Inhoudsopgave
Gedrag en communicatie............................................................................................................................... 2
Pijnmodel volgens Loeser.....................................................................................................................................2
Chronische pijn:....................................................................................................................................................4
Sensitisatie............................................................................................................................................................6
Therapietrouw......................................................................................................................................................6
ASE-model.............................................................................................................................................................8
Wat is pijn?...........................................................................................................................................................9
, Gedrag en communicatie
Factoren die het herstel van lage rugpijn kunnen vertragen (KNGF-richtlijn lage rug)
Lage rugpijn gerelateerde factoren Hoge mate van beperkingen in
activiteiten
Uitstralende pijn
Wijdverbreide pijn
-----------------------------------------------------------------------------------------------------------------
Individuele factoren oudere leeftijd
Slechte algemene
gezondheidstoestand
-----------------------------------------------------------------------------------------------------------------
Psychosociale factoren - psychologische en psychosociale stress
- pijn gerelateerde
angsten/vermijdingsgedrag
- somatisatie
- depressieve klachten
-----------------------------------------------------------------------------------------------------------------
Werkgerelateerde factoren slechte relaties met collega’s
Zware fysieke taakeisen
Pijnmodel volgens Loeser
Ziektepercepties:
• Gedachten die optreden naar aanleiding van een ziekte of fysieke klacht
• Bij elke lichamelijke klacht zullen meerdere ziektepercepties optreden; wisselend per
persoon, per ziekte, afhankelijk van het stadium aandoening
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