Summary
Samenvatting Dwarslaesie onderzoek en behandeling
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Beschrijving van onderzoek en behandeling van een patiënt met een dwarslaesie vanaf TH10.
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Dwarslaesie; onderzoek en behandeling – niveau TH10Prognose
Blijft gelijk = compenseren (strategie, hulpmiddel), klachten voorkomen
Gaat achteruit, degeneratief = achteruitgang proberen te vertragen, compenseren
Gaat vooruit, herstelt = herleren, trainen, compenseren
Th1 ten opzichte van Th 12
•flexie/extensie zeer gering
•lateroflexie circa 35º
•rotatie circa 55º
L1 ten opzichte van S1
•flexie circa 25º
•extensie circa 55º
•lateroflexie circa 35º
•rotatie circa 15º
Onderzoek – binnen de ADL grenzen
1. Neurologische classificatie dwarslaesie
- Motorische uitval (meteen MRC wordt gescoord, testen in ruglig van de armspieren (zie CRS))
- Sensibele uitval
> Niveau TH10 = kracht in de arm normaal
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