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Samenvatting physioth. practice: Locomotion $5.89
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Samenvatting physioth. practice: Locomotion

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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...

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  • December 17, 2023
  • 4
  • 2023/2024
  • Summary
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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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