Physiotherapeutic practice for neurological rehabi
Summary
Summary physiotherapeutic practice: FAME-model
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Course
Physiotherapeutic practice for neurological rehabi
Institution
Katholieke Universiteit Leuven (KU Leuven)
Summary of the FAME model practical lesson given by prof. E. Craninckx of the physiotherapeutic practice course. It is a summary of the powerpoint slides and additional items noted during the lesson. The slides were in English and my own notes are always in Dutch as much as possible. It is therefor...
Physiotherapeutic practice for neurological rehabi
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Neuro physioth practice: Skills lab
Concepten FAME-model toegelicht adhv casussen
!!! ken de fases van de gangcyclus!!
1. Feedback – Chris Smith
1.1. casus
• Trucker, 43 years old
• Rehabilitation center
• Right hemiparesis after collision incident
• Main focus: gait rehabilitation
- Help question: optimize gait
- Long term goal: working in a bar
- Status quo: hip retraction – lack of dorsiflexion ankle – knee hyperextension
Zwakke DF
Indien P te overgemotiveerd is
- Wat vertragen
- Realistische doelen stele
- Er goed mee in conversatie gaan
Eigen grenzen
Feedback
You ask about your patient’s
comfort and pain
FB
-
………………………………………………
Niet enkel wat je zegt maar ook antwoorden op vragen
………………………………………………
1.2. Practice
• Gait facilitation next to the treatment table
- ………….
Aandachtspunten
Symmetrie behouden bij het facilliteren& ondersteunen hemi-zijde
Voldoende vormen van FB gebruiken
You give clear instructions and
o Beweging voordoen= eerder motor learning
o Visueel: spiegel
• (bandaging)
- guide your
Techniek nog opzoekenpatient
is nieuw where
- 2 soorten
necessary
Kortere= enkel voet
Lange= onder knie
o Langere hefboom= meer effect op DF
………………………………………………
o /p/: indien niet meer moeten oefen
o Geen bandage in schoen enkel erover mogelijk
o Te strak= compressie structuren in voet (-)
•
……………………………………………… N.peroneus
Gait facilitation in free space
…………
- hip release in swing phase
alignement moet goed zijn
o facilliteren knie flexie voor heup extensie
o geen circumductie
You communicate
- knee hyperextension in stance phase
transparently with Pagina
Nala Melis
other 1
caretakers and family
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