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Samenvatting over complexiteit & chroniciteit

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Dit is een samenvatting over de module complexiteit en chroniciteit waar veel verschillende onderwerpen aan bod komen. Dit komt uit het 3e leerjaar van de studie fysiotherapie aan de HU.

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  • October 12, 2023
  • 77
  • 2022/2023
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Pathologie................................................................................................................................................ 3
Reumatologie ........................................................................................ Error! Bookmark not defined.
Neurologie ........................................................................................................................................... 3
Hart- en vaatziekten ............................................................................................................................ 7
Oncologie – gevolgen ........................................................................................................................ 10
Longaandoeningen ............................................................................................................................ 11
Stress en psychosomatiek ................................................................................................................. 14
Farmacologie ......................................................................................................................................... 22
Medicatieleer .................................................................................................................................... 22
Fysiologie ............................................................................................................................................... 23
Homeostase en biologische regelprincipes ....................................................................................... 23
Fysiologie van groei en veroudering ................................................................................................. 33
Inspanningsfysiologie en trainingsleer .............................................................................................. 33
Diagnostiek en onderzoek ..................................................................................................................... 33
Analyse gezondheidsprobleem ......................................................................................................... 33
Anamnese .......................................................................................................................................... 34
Prognostisch profiel........................................................................................................................... 35
Cardiovasculaire aandoeningen (hart en vaat revalidatie) ............................................................... 35
Respiratoire aandoeningen (longtraining) ........................................................................................ 37
Psychosociale klachten ...................................................................................................................... 38
Reumatologische aandoeningen – diagnostiek................................................................................. 38
Bewegingstherapie ................................................................................................................................ 40
Afname van stoornissen .................................................................................................................... 40
Toename van participatie binnen de samenleving ........................................................................... 44
Toename van zelfredzaamheid – zelfverzorging – zelfstandigheid .................................................. 46
Afname van beperkingen in activiteit ............................................................................................... 47
Wetenschappelijke oriëntatie ............................................................................................................... 48
Klinimetrie ......................................................................................................................................... 48
Levels of evidence ............................................................................................................................. 58
Theorie fysiotherapie ............................................................................................................................ 58
Beroepseigen en beroeps gerelateerde richtlijnen en protocollen .................................................. 58
Internationaal geaccepteerde modellen: .......................................................................................... 59
Bio-psycho-sociaal model .................................................................................................................. 60
HOAC (Hypothesis Oriented Algorithmen for Clinicians II) ............................................................... 61
Sociologie .............................................................................................................................................. 63
Zorgsysteem, zorgorganisatie, zorgverzekering ................................................................................ 63

, Ontwikkelingen zorgsysteem ............................................................................................................ 65
Mantelzorg ........................................................................................................................................ 65
Communicatie ....................................................................................................................................... 67
Motivational interviewing ................................................................................................................. 67
Theorie interprofessioneel samenwerken ........................................................................................ 71
Communicatie Interculturele communicatie .................................................................................... 71
Gespreksvaardigheden ...................................................................................................................... 71
Psychologie ............................................................................................................................................ 72
Emoties en coping ............................................................................................................................. 72
Modellen en vragenlijsten ................................................................................................................. 75
Ondernemen in de zorg......................................................................................................................... 76
eHealth .............................................................................................................................................. 76

,Pathologie
Neurologie
Incidentie Prevalentie
MS ??????????????????????????? 1:500
M.P 0,2-0,3:1000 per jaar 1:330
Multiple sclerose; aantasting myelineschede -> sclerotische plaque
geopende bloed hersenbarrière -> afbraak axonen
- Witte stof gaat verloren
- Littekens blijven over
- Kortsluiting doordat geleiding niet meer mogelijk is (binnen cel)
- Cel sterft

Beeldvorming via MRI; sclerotische plaques zichtbaar als witte vlekken
Relapse = schub = exacerbatie (=aanval)

Demyelinisatie en remyelinisatie (negatief beïnvloed door 2 ((NO. Onderstaand))
1. Oligondendrocyten
2. Fibronectine klontert samen dus moeilijk afgebroken

Soorten ms;
- Relapse-remitting
- Primary-progressive
- Secondary-progressive
- Progressive-relapsing

1. Hypotonie
2. Hypermetrie in balans en coördinatie
3. Hypo/hyper-sensibiliteit


1. Visus 70% Neuritis nervus optica
2. Vermoeidheid 80-90%
3. Hypo/hyper/anesthesie / pijn 80-90%
4. Motorische problemen >80%
5. Mentale problemen 43-70%
6. Urogenitaal 60%

1. Ataxie 80% ooit een keer voor of blijvend
2. Dysarthrie
3. Mictie
4. Seksueel
5. Psychisch
6. Vermoeidheid




1. McD criteria (2010)
2. Min 2 laesies
3. Locatie en tijd

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