..................................................................................................................................................37
Kliniek............................................................................................................................................................37
KO..................................................................................................................................................................38
M. subscapularis................................................................................................................................................38
Oorzaak.........................................................................................................................................................38
Kliniek............................................................................................................................................................38
KO..................................................................................................................................................................38
Technisch onderzoek....................................................................................................................................38
Behandeling..................................................................................................................................................38

Biceps Barchii pathologie............................................................................................................................. 39
Oorzaak.........................................................................................................................................................39

4

,Fysische geneeskunde & revalidatie

Kliniek............................................................................................................................................................39
KO..................................................................................................................................................................39
Technisch onderzoek....................................................................................................................................39
Behandeling..................................................................................................................................................39
Oorzaak.........................................................................................................................................................39
Kliniek............................................................................................................................................................40
KO..................................................................................................................................................................40
Technisch onderzoek....................................................................................................................................40
Behandeling..................................................................................................................................................40
Oorzaak.........................................................................................................................................................40
Kliniek............................................................................................................................................................40
KO..................................................................................................................................................................40
Technisch onderzoek....................................................................................................................................40
Therapie........................................................................................................................................................40

GIRD............................................................................................................................................................ 40
Oorzaak..............................................................................................................................................................40
Belang.................................................................................................................................................................40
Behandeling........................................................................................................................................................41

Glenohumerale instabiliteit......................................................................................................................... 41
Instabiliteit.........................................................................................................................................................41
Anamnese.....................................................................................................................................................41
Oorzaak.........................................................................................................................................................41
Evolutie.........................................................................................................................................................41
KO..................................................................................................................................................................41
Technische onderzoek..................................................................................................................................41
Behandeling..................................................................................................................................................41
Complicatie...................................................................................................................................................41
Oorzaak.........................................................................................................................................................42
Kliniek............................................................................................................................................................42
Technisch onderzoek....................................................................................................................................42
Behandeling..................................................................................................................................................42

Glenohumerale laxiteit................................................................................................................................ 42
Behandeling........................................................................................................................................................42

Bursitis........................................................................................................................................................ 42
Acuut.................................................................................................................................................................42
Oorzaak.........................................................................................................................................................42
Kliniek............................................................................................................................................................42
KO..................................................................................................................................................................42
Technisch onderzoek....................................................................................................................................42
Behandeling..................................................................................................................................................43
Chronisch...........................................................................................................................................................43
Oorzaak.........................................................................................................................................................43
Kliniek............................................................................................................................................................43
Behandeling..................................................................................................................................................43
Oorzaak.........................................................................................................................................................43
Kliniek............................................................................................................................................................43
Technisch onderzoek....................................................................................................................................43
Behandeling..................................................................................................................................................43

Frozen shoulder........................................................................................................................................... 43

5

, Fysische geneeskunde & revalidatie

Epidemiologie.....................................................................................................................................................43
Oorzaak..............................................................................................................................................................43
Pathogenese.......................................................................................................................................................43
Kliniek.................................................................................................................................................................43
Klinisch onderzoek..............................................................................................................................................44
Technisch onderzoek..........................................................................................................................................44
Therapie.............................................................................................................................................................44

Acromio-claviculair lijden............................................................................................................................. 44
Degeneratief.......................................................................................................................................................44
Kliniek............................................................................................................................................................44
KO..................................................................................................................................................................44
Technisch onderzoek....................................................................................................................................44
Behandeling..................................................................................................................................................45

Scapulothoracale dysfunctie........................................................................................................................ 45
Primair...............................................................................................................................................................45
Secundair...........................................................................................................................................................45
Type 1............................................................................................................................................................45
Type 2............................................................................................................................................................45
Type 3............................................................................................................................................................45

Gerefereerde schouderpijn.......................................................................................................................... 45

Tendinopathie Extensor Carpi Radialis......................................................................................................... 46
Types volgens Cyriax.....................................................................................................................................46
Oorzaak.............................................................................................................................................................46
Kliniek................................................................................................................................................................46
KO......................................................................................................................................................................46
Technische onderzoeken...................................................................................................................................46
DD......................................................................................................................................................................46
Therapie.............................................................................................................................................................46

Tendinopathie Flexor Carpi Ulnaris + Radialis............................................................................................... 47
Oorzaak.............................................................................................................................................................47
Kliniek................................................................................................................................................................47
KO......................................................................................................................................................................47
Technische onderzoeken...................................................................................................................................47
Therapie.............................................................................................................................................................47

Bursitis olecranii.......................................................................................................................................... 47
Oorzaak..............................................................................................................................................................47
Kliniek.................................................................................................................................................................47
KO.......................................................................................................................................................................47
DD.......................................................................................................................................................................48

6

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Samenvatting Volledig fysische/revalidatie van het vak Problemen van het Bewegingsstelsel

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