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Samenvatting Mobiliserende vs stabiliserende behandeling LWK $0.00

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Samenvatting Mobiliserende vs stabiliserende behandeling LWK

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Beschrijving van mobiliserende en stabiliserende behandeling bij patiënten met klachten LWK.

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  • June 5, 2017
  • 1
  • 2014/2015
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Mobiliserend vs. stabiliserende behandeling

Mobiliserend
1. Kort vraaggesprek (actualiteit/ reactiviteit)  VAS na behandeling niet meer dan 2 toegenomen!
Reactiviteit maximaal 24 uur last na vorige keer!
2. Diagnose (zoveel mogelijk patiënt zelf laten praten)
3. Hulpvraag herhalen (zoveel mogelijk patiënt zelf laten praten)
4. Doel therapie
5. Warming-up 2-3 minuten
6. Nulmeting (VAS of nulmeting mobiliteit)
7. Actief mobiliseren starten! (huiswerkoefeningen)  zoveel mogelijk in onbelaste houding
Criteria
- positie waar patiënt rek ervaart
- tijd tot prikkel afneemt
- tijd delen door 150
Tussen oefeningen door even de warming-up herhalen en nulmeting herhalen!
8. Gaat de patiënt goed vooruit, dan niet passief, zo lang mogelijk hands off (passief ook gedeeld door 150)!
9. Na afloop stabiliseren (evt. warming up opnieuw doen) eigenlijk al na elke oefening!
10. Herhalen nulmeting (ook af en toe tussen oefeningen door)
11. Cooling-down
12. Herhalen van de huiswerkoefening door patiënt zelf ook tussen oefeningen door!

Stabiliserend
Motor control behandeling:
Deel 1: Zitinstructie

Deel 2: local stabilizers (afhankelijk van cirkel)
- m. multifidus
- m. tranversus abdominus

Deel 3: Algemene stabilisatie: core stability training

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