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Colleges leerjaar 2 blok 11
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Samenvatting van de colleges van fysiotherapie aan de Hogeschool Rotterdam in leerjaar 2 blok 11.
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Colleges leerjaar 2 blok 11College 1 – knie artrose – pathofysiologie (perifere processen)
Gaat meer voorkomen doordat:
- Mensen worden ouder, inactiever, zwaarder
Kenmerken
- Kniepijn (vooral mediaal)
- Dik en warm
- Verminderde ROM
- Naast pijn functiebeperkingen
- Gevoel van instabiliteit
- Strekbeperking erg van typisch
- Atrofie bij bovenbeen
Mensen met artrose reageren goed op;
- Krachttraining
Stages of knee osteoarthritis (volgens Kellgren en Lawrence):
De aandoening artrose is niet alleen het kraakbeen, maar het hele gewricht. Belangrijkste
structuur die vergeten wordt is synoviale membraan dat ontstoken:
- Synovitis geeft zwelling en warmte
o Komt en gaat flares
o Drukpijn ter hoogte van mediale band
o Hoge pijnintensiteit
o Verminderde bewegelijkheid
o Behandelen als ontsteking met loadmanagement
, - Daar heb je geen invloed op, want is pathofysiologisch
o Voor farmaceuten met ontstekingsremmers
o Fysiotherapeuten geven alleen advies hoe ze zo goed mogelijk door deze fase
moeten komen
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