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HC MOFWeek 1.2 – UMNS - Upper Motor Neuron Syndrom
Neurofysiologie
, Mediale systeem
Innervatie van axiale en proximale spieren
Grove innervatie
Laterale systeem
Innervatie van perifere spieren
Precieze innervatie
Effect van het mediaal – lateraal principe
Mediale systeem
Bypassing mogelijk via indirecte banen
o Functieherstel is mogelijk dmv bewegingssynergie
Laterale systeem
De cortex heeft direct invloed op de motorneuronen
o Grote mate van selectiviteit mogelijk
8. Letsel van het eerste motorische neuron. Kan door bloeding, infarct, MS, ongeval.
Kan neuro reflectoire en niet-neuro reflectoire gevolgen hebben
9. Vanuit motorische cortex info naar beneden. 80% van piramidebanen kruist, 20%
niet.
11. mediale systeem over kruist en gaat longitudinaal. Dus 1 actiepotentiaal kan heel veel
gedeelten aansturen (grove innervatie). Lateraal heeft een veel meer precieze
innervatie. SAFE-regel = prognose binnen 72 uur is vrij accuraat voor arm-hand
vaardigheid over 26 weken.
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