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samenvatting minor wervelkolom periode 2 $6.72
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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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  • June 10, 2024
  • 36
  • 2023/2024
  • Summary
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Inhoudsopgave
Specifieke 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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