Physiotherapeutic practice for neurological rehabi
Summary
Samenvatting physioth. practice: Locomotion
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Physiotherapeutic practice for neurological rehabi
Institution
Katholieke Universiteit Leuven (KU Leuven)
Samenvatting van de praktijkles locomotiongegeven door prof V. Janssens van het vak physiotherapeutic practice. Het is een samenvatting van de slides van de powerpoint en extra genoteerde items van tijdens de les. De slides waren in het Engels en mijn eigen notities zijn steeds zoveel mogelijk in...
Physiotherapeutic practice for neurological rehabi
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Phys.practice: locomotion: balance & gait
1. FACILITATION
is a skill
- Capability to feel a change in movement
- Capability to feel how to change a movement
is never passive
is goal orientated
Demands a respons of your patient
Hands-on <->hands-off
2. Facilitation: TOOLS
Your hands are the tools by which you facilitate movement
Your posture controls the dexterity of your hands
The grip you use facilitates what you feel
3. a CORRECT facilitation
Let your patient move within his stability limits: do not bring your patient out of balance
Create an internal displacement
This activates a feedforward mechanism(= predictive/feedforward reaction)
This reaction improves the body schema
4. An INCORRECT facilitation
When you move your patient out of his stability limits
You create an external displacement
This activates the feedback mechanism
The patient will compensate ( head fixation, loss of dynamic legs, fixated arms,..)
5. Facilitaties praktijk
Gait initiation
T achter P
Onder oksels vastnemen
Eerst voelen hoe P reageert bij
- ZW duwen
- AW-VW duwen
COP verplaatsen
- AW
- ZW
- Glut.medius & tib anteruir activeren door initiatie
Wandelen met P na initiatie
T achter P
Handen aan zijkant romp
- Duimen bij vingers houden
Dicht bij P stappen
Ritme P aannemen
Starten via initiatie
- Opnieuw eerst voelen reactie P
Indien wandelen OK
- Varieren in snelheid
T mag niet breed stappen
- Anders gaat P dit ook overnemen
Central key point: lifting the trunk
Nala Melis Pagina 1
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