Gevorderd klinisch redeneren en handelen sport (D013380A)
Summary
Samenvatting Pathologie, onderzoek en behandeling thoracale wervelzuil
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Course
Gevorderd klinisch redeneren en handelen sport (D013380A)
Institution
Universiteit Gent (UGent)
Pathologie, onderzoek en behandeling van de thoracale wervelzuil. Alle belangrijke punten anamnese, BFO, toegevoegd onderzoek en behandeling gebundeld in een document. Zeer handig voor het praktijkexamen MSS en sport!
Gevorderd klinisch redeneren en handelen sport (D013380A)
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Algemeen...............................................................................................................................................1
Anamnese...............................................................................................................................................3
Kinesitherapeutisch onderzoek..............................................................................................................4
Inspectie.............................................................................................................................................4
Oriënterende palpatie........................................................................................................................5
Basisfunctie-onderzoek => altijd in zit................................................................................................5
Actief onderzoek met overdruk......................................................................................................5
Toegevoegd onderzoek.......................................................................................................................6
Articulair onderzoek thoracaal........................................................................................................6
Articulair onderzoek ribben............................................................................................................8
TOS.................................................................................................................................................9
Myofasciaal onderzoek.................................................................................................................10
Kinesitherapeutisch handelen..............................................................................................................11
Harmonische technieken..................................................................................................................11
Technieken bij vertebrale dysfuncties...............................................................................................11
Technieken bij ribdysfuncties............................................................................................................12
Taping...............................................................................................................................................14
Algemeen
Gekoppelde bewegingen:
- Hoog thoracaal (T1-T3):
o Extensie en neutrale stand: gelijkgericht
o Flexie: gelijkgericht
- Laag thoracaal (T4-T12):
o Extensie en neutrale stand: tegengesteld
o Flexie: gelijkgericht
Myofasciaal gerefereerde pijn:
1
,2
, Thoracale dermatomen:
Anamnese
- Typisch bij thoracaal: ademhaling gerelateerd aan ribben
- Cardiovasculair? Last bij CV inspanning? Risicofactoren bevragen: roken, overgewicht,
bloeddruk, familiale voorgeschiedenis, cholesterol, stress, slaap, sedentaire levensstijl?
- Visceraal gerefereerde pijn
o Slokdarm: op + onder sternum
o Lever + galblaas: onderzijde rechter scapula
o Maag: bevraag andere klachten, voeding, link met vettig eten?
3
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