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Samenvatting Gynaecologie en urologie praktijk SV
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Praktijk kine bij gynaeco enurologie
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1.1.1 Bekkenbodemspieroefeningen......................................................................................................2
2.1.1 Initiatie fase...................................................................................................................................2
2.2.1 Korte snelle contracties en lange contracties................................................................................5
2.2.2 Analytische oefeningen.................................................................................................................5
2.2.3 Coördinatie-oefeningen.................................................................................................................5
2.2.4 Weerstandsoefeningen.................................................................................................................5
2.3.1 Oefenprogramma voor BB-spieren................................................................................................6
2.3.2 Ademhalings-oefeningen...............................................................................................................6
3.1.1 Blaastraining..................................................................................................................................7
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, 1.1.1 Bekkenbodemspieroefeningen
2.1.1 Initiatie fase
Leren spannen en opspannen van de spieren
Componenten contractie BB-spieren
1. Sluitbeweging: oppervlakkige spieren uretraal en anaal opspannen
2. Lift beweging / inwaarts: M. Levator
Doel: beheersen BB
- Opspannen, ontspannen
- Verschil persen en samentrekken
Anatomische herkenningspunten
- Schaambeen
- Staartbeen
- Zitbeenknobbels
Anaal, vaginaal, CT
- Anus niet direct zichtbaar verdoken naar achter toe
- Vagina is relatief gesloten
Beoordelen bekkenbodemcontractie
- Ultrasonografie: echo suprapubis
- Digitale palpatie: lift en kracht nagaan
o Kracht: the oxford grading scale
o Voordeel feedback
o Onder palperende vingers wordt een actief gewilde contractie aangevoeld als
Vernauwing
Lift tijdens contractie
Instructie BB-spieren aanspannen
- Vragen om plas op te houden zonder benen of buikspieren aanspannen
- Voorkomen urine verlies of plas straal te stoppen
- Probeer windje tegen te houden
- Knijp de vagina toe en trek bb op
- Knijp de spieren samen rond vagina en trek ze naar binnen
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