Summary
Samenvatting Dwarslaesie
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- Institution
Dit is een samenvatting van heel het deel Dwarsleasie.
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By: mariestanssens • 11 months ago
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DwarslaesieInhoud
Definitie....................................................................................................5
Symptomatologie.......................................................................................5
Motorische uitval.....................................................................................5
Spastische of stijve verlamming (UMNL)..................................................5
Slappe verlamming (LMNL)....................................................................5
Sensibele uitval.......................................................................................5
Vegetatieve stoornissen...........................................................................5
Spinale shockfase....................................................................................5
Uitgebreidheid........................................................................................6
Laesiehoogte.......................................................................................6
Complete of incomplete laesie...................................................................6
Classificatie van ruggenmerglaesies..............................................................6
Nomenclatuur............................................................................................7
ASIA-definities........................................................................................7
Definitie “neurologische niveau”................................................................7
Definitie “motorisch niveau”......................................................................7
Definitie “sensorisch niveau”.....................................................................7
Definitie “incomplete laesie”......................................................................7
Definitie “complete laesie”........................................................................7
Definitie “zone van partiële innervatie”.......................................................7
Diagnostiek...............................................................................................7
Anamnese..............................................................................................7
Onderzoek van de motoriek (ASIA)............................................................8
Onderzoek van de sensoriek (ASIA)...........................................................8
Functionele evaluatie...............................................................................8
Kinesitherapeutisch bilan bij dwarslaesie....................................................8
Kinesitherapeutische evaluatie dwarslaesie.................................................8
Stoornisniveau: basisfuntie-onderzoek.......................................................8
Epidemiologie............................................................................................8
Incidentie...............................................................................................9
Prevalentie.............................................................................................9
Etiologie.................................................................................................9
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, Leeftijdsverdeling....................................................................................9
Prognose................................................................................................9
Prognose van het herstel van gang- en functionele mogelijkheden...............10
Prognose van de levensverwachting.........................................................10
De initiële medische behandeling................................................................10
Inleiding.................................................................................................10
Decubitus................................................................................................11
Definitie...............................................................................................11
Oorzaken..............................................................................................11
Ontstaansmechanisme...........................................................................11
Evolutie................................................................................................11
Voorkeurslokalisatie...............................................................................11
Preventie..............................................................................................12
Risicoschalen........................................................................................12
Vermindering van de druk- en schuifkrachten............................................12
Liggen...............................................................................................12
Zitten................................................................................................13
Behandeling..........................................................................................13
Conservatief.......................................................................................13
Operatief...........................................................................................13
Contractuurvorming en gewrichtsverstijving.................................................13
Symptomatologie..................................................................................13
Behandeling..........................................................................................14
Addendum: mobilisatie bij dwarslaesiepatiënten...........................................14
Doel....................................................................................................14
Voorzorgsmaatregelen...........................................................................14
Praktische richtlijnen..............................................................................14
Mobilisatie bij een tetraplegie-patiënt....................................................14
Mobilisatie van een paraplegie-patiënt...................................................14
Neurogene heterotrope ossificatie...............................................................15
Definitie...............................................................................................15
Incidentie en etiologie............................................................................15
Symptomatologie..................................................................................15
Diagnostiek..........................................................................................16
Behandeling..........................................................................................16
Circulatiestoornissen.................................................................................16
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, Orthostatische hypotensie.......................................................................16
Definitie............................................................................................16
Pathofysiologie...................................................................................16
behandeling.......................................................................................16
Diepe veneuze trombose........................................................................16
Definitie............................................................................................16
Etiologie............................................................................................17
Symptomatologie................................................................................17
Behandeling.......................................................................................17
Autonome dysreflexie.............................................................................17
Definitie............................................................................................17
Etiologie............................................................................................17
Symptomen.......................................................................................17
Behandeling.......................................................................................18
Neurogene shock...................................................................................18
Cardiale dysritmieën..............................................................................18
Temperatuurdysregulatie........................................................................18
Zweetstoornissen..................................................................................18
Urologische en vruchtbaarheidsstoornissen..................................................18
Urologische stoornissen..........................................................................18
Fysiologie..........................................................................................18
Pathofysiologie...................................................................................19
Behandeling.......................................................................................19
Darmstoornissen...................................................................................20
Vruchtbaarheidsstoornissen....................................................................20
Respiratoire stoornissen............................................................................20
Pathologie............................................................................................20
Symptomen en diagnose........................................................................20
Behandeling..........................................................................................21
Arm- en handfunctiestoornissen.................................................................21
Doelstelling...........................................................................................21
Behandeling..........................................................................................21
Pijn........................................................................................................22
Het verwerkingsproces..............................................................................22
Algemeen verwerkingsmodel bij verlies....................................................22
Specifieke aspecten bij personen met een dwarslaesie................................22
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