NEURO VOLWASSEN THEORIE
1. Ziekte van Parkinson
1.1. De ziekte van Parkinson
1.2. Neuropathologie
1.2.1. Tekort aan neurotransmitter dopamine in extra piramidaal
systeem
1.2.2. Rol van de basale ganglia
1.3. Primaire bewegingskenmerken
1.3.1. Bradykinesie
1.3.1.1. Afhankelijk van de bewegingsomstandigheden
1.3.2. Akinesie
1.3.2.1. Freezing
1.3.3. Tremor
1.3.4. Rigiditeit
1.3.5. Posturale stoornissen (evenwichtsverlies)
1.4. Secundaire bewegingskenmerken
1.4.1. Kracht
1.4.2. Gewrichtsmobiliteit
1.4.3. Houding
1.4.4. Cardiopulmonaire conditie
1.4.5. Functionele mobiliteit
1.4.5.1. Opstaan uit stoel
1.4.5.2. Bedmobiliteit
1.5. Niet motorische kenmerken
1.6. Ziektestadia
1.7. Evaluatie
1.7.1. Hoehn & Yahr schaal
1.7.1.1. Klinisch beeld vroege stadia (H&Y I-II)
1.7.1.2. Klinisch beeld late stadia (H&Y III-IV)
1.7.2. Andere evaluatie schalen
1
, Prof Alice Nieuwboer AJ 22-23
1.8. Behandeling
1.8.1. Farmacologie
1.8.1.1. Fluctuaties van medicatie
1.8.1.2. Nevenwerkingen van medicatie (in ‘ON’)
1.8.2. Neurochirurgie: deep brain stimulation
1.8.3. Kinesitherapie
1.8.3.1. Differentiatie behandelingsdoelen
1.8.3.2. Behandeling in vroeg stadium
1.8.3.2.1. Mobiliteit
1.8.3.2.2. Kracht
1.8.3.2.3. Cardiovasculaire uithouding
1.8.3.2.4. Evenwicht
1.8.3.2.5. Power moves
1.8.3.2.6. Voorbeeld in zit
1.8.3.3. Behandeling in mid stadium
1.8.3.3.1. Functionele training (context specifiek)
1.8.3.3.2. Cognitieve bewegingsstrategieën
1.8.3.3.3. Cues
1.8.3.3.4. Aandachtsstrategieën
1.8.3.3.5. Externe cues
1.8.3.3.6. Werkingsmechanisme van cueing
1.8.3.3.7. Transfermoeilijkheden
1.8.3.4. Behandeling in eind stadium
1.8.3.4.1. Hulpmiddelen
1.8.3.4.2. Aandachtspunten
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