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Casuïstiek praktijktoets: levensfase

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  • Course
  • Module: Levensfasen
  • Institution
  • Hogeschool Utrecht (HU)

Dit zijn de uitgewerkte casuïstiek van de praktijktoets levensfase van 2019/2020. Het is niet helemaal compleet, maar de rode draad is duidelijk. Bij de alle casussen zijn korte hypotheses opgesteld met onderzoeksplan en kort behandelplan. Het document is niet perfect, want ik weet ook niet al...

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Document information

  • January 27, 2021
  • 32
  • 2019/2020
  • Other
  • Unknown

Subjects

  • wervelkolom
  • levensfase
  • blok c
  • blok d
  • fysiotherapie
  • jaar 1
  • casussen
  • praktijktoets
  • kinderen
  • volwassenen
  • ouderen
  • artrose
  • hyperlordose
  • kyfose
  • ziekte van scheuermann
  • scoliose
  • blok cd
  • hogeschool utrecht
  • hu

Written for

  • Hogeschool Utrecht (HU)
  • Fysiotherapie
  • Module: Levensfasen
All documents for this subject (23)

2  reviews

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By: Eshepef • 9 months ago

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By: iraleenhouts1 • 1 year ago

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VOORBEREIDING PRAKTIJKTOETS D




1

,Inhoudsopgave
Casus 1: Antwan √................................................................................................................................................................................................................................... 5
Aanvullende vragen Antwan................................................................................................................................................................................................................ 5
Hypotheses Antwan............................................................................................................................................................................................................................ 5
Onderzoeksplan Antwan..................................................................................................................................................................................................................... 5
Behandelplan Antwan......................................................................................................................................................................................................................... 6
Casus 2: Marousha √............................................................................................................................................................................................................................... 7
Aanvullende vragen............................................................................................................................................................................................................................. 7
Hypotheses Marousha......................................................................................................................................................................................................................... 7
Onderzoeksplan Marousha.................................................................................................................................................................................................................. 7
Behandelplan...................................................................................................................................................................................................................................... 8
Casus 3: Femke √................................................................................................................................................................................................................................... 10
Aanvullende vragen Femke............................................................................................................................................................................................................... 10
Hypotheses Femke............................................................................................................................................................................................................................ 10
Onderzoeksplan Femke..................................................................................................................................................................................................................... 10
Behandelplan Femke......................................................................................................................................................................................................................... 11
Casus 4: Lina √....................................................................................................................................................................................................................................... 13
Aanvullende vragen Lina................................................................................................................................................................................................................... 13
Hypotheses Lina................................................................................................................................................................................................................................ 13
Onderzoeksplan Lina......................................................................................................................................................................................................................... 13
Behandelplan Lina............................................................................................................................................................................................................................. 14
Casus 5: Youssef √................................................................................................................................................................................................................................. 16
Hypotheses Youssef........................................................................................................................................................................................................................... 16
Onderzoeksplan Youssef.................................................................................................................................................................................................................... 16


2

, Behandelplan Youssef....................................................................................................................................................................................................................... 17
Casus 6: Loes!!....................................................................................................................................................................................................................................... 18
Aanvullende vragen Loes................................................................................................................................................................................................................... 18
Hypotheses Loes................................................................................................................................................................................................................................ 18
Onderzoeksplan Loes......................................................................................................................................................................................................................... 18
Behandelplan Loes............................................................................................................................................................................................................................ 19
Casus 7: Noa √....................................................................................................................................................................................................................................... 20
Aanvullende vragen Noa................................................................................................................................................................................................................... 20
Hypotheses Noa................................................................................................................................................................................................................................ 20
Onderzoeksplan Noa......................................................................................................................................................................................................................... 20
Behandelplan Noa............................................................................................................................................................................................................................. 21
Casus 8: Mw. Yilmaz.............................................................................................................................................................................................................................. 22
Aanvullen de vragen Mw. Yilmaz....................................................................................................................................................................................................... 22
Hypotheses Mw. Yilmaz..................................................................................................................................................................................................................... 22
Onderzoeksplan Mw. Yilmaz.............................................................................................................................................................................................................. 22
Behandelplan Mw. Yilmaz................................................................................................................................................................................................................. 23
Casus 9: Rita √....................................................................................................................................................................................................................................... 24
Aanvullende vragen Rita.................................................................................................................................................................................................................... 24
Hypotheses Rita................................................................................................................................................................................................................................. 24
Onderzoeksplan Rita.......................................................................................................................................................................................................................... 24
Behandelplan Rita............................................................................................................................................................................................................................. 25
Casus 10: Fayah √.................................................................................................................................................................................................................................. 27
Aanvullende vragen........................................................................................................................................................................................................................... 27
Hypotheses Fayah............................................................................................................................................................................................................................. 27
Onderzoeksplan Fayah...................................................................................................................................................................................................................... 27


3

, Behandelplan Fayah.......................................................................................................................................................................................................................... 28
Casus 11: Mw. Gerards √....................................................................................................................................................................................................................... 29
Hypotheses mw. Gerards.................................................................................................................................................................................................................. 29
Onderzoeksplan mw. Gerards........................................................................................................................................................................................................... 29
Behandelplan mw. Gerards............................................................................................................................................................................................................... 29
Casus 12: Meneer Lien Pham √.............................................................................................................................................................................................................. 31
Hypotheses meneer Lien Pham......................................................................................................................................................................................................... 31
Onderzoeksplan meneer Lien Pham.................................................................................................................................................................................................. 31
Behandelplan meneer Lien Pham...................................................................................................................................................................................................... 31




4

, Casus 1: Antwan √
Antwan, 11 jaar klaagt dat hij af en toe last heeft van zijn rug tijdens het volleyballen. Hierdoor moet hij soms met de training langs de kant zitten. Dit vindt hij erg
vervelend. Wanneer zijn coach vraagt waar hij precies last heeft, wijst hij naar zijn bovenrug, tussen zijn rechterschouderblad en zijn wervelkolom. Het valt zijn
coach op dat Antwan wat voorovergebogen staat en daardoor ook niet goed zijn arm kan uitstrekken tijdens de opslag. Op advies van zijn coach komt Antwan bij
jou. Antwan wil graag van de pijn in zijn rug af en advies hoe hij op een veilige manier kan blijven volleyballen zodat hij geen wedstrijden hoeft te missen.

Aanvullende vragen Antwan
 Welke manier van opslaan? Bovenhands of onderhands?
 Wordt de pijn minder in rust? Wat helpt tegen de pijn?
 Wat voor pijn is het?
 Bij welke activiteiten wordt de pijn erger? Hoe is het normaal en hoe is de pijn dan?

Hypotheses Antwan
1. Geen goede houding  verkorte spieren  pijn
2. Hyperlordose in CWK  pijn
3. Scheuermann/versterkte kyfose  verkorte pectoralis major  armen strekken + pijn

Onderzoeksplan Antwan
Hypotheses Onderzoeksdoel Meetinstrument Evidentie
1 In kaart brengen wat de houding van Houdingsanalyse
Antwan is en kijken in hoeverre het een Spierlengte en weerstand test bij spieren
rol speelt in de klachten die zich aanpassen door houding.
2 Vaststellen of er een hyperlordose in het  Palpatie bekken en WK
CWK bevindt en hoeverre dit tot klachten  Spierlengtetest bij rug- en
kan leiden buikspieren
 Weerstandtest bij rug- en
buikspieren
 Krachttest bij rug- en buikspieren
 ROM WK en bekken
3 Vaststellen over en een versterkte kyfose  ROM WK
aanwezig is en of deze structureel is.  Buktest


5

,  (thoraxexcursie)
 Spierkracht rompspieren (m.
erector spinae, mm. Rhomboideii,
m. trapezius asc/transv en m.
serratus anterior)
 Spierlengte (m. iliopsoas, mm
hamstrings, m. pectoralis major)



Behandelplan Antwan
Hypotheses Behandeldoel Meetinstrument Interventies Evidentie
1 Houding verbeteren zodat er Houdingsanalyse en  Spieren rekken
geen klachten ervaren spierlengte
worden en de spierenrekken
2 Verminderen van de pijn en Vas-schaal, NRS-
verbeteren van de schaal en spierlente/
bewegelijkheid ROM
3.1 Verminderen van pijnklachten VAS-schaal of NRS-  Strekken hamstrings
schaal  Strekken en versterken rompstrekkers:
backextension (versterken) en
kindhouding (stretch), katstretch, cobra
3.2 (wanneer soepele kyfose) Houdings- en 
Verbeteren van de houding taakanalyse




6

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