Summary
samenvatting minor wervelkolom periode 2
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Samenvatting van periode 2 van minor wervelkolom die op Avans gegeven wordt. O.A samenvatting richtlijn nekpijn, colleges en casussen uitgewerkt
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InhoudsopgaveSpecifieke pathologie..................................................................................................................................... 3
Richtlijn: Nekpijn........................................................................................................................................... 6
Casus week 1............................................................................................................................................... 10
Onderzoeksplan..................................................................................................................................................11
Theorie................................................................................................................................................................12
Arthorkinematica HCWK beoordeling............................................................................................................12
Mobiliteitsonderzoek HCWK segementaal belast..........................................................................................12
Behandelplan......................................................................................................................................................12
Mci in HWCK...................................................................................................................................................13
Mobiliteitsonderzoek HCWK segementaal belast..........................................................................................14
Fysiotherapeutische diagnose:...........................................................................................................................14
College duizeligheid..................................................................................................................................... 14
Wat is duizeligheid?............................................................................................................................................14
Vertebro basilaire insufficientie..........................................................................................................................15
Anamnese voor Benigne Paroxysmale positieafhankelijke draaiduizeligheid..................................................15
Benigne Paroxysmale positieafhankelijke draaiduizeligheid causaal................................................................16
Benigne Paroxysmale positieafhankelijke draaiduizeligheid diagnostiek......................................................16
Benigne Paroxysmale positieafhankelijke draaiduizeligheid behandelen.....................................................17
Eply manoeuvre..............................................................................................................................................17
Rode vlaggen BPPD.........................................................................................................................................17
Draaiduizeligheid centraal..................................................................................................................................17
Meetinstrumenten fuctioneren of disfunctioneren............................................................................................18
Cervicogene duizeligheid....................................................................................................................................18
Anamnese cervicogene duizeligheid..............................................................................................................18
Behandeling....................................................................................................................................................19
Vestibulaire revalidatie.......................................................................................................................................19
Tabel duizeligheid...............................................................................................................................................19
Casus week 2............................................................................................................................................... 20
Onderzoeksplan..................................................................................................................................................21
Theorie................................................................................................................................................................22
Symptomen HCWK instabilieit symptomen:..................................................................................................23
Testen hoogcervicale instabiliteit...................................................................................................................23
College hoofdpijn......................................................................................................................................... 23
Soorten hoofdpijn...............................................................................................................................................23
Rode vlaggen hoofdpijn......................................................................................................................................23
Vasculaire hoofdpijn...........................................................................................................................................24
Clusterhoofdpijn.................................................................................................................................................25
Medicatie hoofdpijn............................................................................................................................................25
, Migraine.............................................................................................................................................................25
Tension type headache.......................................................................................................................................25
Diagnostiek.....................................................................................................................................................25
Behandeling....................................................................................................................................................25
Cervicogenen hoofdpijn......................................................................................................................................25
Diagnostiek.........................................................................................................................................................26
Behandeling....................................................................................................................................................26
Overzicht.............................................................................................................................................................26
Casus 3........................................................................................................................................................ 27
Onderzoeksplan..................................................................................................................................................27
Casus neurodynamica.................................................................................................................................. 28
CTO/schouder.............................................................................................................................................. 31
College cto..........................................................................................................................................................31
Onderzoeksplan..................................................................................................................................................31
Behandelplan......................................................................................................................................................32
Motorische controle.................................................................................................................................... 33
Onderzoeksplan..................................................................................................................................................33
Informatie MCI....................................................................................................................................................35
Hoe herken je MCI..........................................................................................................................................35
CCFT................................................................................................................................................................35
Diepe sub-occipitale extensoren....................................................................................................................35
Testbatrij van patrocini...................................................................................................................................35
Dissociatie testen CWK...................................................................................................................................36
Dissocioatie testen schouder.........................................................................................................................36
, Specifieke pathologie
Evendencehunt.com cat
Neoplasmata ontstaan kanker
Nachtelijke pijn
Gewichtsverlies onverklaarbaar
Leeftijd > 50
Houdingen onafhankelijke pijn
Kanker in voorgeschiedenis
Vaak een uitzaaiing in de wervelkolom van een primaire tumor
Tumor casus in toets
Trauma
Fractuur (< 5%)
Langdurige gebruik van steroïden zoals prednison en cortison) dit kan botontkalking
veroorzaken
Hoogenergetisch moment (vallen hoger dan eigen lichaamslengte of sneheid 50km/h)
Inflammatoir
Aanhoudende koorst
Nachtelijk zweten
Wonden
Speciefieke rode vlaggen
Hoofdpijn
Hoofdpijn en vormen icm nekpijn
Eerste keer hoofdpijn leeftijd <5 of >50
Hoofdpijn na trauma
Unilaterale temporale hoofdpijn met zicht problemen
Ernistige hoofdpijn bij wakker worden
Keel
Heesheid langer dan 6 weken (mogelijk tumor stembanden
Slikstoornis
Duizelingen
Duizeligheid/misselijkehid
, in de toets geen infectie
bij vrouwen hoger risico op breuk door hormoon huishouden
Wat soort tumoren zijn er?
pirmaire tumor meestal in schildklier, long, prostaat of borst
ziekte van Kahlr en ziekte van Hodgkin
Klinische verschijnselen: niet pluis! Uitvalverschijnselen
Long borst en prostaatkanker hebben grote kans op metastaseren naar wervelkolom
Hoogcervicale instabiliteit (Toets)
atlas/dens gaat naar achter waaardoor er instabiliteit kan ontstaan. Als er te veel speling op staat
krijg je een dwarsleasie
klinische verschijnselen: hoofdpijn, ongeval
symptomen: hoofdpijn, scherpe pijn, zwaar gevoel of je hoofd eraf valt, tintelingen in beide
armen, beide benen of armen en benen
testen zijn niet valide. Meten van de hoek tussen de atlas en de dens
conservatief beleid, pijn zakt vanzelf
Bechterew (toets)
klinische verschijnselen: 15-35 jaar > 3 maanden. Ochtendstijfheid pijn na nacht en pijn
thoraxwand, darmproblemen
risicofactoren: genetisch, immuunsysteem,
Scheuermann (toets)
Groeistoornis in thoracale wervels in de pubertijd. Vervorming van structuren. Wordt vaak
verward met Bechterew
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