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Samenvatting Beweegpathologie en Oefentherapie

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Samenvatting beweegpathologie en oefentherapie (keuzevak)

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Beweegpathologie en oefentherapie
1. Intake

ICF International Classification of Functioning Disability & Health




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Anamnese

- Algemeen
▪ Administratieve anamnese naam, adres, telefoon, huisarts, leeftijd, geslacht
▪ Sociale en familiale anamnese burgerlijke staat, woon- en werkklimaat, ziekten


- Specifiek
▪ Pijn plaats, verandering, uitstraling, ontstaan, duur
▪ Stoornissen beweging (kracht), gevoel, vegetatief (zweten)




Red flags

- Algemeen onwel bevinden, lage bloeddruk
- Koorts
- Duizeligheid
- Constante pijn die niet afneemt in rust
- Toename zwelling
- Neurologische verschijnselen
- Pijn op de borst bij inspanning
- Pijn > 3/10
1

,2. Pathologieën
2.1. Enkel

Anatomie

- Botstructuren
- Retinacula
- Spieren
- Ligamenten




2

,Meest frequente ACUTE pathologieën




3

, 2.1.1. Inversietrauma

Kenmerken

- 85% enkelletsels => 40% wordt chronisch
- Combinatie
▪ Plantairflexie
▪ Adductie
▪ Supinatie
- Kan gaan leiden tot traumatische artritis (capsulair patroon)



Drie gradaties

▪ Graad 1 overrek
▪ Graad 2 partiële scheur
▪ Graad 3 volledige scheur



Herstelproces

- Ontstekingsfase 0-3 dagen MICE
- Proliferatiefase 4-21 dagen vorming nieuw bindweefsel
- Vroege remodelleringsfase 3-8 weken organisatie
- Late remodelleringsfase 6 maanden toename sterk bindweefsel




Behandelbare aspecten

- Pijn
- Zwelling
- Hypomobiliteit
- Proprioceptie
- Instabiliteit
- Spierzwakte




4

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Uploaded on
January 20, 2021
Number of pages
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Written in
2020/2021
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