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Samenvatting Beweegpathologie en Oefentherapie
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Samenvatting beweegpathologie en oefentherapie (keuzevak)
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ymebrysse
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Beweegpathologie en oefentherapie1. Intake
ICF International Classification of Functioning Disability & Health
µµ
Anamnese
- Algemeen
▪ Administratieve anamnese naam, adres, telefoon, huisarts, leeftijd, geslacht
▪ Sociale en familiale anamnese burgerlijke staat, woon- en werkklimaat, ziekten
- Specifiek
▪ Pijn plaats, verandering, uitstraling, ontstaan, duur
▪ Stoornissen beweging (kracht), gevoel, vegetatief (zweten)
Red flags
- Algemeen onwel bevinden, lage bloeddruk
- Koorts
- Duizeligheid
- Constante pijn die niet afneemt in rust
- Toename zwelling
- Neurologische verschijnselen
- Pijn op de borst bij inspanning
- Pijn > 3/10
1
,2. Pathologieën
2.1. Enkel
Anatomie
- Botstructuren
- Retinacula
- Spieren
- Ligamenten
2
,Meest frequente ACUTE pathologieën
3
, 2.1.1. Inversietrauma
Kenmerken
- 85% enkelletsels => 40% wordt chronisch
- Combinatie
▪ Plantairflexie
▪ Adductie
▪ Supinatie
- Kan gaan leiden tot traumatische artritis (capsulair patroon)
Drie gradaties
▪ Graad 1 overrek
▪ Graad 2 partiële scheur
▪ Graad 3 volledige scheur
Herstelproces
- Ontstekingsfase 0-3 dagen MICE
- Proliferatiefase 4-21 dagen vorming nieuw bindweefsel
- Vroege remodelleringsfase 3-8 weken organisatie
- Late remodelleringsfase 6 maanden toename sterk bindweefsel
Behandelbare aspecten
- Pijn
- Zwelling
- Hypomobiliteit
- Proprioceptie
- Instabiliteit
- Spierzwakte
4
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