Fysieke en geriatrische revalidatie
Fysieke en geriatrische revalidatie.........................................................................................................1
PowerPoint 1: Inleiding in fysieke revalidatie.....................................................................................5
2.1) Ergo in de fysieke revalidatie:..................................................................................................5
2.2) Het opstellen van een functioneel bilan..................................................................................5
2.3) Het opstellen van een motorische en of cognitieve bilan........................................................5
2.4) Doel van het opstellen van een bilan.......................................................................................5
PowerPoint 2: Traumatische aandoeningen van de lumbale wervelkolom........................................5
3.1) Traumatische letsels van de discus..........................................................................................5
3.2) traumatische letsels van de lumbale wevels...........................................................................6
1.) Chirurgische ingrepen................................................................................................................8
2.) Een cervicale spinale stenose....................................................................................................9
Revalidatie aspecten.......................................................................................................................9
PowerPoint 3: Heupprothesen.........................................................................................................11
Soorten prothesen........................................................................................................................11
De operatie...................................................................................................................................12
Mogelijke complicaties.................................................................................................................13
Medisch advies.............................................................................................................................13
Algemene leefregels.....................................................................................................................13
Het algemeen ergotherapeutisch behandelplan..........................................................................14
PowerPoint 4: Schouderprothesen...................................................................................................14
Soorten Schouderprothese...........................................................................................................14
Doelgroep.....................................................................................................................................15
Complicaties.................................................................................................................................15
Medisch advies.............................................................................................................................15
Algemeen advies...........................................................................................................................15
Tips bij dagelijkse activiteiten.......................................................................................................15
PowerPoint 5: Knieprothesen...........................................................................................................17
Soorten knieprothese...................................................................................................................17
Wanneer wordt knieprothese geplaatst.......................................................................................18
Complicaties.................................................................................................................................18
Adviezen en leefregels..................................................................................................................19
,PowerPoint 6: Frozen Shoulder........................................................................................................19
Wat is het?....................................................................................................................................19
Twee soorten................................................................................................................................20
De fasen........................................................................................................................................20
Behandeling..................................................................................................................................20
PowerPoint 7: Dwarslaesies.............................................................................................................21
Omschrijving.................................................................................................................................21
Symptomatologie.........................................................................................................................21
Verloop.........................................................................................................................................21
Oorzaken......................................................................................................................................22
Huidproblematiek.........................................................................................................................22
De rolstoel en zijn onderdelen......................................................................................................22
Oprijhulpen...................................................................................................................................25
Trappenhulpen.............................................................................................................................25
Elektrische rolstoelen/scooters....................................................................................................25
Rolstoel en veiligheid....................................................................................................................26
Rolstoelonderdelen......................................................................................................................26
Een rolstoel adviseren..................................................................................................................30
Specifiek assessment....................................................................................................................30
Zithouding in rolstoel....................................................................................................................31
Rolstoelmaten..............................................................................................................................31
Neurogeen blaaslijden en darmregulatie.....................................................................................33
Aandachtspunten tijden revalidatie..............................................................................................34
PowerPoint 8: Tetraplegie................................................................................................................34
Omschrijving.................................................................................................................................34
Algemene aandachtspunten.........................................................................................................34
Waar.............................................................................................................................................35
Soorten tenosesisgrepen..............................................................................................................35
Fysieke mogelijkheden, beperkingen en hulpmiddelen................................................................36
C3-C4............................................................................................................................................36
C5..................................................................................................................................................37
C6..................................................................................................................................................38
C7..................................................................................................................................................40
PowerPoint 9: Paraplegie.................................................................................................................40
Wat is paraplegie?........................................................................................................................40
T1-T9.............................................................................................................................................41
, Laesie T10 – L2..............................................................................................................................41
Laesie L3 – L4................................................................................................................................41
Laesie L5 – S1 – S3........................................................................................................................41
PowerPoint 10: Affolter....................................................................................................................42
Concept........................................................................................................................................42
Het therapieconcept.....................................................................................................................42
Behandelingsprincipes..................................................................................................................43
Doelstellingen...............................................................................................................................43
Hoe begeleiden.............................................................................................................................43
PowerPoint 11: Open en gesloten ketens.........................................................................................44
Definitie........................................................................................................................................44
Karakteristieken............................................................................................................................44
Open vs gesloten ketens...............................................................................................................44
Verandering functie naar gelang open of gesloten keten.............................................................46
Oefeningen...................................................................................................................................46
PowerPoint 12: Ergotherapie bij MS.................................................................................................46
Wat is MS......................................................................................................................................46
Oorzaak.........................................................................................................................................47
PowerPoint 13: Coma.......................................................................................................................47
Fysieke en geriatrische revalidatie theorie De Henau..........................................................................47
PowerPoint: Geriatrie.......................................................................................................................51
Geriatrische zorg en revalidatie....................................................................................................51
Begrippen en definities.................................................................................................................51
Ouderen........................................................................................................................................52
Geriatrie........................................................................................................................................52
Geriatrische revalidatie.................................................................................................................53
Geriatrisch zorgprogramma..........................................................................................................54
Multidisciplinair team...................................................................................................................55
Interne liaison...............................................................................................................................56
Externe liaison..............................................................................................................................56
Geriatrisch profiel.........................................................................................................................56
Richtlijnen WGO...........................................................................................................................58
Preventie in de geriatrie...............................................................................................................58
PowerPoint: Respiratoire problemen...............................................................................................61
Normale fysiologische verouderingsverschijnselen in de respiratoire tractus..............................61
Obstructieve longaandoeningen...................................................................................................61
, Rol van de ergotherapeut.............................................................................................................63
Longinfecties.................................................................................................................................63
PowerPoint: Decubitus.....................................................................................................................63
Verschillende gradaties decubitus................................................................................................64
Zitinterfaces bij rolstoelen............................................................................................................64
Theoretische benadering van zitsystemen...................................................................................65
Verhoogd risico op decubitus.......................................................................................................66
Sarcopenie........................................................................................................................................66
Symptomen..................................................................................................................................66
Vormen.........................................................................................................................................67
Risicofactoren...............................................................................................................................67
Oorzaken......................................................................................................................................67
Behandeling..................................................................................................................................67
Onderzoeken en diagnose............................................................................................................67
PowerPoint: Locomotorische problemen bij ouderen (BWC 2)........................................................67
Osteoporose.................................................................................................................................68
Vallen............................................................................................................................................68
Evaluatie.......................................................................................................................................69
Interventies..................................................................................................................................69
PowerPoint: Reumatoïde artritis (BWC 3)........................................................................................70
Omschrijving.................................................................................................................................70
Waar.............................................................................................................................................70
Stadia van ziekte...........................................................................................................................70
Gewrichtsverschijnselen...............................................................................................................70
De hand........................................................................................................................................71
De pols..........................................................................................................................................71
De voet.........................................................................................................................................71
De cervicale wervelzuil.................................................................................................................71
Behandeling..................................................................................................................................71
Ergotherapeutische behandeling..................................................................................................72
PowerPoint: Communicatiestoornissen bij ouderen (BWC 3)..........................................................73
Auditieve problemen....................................................................................................................73
Visusproblemen............................................................................................................................74
Spraakproblemen.........................................................................................................................75
Fysieke en geriatrische revalidatie.........................................................................................................1
PowerPoint 1: Inleiding in fysieke revalidatie.....................................................................................5
2.1) Ergo in de fysieke revalidatie:..................................................................................................5
2.2) Het opstellen van een functioneel bilan..................................................................................5
2.3) Het opstellen van een motorische en of cognitieve bilan........................................................5
2.4) Doel van het opstellen van een bilan.......................................................................................5
PowerPoint 2: Traumatische aandoeningen van de lumbale wervelkolom........................................5
3.1) Traumatische letsels van de discus..........................................................................................5
3.2) traumatische letsels van de lumbale wevels...........................................................................6
1.) Chirurgische ingrepen................................................................................................................8
2.) Een cervicale spinale stenose....................................................................................................9
Revalidatie aspecten.......................................................................................................................9
PowerPoint 3: Heupprothesen.........................................................................................................11
Soorten prothesen........................................................................................................................11
De operatie...................................................................................................................................12
Mogelijke complicaties.................................................................................................................13
Medisch advies.............................................................................................................................13
Algemene leefregels.....................................................................................................................13
Het algemeen ergotherapeutisch behandelplan..........................................................................14
PowerPoint 4: Schouderprothesen...................................................................................................14
Soorten Schouderprothese...........................................................................................................14
Doelgroep.....................................................................................................................................15
Complicaties.................................................................................................................................15
Medisch advies.............................................................................................................................15
Algemeen advies...........................................................................................................................15
Tips bij dagelijkse activiteiten.......................................................................................................15
PowerPoint 5: Knieprothesen...........................................................................................................17
Soorten knieprothese...................................................................................................................17
Wanneer wordt knieprothese geplaatst.......................................................................................18
Complicaties.................................................................................................................................18
Adviezen en leefregels..................................................................................................................19
,PowerPoint 6: Frozen Shoulder........................................................................................................19
Wat is het?....................................................................................................................................19
Twee soorten................................................................................................................................20
De fasen........................................................................................................................................20
Behandeling..................................................................................................................................20
PowerPoint 7: Dwarslaesies.............................................................................................................21
Omschrijving.................................................................................................................................21
Symptomatologie.........................................................................................................................21
Verloop.........................................................................................................................................21
Oorzaken......................................................................................................................................22
Huidproblematiek.........................................................................................................................22
De rolstoel en zijn onderdelen......................................................................................................22
Oprijhulpen...................................................................................................................................25
Trappenhulpen.............................................................................................................................25
Elektrische rolstoelen/scooters....................................................................................................25
Rolstoel en veiligheid....................................................................................................................26
Rolstoelonderdelen......................................................................................................................26
Een rolstoel adviseren..................................................................................................................30
Specifiek assessment....................................................................................................................30
Zithouding in rolstoel....................................................................................................................31
Rolstoelmaten..............................................................................................................................31
Neurogeen blaaslijden en darmregulatie.....................................................................................33
Aandachtspunten tijden revalidatie..............................................................................................34
PowerPoint 8: Tetraplegie................................................................................................................34
Omschrijving.................................................................................................................................34
Algemene aandachtspunten.........................................................................................................34
Waar.............................................................................................................................................35
Soorten tenosesisgrepen..............................................................................................................35
Fysieke mogelijkheden, beperkingen en hulpmiddelen................................................................36
C3-C4............................................................................................................................................36
C5..................................................................................................................................................37
C6..................................................................................................................................................38
C7..................................................................................................................................................40
PowerPoint 9: Paraplegie.................................................................................................................40
Wat is paraplegie?........................................................................................................................40
T1-T9.............................................................................................................................................41
, Laesie T10 – L2..............................................................................................................................41
Laesie L3 – L4................................................................................................................................41
Laesie L5 – S1 – S3........................................................................................................................41
PowerPoint 10: Affolter....................................................................................................................42
Concept........................................................................................................................................42
Het therapieconcept.....................................................................................................................42
Behandelingsprincipes..................................................................................................................43
Doelstellingen...............................................................................................................................43
Hoe begeleiden.............................................................................................................................43
PowerPoint 11: Open en gesloten ketens.........................................................................................44
Definitie........................................................................................................................................44
Karakteristieken............................................................................................................................44
Open vs gesloten ketens...............................................................................................................44
Verandering functie naar gelang open of gesloten keten.............................................................46
Oefeningen...................................................................................................................................46
PowerPoint 12: Ergotherapie bij MS.................................................................................................46
Wat is MS......................................................................................................................................46
Oorzaak.........................................................................................................................................47
PowerPoint 13: Coma.......................................................................................................................47
Fysieke en geriatrische revalidatie theorie De Henau..........................................................................47
PowerPoint: Geriatrie.......................................................................................................................51
Geriatrische zorg en revalidatie....................................................................................................51
Begrippen en definities.................................................................................................................51
Ouderen........................................................................................................................................52
Geriatrie........................................................................................................................................52
Geriatrische revalidatie.................................................................................................................53
Geriatrisch zorgprogramma..........................................................................................................54
Multidisciplinair team...................................................................................................................55
Interne liaison...............................................................................................................................56
Externe liaison..............................................................................................................................56
Geriatrisch profiel.........................................................................................................................56
Richtlijnen WGO...........................................................................................................................58
Preventie in de geriatrie...............................................................................................................58
PowerPoint: Respiratoire problemen...............................................................................................61
Normale fysiologische verouderingsverschijnselen in de respiratoire tractus..............................61
Obstructieve longaandoeningen...................................................................................................61
, Rol van de ergotherapeut.............................................................................................................63
Longinfecties.................................................................................................................................63
PowerPoint: Decubitus.....................................................................................................................63
Verschillende gradaties decubitus................................................................................................64
Zitinterfaces bij rolstoelen............................................................................................................64
Theoretische benadering van zitsystemen...................................................................................65
Verhoogd risico op decubitus.......................................................................................................66
Sarcopenie........................................................................................................................................66
Symptomen..................................................................................................................................66
Vormen.........................................................................................................................................67
Risicofactoren...............................................................................................................................67
Oorzaken......................................................................................................................................67
Behandeling..................................................................................................................................67
Onderzoeken en diagnose............................................................................................................67
PowerPoint: Locomotorische problemen bij ouderen (BWC 2)........................................................67
Osteoporose.................................................................................................................................68
Vallen............................................................................................................................................68
Evaluatie.......................................................................................................................................69
Interventies..................................................................................................................................69
PowerPoint: Reumatoïde artritis (BWC 3)........................................................................................70
Omschrijving.................................................................................................................................70
Waar.............................................................................................................................................70
Stadia van ziekte...........................................................................................................................70
Gewrichtsverschijnselen...............................................................................................................70
De hand........................................................................................................................................71
De pols..........................................................................................................................................71
De voet.........................................................................................................................................71
De cervicale wervelzuil.................................................................................................................71
Behandeling..................................................................................................................................71
Ergotherapeutische behandeling..................................................................................................72
PowerPoint: Communicatiestoornissen bij ouderen (BWC 3)..........................................................73
Auditieve problemen....................................................................................................................73
Visusproblemen............................................................................................................................74
Spraakproblemen.........................................................................................................................75
