Fontys
Fysiotherapie
Aantekeningen
Periode 2.2
,Inhoud
Week 1 – FH1........................................................................................................................................... 4
Week 1 – FH2........................................................................................................................................... 7
Week 1 – ANA1 deel 1 ............................................................................................................................. 9
Week 1 – ANA1 deel 2 ........................................................................................................................... 11
Week 1 – FYS1 deel 1 ............................................................................................................................ 13
Week 1 – FYS1 deel 2 ............................................................................................................................ 15
Week 1 – FYS1 deel 3 ............................................................................................................................ 18
Week 1 – MED1 ..................................................................................................................................... 20
Week 1 – MFH1 deel 1 .......................................................................................................................... 22
Week 1 – MFH1 deel 2 .......................................................................................................................... 23
Week 1 – GW1 ....................................................................................................................................... 24
Week 1 - Praktijkblok 1.......................................................................................................................... 27
Week 1 – Praktijkblok 2 ......................................................................................................................... 28
Week 2 – ANA3...................................................................................................................................... 29
Week 2 – FH7......................................................................................................................................... 32
Week 2 – FH8......................................................................................................................................... 37
Week 2 – MED2 ..................................................................................................................................... 40
Week 2 – FYS2 ....................................................................................................................................... 42
Week 2 – MCTRL1.................................................................................................................................. 44
Week 2 - Online ..................................................................................................................................... 47
Week 2 – Praktijkblok 1 ......................................................................................................................... 48
Week 3 – ECHO1.................................................................................................................................... 49
Week 3 – ANA5...................................................................................................................................... 52
Week 3 – FH13 ...................................................................................................................................... 53
Week 3 – TAPE1..................................................................................................................................... 54
Week 3 – FYS3 ....................................................................................................................................... 56
Week 3 – MED3 ..................................................................................................................................... 58
Week 3 – Praktijkblok 1 ......................................................................................................................... 63
Week 3 – Praktijkblok 2 ......................................................................................................................... 64
Week 4 – ANA7...................................................................................................................................... 66
Week 4 – FH19 ...................................................................................................................................... 70
Week 4 – FH20 ...................................................................................................................................... 72
Week 4 – FYS4 ....................................................................................................................................... 75
Week 4 – MED4 ..................................................................................................................................... 77
Week 4 – Praktijkblok 1 ......................................................................................................................... 79
,Week 4 – Praktijkblok 2 ......................................................................................................................... 81
Week 5 – FH25 ...................................................................................................................................... 82
Week 5 – FH26 ...................................................................................................................................... 87
Week 5 – MED5 ..................................................................................................................................... 89
Week 5 – ANA9...................................................................................................................................... 90
Week 5 – FYS5 ....................................................................................................................................... 93
Week 5 – Praktijkblok 2 ......................................................................................................................... 94
Week 6 – FH31 ...................................................................................................................................... 95
Week 6 – MCTRL2.................................................................................................................................. 97
Week 6 – ANA11.................................................................................................................................... 98
Week 6 – FYS6 ..................................................................................................................................... 102
Week 6 – Praktijkblok 1 ....................................................................................................................... 106
Week 6 – Praktijkblok 2 ....................................................................................................................... 108
Week 7 – FH37 .................................................................................................................................... 110
Week 7 – ANA13.................................................................................................................................. 112
Week 7 – MED7 ................................................................................................................................... 116
Week 7 – Praktijkblok 1 ....................................................................................................................... 118
Week 7 – Praktijkblok 2 ....................................................................................................................... 119
Week 8 – MCTRL3................................................................................................................................ 120
, Week 1 – FH1
Prognose en beloop
- Nekpijn: De op drie na grootste categorie van klachten
- 70% van de bevolking heeft ooit nekpijn, slechts 20% daarvan zoekt (para)medische hulp
- 50 tot 85% is recidief in 5 jaar volgend op een eerste episode
Belangrijkste prognostische factoren
- Hoge mate van pijn en beperken
- Eerdere episode van nekpijn
- Hogere leeftijd
- Slechte psychologische gezondheid, psychosociale stress, cognities & passieve coping-stijl
- Hoge werkeisen, type werk, weinig invloed op eigen werk
KNGF richtlijn nekpijn gradaties
Graad 1: Nekpijn zonder tekenen of symptomen die kunnen wijzen op grotere structurele pathologie
en nekpijn die nauwelijks invloed heeft op activiteiten in het dagelijks leven.
Graad 2: Nekpijn zonder tekenen of symptomen die kunnen wijzen op grotere structurele pathologie,
maar die wel een forse invloed heeft op activiteiten in het dagelijks leven.
Graad 3: Nekpijn zonder tekenen of symptomen die kunnen wijzen op grotere structurele pathologie,
waarbij wel neurologische symptomen aanwezig zijn zoals: verminderde peesreflexen, spierzwakte of
sensibiliteitsstoornissen in de bovenste extremiteit.
Graad 4: Nekpijn met tekenen of symptomen die kunnen wijzen op ernstige structurele pathologie.
Ernstig omvat: fracturen, vertebrale dislocaties, schade aan het ruggenmerg, infecties, tumoren of
systemische ziekten, waaronder gewrichtsontstekingen.
Fysiotherapie
Aantekeningen
Periode 2.2
,Inhoud
Week 1 – FH1........................................................................................................................................... 4
Week 1 – FH2........................................................................................................................................... 7
Week 1 – ANA1 deel 1 ............................................................................................................................. 9
Week 1 – ANA1 deel 2 ........................................................................................................................... 11
Week 1 – FYS1 deel 1 ............................................................................................................................ 13
Week 1 – FYS1 deel 2 ............................................................................................................................ 15
Week 1 – FYS1 deel 3 ............................................................................................................................ 18
Week 1 – MED1 ..................................................................................................................................... 20
Week 1 – MFH1 deel 1 .......................................................................................................................... 22
Week 1 – MFH1 deel 2 .......................................................................................................................... 23
Week 1 – GW1 ....................................................................................................................................... 24
Week 1 - Praktijkblok 1.......................................................................................................................... 27
Week 1 – Praktijkblok 2 ......................................................................................................................... 28
Week 2 – ANA3...................................................................................................................................... 29
Week 2 – FH7......................................................................................................................................... 32
Week 2 – FH8......................................................................................................................................... 37
Week 2 – MED2 ..................................................................................................................................... 40
Week 2 – FYS2 ....................................................................................................................................... 42
Week 2 – MCTRL1.................................................................................................................................. 44
Week 2 - Online ..................................................................................................................................... 47
Week 2 – Praktijkblok 1 ......................................................................................................................... 48
Week 3 – ECHO1.................................................................................................................................... 49
Week 3 – ANA5...................................................................................................................................... 52
Week 3 – FH13 ...................................................................................................................................... 53
Week 3 – TAPE1..................................................................................................................................... 54
Week 3 – FYS3 ....................................................................................................................................... 56
Week 3 – MED3 ..................................................................................................................................... 58
Week 3 – Praktijkblok 1 ......................................................................................................................... 63
Week 3 – Praktijkblok 2 ......................................................................................................................... 64
Week 4 – ANA7...................................................................................................................................... 66
Week 4 – FH19 ...................................................................................................................................... 70
Week 4 – FH20 ...................................................................................................................................... 72
Week 4 – FYS4 ....................................................................................................................................... 75
Week 4 – MED4 ..................................................................................................................................... 77
Week 4 – Praktijkblok 1 ......................................................................................................................... 79
,Week 4 – Praktijkblok 2 ......................................................................................................................... 81
Week 5 – FH25 ...................................................................................................................................... 82
Week 5 – FH26 ...................................................................................................................................... 87
Week 5 – MED5 ..................................................................................................................................... 89
Week 5 – ANA9...................................................................................................................................... 90
Week 5 – FYS5 ....................................................................................................................................... 93
Week 5 – Praktijkblok 2 ......................................................................................................................... 94
Week 6 – FH31 ...................................................................................................................................... 95
Week 6 – MCTRL2.................................................................................................................................. 97
Week 6 – ANA11.................................................................................................................................... 98
Week 6 – FYS6 ..................................................................................................................................... 102
Week 6 – Praktijkblok 1 ....................................................................................................................... 106
Week 6 – Praktijkblok 2 ....................................................................................................................... 108
Week 7 – FH37 .................................................................................................................................... 110
Week 7 – ANA13.................................................................................................................................. 112
Week 7 – MED7 ................................................................................................................................... 116
Week 7 – Praktijkblok 1 ....................................................................................................................... 118
Week 7 – Praktijkblok 2 ....................................................................................................................... 119
Week 8 – MCTRL3................................................................................................................................ 120
, Week 1 – FH1
Prognose en beloop
- Nekpijn: De op drie na grootste categorie van klachten
- 70% van de bevolking heeft ooit nekpijn, slechts 20% daarvan zoekt (para)medische hulp
- 50 tot 85% is recidief in 5 jaar volgend op een eerste episode
Belangrijkste prognostische factoren
- Hoge mate van pijn en beperken
- Eerdere episode van nekpijn
- Hogere leeftijd
- Slechte psychologische gezondheid, psychosociale stress, cognities & passieve coping-stijl
- Hoge werkeisen, type werk, weinig invloed op eigen werk
KNGF richtlijn nekpijn gradaties
Graad 1: Nekpijn zonder tekenen of symptomen die kunnen wijzen op grotere structurele pathologie
en nekpijn die nauwelijks invloed heeft op activiteiten in het dagelijks leven.
Graad 2: Nekpijn zonder tekenen of symptomen die kunnen wijzen op grotere structurele pathologie,
maar die wel een forse invloed heeft op activiteiten in het dagelijks leven.
Graad 3: Nekpijn zonder tekenen of symptomen die kunnen wijzen op grotere structurele pathologie,
waarbij wel neurologische symptomen aanwezig zijn zoals: verminderde peesreflexen, spierzwakte of
sensibiliteitsstoornissen in de bovenste extremiteit.
Graad 4: Nekpijn met tekenen of symptomen die kunnen wijzen op ernstige structurele pathologie.
Ernstig omvat: fracturen, vertebrale dislocaties, schade aan het ruggenmerg, infecties, tumoren of
systemische ziekten, waaronder gewrichtsontstekingen.
