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Volledige samenvatting thoracale en cervicale wervelzuil: theorie en praktijk $5.36
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Volledige samenvatting thoracale en cervicale wervelzuil: theorie en praktijk

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Dit document is een volledige samenvatting van de theorie/praktijk van de cursus 'thoracale en cervicale wervelzuil' uit het 1e Master. Het geeft een duidelijk overzicht van alle te kennen leerstof van het vak.

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  • December 24, 2024
  • 23
  • 2023/2024
  • Summary
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THORACALE EN CERVICALE
WERVELZUIL
Inhoud
Thoracaal..................................................................................................................................................................3
Anatomie/biomechanica:.....................................................................................................................................3
Ligamentaire structuren:..................................................................................................................................3
Gewrichten:......................................................................................................................................................3
Musculair:.........................................................................................................................................................3
Biomechanica:..................................................................................................................................................3
Pathologie.............................................................................................................................................................4
Degeneratief.....................................................................................................................................................4
Articulair (GW-aandoeningen).........................................................................................................................4
Neurogeen........................................................................................................................................................5
Musculair..........................................................................................................................................................5
Reumatisch/inflammatoir................................................................................................................................5
Diffuse Idiopathische skelet hyperostose (DISH) = ziekte van Forestier..........................................................6
Traumatisch......................................................................................................................................................6
Overige.............................................................................................................................................................6
Praktijk..................................................................................................................................................................8
Anamnese:.......................................................................................................................................................8
Inspectie:..........................................................................................................................................................8
BFO...................................................................................................................................................................8
Toegevoegd onderzoek....................................................................................................................................8
Kinesitherapeutisch handelen........................................................................................................................10
Cervicaal.................................................................................................................................................................12
Anatomie/biomechanica....................................................................................................................................12
Articulair:........................................................................................................................................................12
Neurogeen:.....................................................................................................................................................12
Biomechanica.................................................................................................................................................14
Pathologie...............................................................................................................................................................14
Degeneratief...................................................................................................................................................14
Articulair/gewrichtsproblematiek..................................................................................................................14

, Neurogeen......................................................................................................................................................15
Musculair........................................................................................................................................................16
Reumatisch/inflammatoir..............................................................................................................................16
Traumatisch....................................................................................................................................................17
Overig.............................................................................................................................................................17
Praktijk................................................................................................................................................................18
Palpatie...........................................................................................................................................................18
BFO:................................................................................................................................................................18
Toegevoegd onderzoek..................................................................................................................................19
Neurogeen onderzoek:...................................................................................................................................20
Kinesitherapeutisch handelen........................................................................................................................21

, THORACAAL

ANATOMIE/BIOMECHANICA:

Vertebromanubriale, vertebrosternale, vertebrochondrale en thoracolumbale regios

Oriëntatie thoracale fcgwn

 Inferieur  30° frontal, naar ventraal en mediaal
 Superieur  ° frontaal, naar dorsaal en lat gericht


LIGAMENTAIRE STRUCTUREN:
 Lig longitud ant/post
 Lig interspinale
 Lig flavum
 Lig intertransversarius


GEWRICHTEN:
 Costotransversaal gw: tuberculum costae met proc transv
o 1-6: facet is concaaf, tuberculum convex
o 7-10: vlak
o 11-12: geen fcgwn
 Costovertebraal gw: convex caput costae met concave gewrichtsvlakken inf op bovenliggende en
superieur op onderliggende wervel


MUSCULAIR:
 Lokaal: dicht bij gewrichten, continue activiteit, richtingsonafh, veel type 1 vezels, over 1-2
segmenten, dicht bij de botten, contractie zonder beweging  stabiliteit verzekeren
 Globaal: grote spieren, veel type 2b vezels, over verschillende segmenten, starten van bewegingen en
versnellen, richtingsafhankelijk, meer oppervlakkig


BIOMECHANICA:
 Rotatie: neemt af naar caudaal toe
 Flex/lat flex/ext: neemt toe naar caudaal toe
 FLEXIE  Gekoppeld met anterieure translatie en distractie
o Facet: interieur fcgw naar sup en ant
o Ribben: ant deel naar inf, post deel (caput en tuberculum) naar sup
o Vertebrosternaal: convex tuberculum tov concaaf proc transv  tuberculum transl naar sup
o Vertebrochondraal: vlak  tuberculum schuift naar Sup,med,post
 EXTENSIE  Gekoppeld met posterieure translatie en distractie
o Facet: inferieur fcgw naar inf/post
o Ribben: post translatie: ant deel naar sup, post deel naar inf
o Vertebrosternaal: convexe tuberculum transl naar inf
o Vertebrochondraal: vlak  tuberculum schuift naar inf, lat, ant
 LAT FLEX
o Zonder ribben: lateroflexie gaat door de fcgwn (frontaal en naar buiten gericht) gepaard met
ipsilat rotatie

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