Summary
Samenvatting pathologie
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In dit document is alle leerstof van het onderdeel pathologie samengevat. Dit is een onderdeel van het vak bewegen screenen en begeleiden.
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Pathologie:Inhoud
Table of Contents
Hoofdstuk 1: theorie bewegingsscreening.............................................................................................3
Hoofdstuk 2: inspectie............................................................................................................................6
Bovenste lidmaat:...............................................................................................................................6
Onderste lidmaat:...............................................................................................................................7
Wervelzuil:..........................................................................................................................................8
Besluit:................................................................................................................................................8
Hoofdstuk 3: wervelzuilproblematiek.....................................................................................................8
Anatomie en functie:..........................................................................................................................8
Epidemiologie:....................................................................................................................................9
Diagnose:..........................................................................................................................................10
Artikel:..............................................................................................................................................11
De ideale houding:............................................................................................................................11
Bikefitting:........................................................................................................................................11
Hoofdstuk 4: acute letsels....................................................................................................................12
Fracturen:.........................................................................................................................................12
Ligamentaire letsels:.........................................................................................................................14
Meniscus letsel:................................................................................................................................16
Spierkrampen:..................................................................................................................................17
Hoofdstuk 5: overbelastingsletsel onderlichaam..................................................................................19
Botklachten:.....................................................................................................................................19
Kraakbeenletsels:.............................................................................................................................21
ITBFS= iliotibiale band frictie syndroom:..........................................................................................25
Heuppijn:..........................................................................................................................................25
Liespijn:.............................................................................................................................................25
Hoofdstuk 6: pijnfysiologie – acute en chronische pijn........................................................................26
Wat is pijn?.......................................................................................................................................26
Pijnfysiologie:...................................................................................................................................27
Acute pijn en weefselschade:...........................................................................................................27
Coping:.............................................................................................................................................29
Hoofdstuk 7: overbelastingsletsel bovenlichaam.................................................................................29
Anatomie schouder:.........................................................................................................................29
Schouder impingement:...................................................................................................................30
Frozen shoulder:...............................................................................................................................30
1
, Extensor tendinopathie:...................................................................................................................31
flexor tendinopathie:........................................................................................................................31
hoofdstuk 8: peesaandoeningen..........................................................................................................32
Structuur en functie:.........................................................................................................................32
Terminologie:...................................................................................................................................32
Belasting vs. belastbaarheid van de pees:........................................................................................33
Artikel: 10 dingen die je niet mag doen als je pijn hebt aan een pees in het onderste lidmaat........35
Behandeling:.....................................................................................................................................36
Tips voor de trainer:.........................................................................................................................37
Hoofdstuk 9: specifieke sportletsels bij opgroeiende jongeren............................................................37
Wat maakt jeugdatleten zo uniek:....................................................................................................37
Acute letsels:....................................................................................................................................38
Chronische letsels:............................................................................................................................40
Conclussie:........................................................................................................................................41
Hoofdstuk 10: knie dominantie vs. Heup dominant.............................................................................42
Correct bewegen:.............................................................................................................................42
Hoe analyseren en meten:................................................................................................................42
Spierwerk:.........................................................................................................................................43
Squat:...............................................................................................................................................44
Lunge:...............................................................................................................................................44
Pathologie:........................................................................................................................................44
Praktische richtlijnen:.......................................................................................................................45
And what about?..............................................................................................................................45
Hoofdstuk 11: Volleybal.......................................................................................................................46
Epidemiologie:..................................................................................................................................46
Risicofactoren en preventie:.............................................................................................................46
Knie:..................................................................................................................................................46
Enkel:................................................................................................................................................47
Schouder:.........................................................................................................................................48
Rug:..................................................................................................................................................48
Vingers en duim:...............................................................................................................................48
Heup:................................................................................................................................................48
Preventie:.........................................................................................................................................48
Besluit:..............................................................................................................................................49
Hoofdstuk 12: patellofemorale pijn......................................................................................................50
Anatomie:.........................................................................................................................................50
Terminologie:...................................................................................................................................50
Diagnose:..........................................................................................................................................50
Differentiaal diagnose:......................................................................................................................51
2
, Biomechanica:..................................................................................................................................52
Testing:.............................................................................................................................................54
Behandeling:.....................................................................................................................................54
Hoofdstuk 13: examen.........................................................................................................................55
Hoofdstuk 1: theorie bewegingsscreening
Bewegingsscreening:
1. Anamnese inleidend medisch gesprek
2. Inspectie statisch kijken en observeren
3. Bewegingsscreening BL, OL, sagittale vlak
Waarom screening?
Opsporen van risicofactoren (intrinsiek= slaap, spierspanning,…)
Programma opstellen op basis van de gevonden bewegingsdeficieten (= abnormaliteit=
opvallens= 90% ziet het)
Ieder letsel is het gevolg van een samenloop van verschillende extrinsieke en intrinsieke
risicofactoren en omstandigheden van de sportactiviteit. 1 risicofactor leidt zelden of
nooit tot een letsel grootste risicofactor= blessuregeschiedenis uit anamnese
Ons doel= mensen gezond, veilig en efficiënt laten bewegen= duurzaam sporten= langdurig=
gezond
Intrinsiek= dit heb ik extrinsiek= dit maakt me vatbaar
Kinesiopathologie:
Verschillende bewegingspatronen in verband brengen met belasting op specifieke
anatomische structuren of lichaamsdelen.
Onaangepaste bewegingspatronen in pathologische populaties.
Veranderingen in bewegingspatronen bij personen die verwondingen oplopen.
Verbeterde klinische resultaten en verminderd blessurerisico met specifieke
trainingsprogramma's gericht op verbetering van bewegingspatronen.
3
, 1. Vaststelling van de omvang van het letsel:
Incidentie
Ernst
1. Vaststelling van de etiologie (= leer van de oorzaken) en mechanismen van sportblessures
2. Het introduceren van een preventieve maatregel
3. De doeltreffendheid ervan beoordelen door stap 1 te herhalen
Intrinsieke vs. Extrinsieke risicofactoren:
Onze focus ligt bij de intrinsieke factoren:
Rood= grootste risicofactor op blessure
Grijs= uit screening halen
Types van preventie:
Primair= voor letsel
Secundair= na letsel verergering vermijden door vroegtijdig in te grijpen
Tertiair= recidief voorkomen met eventuele aanpassingen
4
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