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Colleges leerjaar 1 blok 6

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Samenvatting van de colleges van fysiotherapie aan de Hogeschool Rotterdam in leerjaar 1 blok 6.

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  • July 1, 2019
  • 11
  • 2018/2019
  • Class notes
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Leerjaar 1 blok 6
College 1 – lagerugpijnklachten: Een functioneel-anatomische beschouwing van de
lendenwervelkolom

Anatomische configuratie:
- Lendenwervels (5 +/- 1 wervel)
o Lumbale wervels
- Tussenwervelschijven
o Disci intervertebrales
- Intervertebrale gewrichten
o Articulationes intervertebrales
- Rugspieren en buikspieren
o Musculus erector spinae en de musculus transversus abdominus/ musculi
obliques internus en externus/ musculus rectus abdominus




- In foramen intervertebrale treden perifere zenuwen uit
- Voor breuken en scheuren van het corpus of tussenwervelschijven van de wervelkolom
moeten enorme krachten plaatsvinden

Functionele anatomie
- Aspecten van:
o Mobiliteit
o Stabiliteit
o Bescherming

Lendewervelkolom
- Enorm beweegbaar in dorsaal- en ventraalflexie
- Hydraulische eigenschappen
o Kan daardoor enorme axiale belasting opvangen
 Bijvoorbeeld: lopen, hardlopen, springen, paardrijden
- Lordotische kromming
o Invariabel door inplantingsboek os sacrum
 Door aanleg
 Hoe steiler je sacrum, des te minder lordose
o Variabel door bewegen
o Variabel door spierkracht/ zwaartekracht
 Hoe minder lordose, des te meer spierkracht nodig is
o Er is geen relatie tussen rugpijn en lordotische kromming

, Inplantingshoek os sacrum
- De anatomische configuratie van de lendenwervelkolom, de verhouding tussen
mobiliteit en stabiliteit, en de verhouding tussen aspecten van vorm- en krachtsluiting
in het kader van stabiliteit is een afspiegeling van de inplantingshoek van het os sacrum

Ligmenten lumbale wervelkolom




- Ligamentum longitudinale posterius

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