Algemeen
1
,Inhoudsopgave
2
,Algemeen..................................................................................................................................................................1
Klinisch redeneren..................................................................................................................................................6
Screening..............................................................................................................................................................8
Rode vlaggen...................................................................................................................................................9
Tractus anamnese...........................................................................................................................................11
Methodologische waarden....................................................................................................................................13
Herstelbelemmerende factoren............................................................................................................................14
Behandeling............................................................................................................................................................15
Mobilisaties........................................................................................................................................................15
Manipulaties.......................................................................................................................................................16
Behandeling peesletsels......................................................................................................................................19
Mobilisation with movement...............................................................................................................................20
Innervatie...............................................................................................................................................................21
Dermatomen, myotomen, sclerotomen................................................................................................................22
Dermatomen.......................................................................................................................................................22
Myotomen...........................................................................................................................................................22
Sclerotomen........................................................................................................................................................22
Pijn..........................................................................................................................................................................24
Neuropatische pijn..............................................................................................................................................24
Nocisensorische pijn...........................................................................................................................................25
Neuroplastische pijn...........................................................................................................................................25
Poorttheorie (Melzack en Wall).........................................................................................................................26
Referred pain......................................................................................................................................................27
Radiculaire pijn..................................................................................................................................................28
Centrale sensitisatie...........................................................................................................................................29
Somatisatie.........................................................................................................................................................31
Acute pijn............................................................................................................................................................32
Chronische pijn..................................................................................................................................................32
Distress...................................................................................................................................................................33
Emmermetafoor..................................................................................................................................................34
Peesletsels...............................................................................................................................................................35
Acute spierletsels...................................................................................................................................................38
Classificatie van acute spierletsels.....................................................................................................................38
Instabiliteit.............................................................................................................................................................39
Pathologie...............................................................................................................................................................40
Diabetes (type 1-2).............................................................................................................................................40
3
, Reumatoïde Artritits...........................................................................................................................................41
Patroon discitis...............................................................................................................................................42
Bechterew = spondylitis ankylopoetica.........................................................................................................42
Morbus Scheuermann....................................................................................................................................42
Spondylolisthesis...........................................................................................................................................43
Osteoporose........................................................................................................................................................44
Osteogenesis Imperfecta.....................................................................................................................................46
Gordelroos..........................................................................................................................................................47
Bijlagen...................................................................................................................................................................48
Bijlage 1 – 4DKL................................................................................................................................................48
Klinisch redeneren............................................................................................................................5
Screening...........................................................................................................................................7
Rode vlaggen.................................................................................................................................8
Tractus anamnese........................................................................................................................10
Methodologische waarden..............................................................................................................12
Herstelbelemmerende factoren......................................................................................................13
Behandeling....................................................................................................................................14
Mobilisaties......................................................................................................................................14
Manipulaties....................................................................................................................................15
Behandeling peesletsels...................................................................................................................18
Mobilisation with movement...........................................................................................................19
Innervatie........................................................................................................................................20
Dermatomen, myotomen, sclerotomen..........................................................................................21
Dermatomen....................................................................................................................................21
Myotomen.......................................................................................................................................21
Sclerotomen.....................................................................................................................................21
Pijn..................................................................................................................................................23
Neuropatische pijn...........................................................................................................................23
Nocisensorische pijn.........................................................................................................................24
Neuroplastische pijn.........................................................................................................................24
Poorttheorie (Melzack en Wall)........................................................................................................25
Referred pain...................................................................................................................................26
Radiculaire pijn................................................................................................................................27
Centrale sensitisatie.........................................................................................................................28
Somatisatie......................................................................................................................................30
Acute pijn.........................................................................................................................................31
4
1
,Inhoudsopgave
2
,Algemeen..................................................................................................................................................................1
Klinisch redeneren..................................................................................................................................................6
Screening..............................................................................................................................................................8
Rode vlaggen...................................................................................................................................................9
Tractus anamnese...........................................................................................................................................11
Methodologische waarden....................................................................................................................................13
Herstelbelemmerende factoren............................................................................................................................14
Behandeling............................................................................................................................................................15
Mobilisaties........................................................................................................................................................15
Manipulaties.......................................................................................................................................................16
Behandeling peesletsels......................................................................................................................................19
Mobilisation with movement...............................................................................................................................20
Innervatie...............................................................................................................................................................21
Dermatomen, myotomen, sclerotomen................................................................................................................22
Dermatomen.......................................................................................................................................................22
Myotomen...........................................................................................................................................................22
Sclerotomen........................................................................................................................................................22
Pijn..........................................................................................................................................................................24
Neuropatische pijn..............................................................................................................................................24
Nocisensorische pijn...........................................................................................................................................25
Neuroplastische pijn...........................................................................................................................................25
Poorttheorie (Melzack en Wall).........................................................................................................................26
Referred pain......................................................................................................................................................27
Radiculaire pijn..................................................................................................................................................28
Centrale sensitisatie...........................................................................................................................................29
Somatisatie.........................................................................................................................................................31
Acute pijn............................................................................................................................................................32
Chronische pijn..................................................................................................................................................32
Distress...................................................................................................................................................................33
Emmermetafoor..................................................................................................................................................34
Peesletsels...............................................................................................................................................................35
Acute spierletsels...................................................................................................................................................38
Classificatie van acute spierletsels.....................................................................................................................38
Instabiliteit.............................................................................................................................................................39
Pathologie...............................................................................................................................................................40
Diabetes (type 1-2).............................................................................................................................................40
3
, Reumatoïde Artritits...........................................................................................................................................41
Patroon discitis...............................................................................................................................................42
Bechterew = spondylitis ankylopoetica.........................................................................................................42
Morbus Scheuermann....................................................................................................................................42
Spondylolisthesis...........................................................................................................................................43
Osteoporose........................................................................................................................................................44
Osteogenesis Imperfecta.....................................................................................................................................46
Gordelroos..........................................................................................................................................................47
Bijlagen...................................................................................................................................................................48
Bijlage 1 – 4DKL................................................................................................................................................48
Klinisch redeneren............................................................................................................................5
Screening...........................................................................................................................................7
Rode vlaggen.................................................................................................................................8
Tractus anamnese........................................................................................................................10
Methodologische waarden..............................................................................................................12
Herstelbelemmerende factoren......................................................................................................13
Behandeling....................................................................................................................................14
Mobilisaties......................................................................................................................................14
Manipulaties....................................................................................................................................15
Behandeling peesletsels...................................................................................................................18
Mobilisation with movement...........................................................................................................19
Innervatie........................................................................................................................................20
Dermatomen, myotomen, sclerotomen..........................................................................................21
Dermatomen....................................................................................................................................21
Myotomen.......................................................................................................................................21
Sclerotomen.....................................................................................................................................21
Pijn..................................................................................................................................................23
Neuropatische pijn...........................................................................................................................23
Nocisensorische pijn.........................................................................................................................24
Neuroplastische pijn.........................................................................................................................24
Poorttheorie (Melzack en Wall)........................................................................................................25
Referred pain...................................................................................................................................26
Radiculaire pijn................................................................................................................................27
Centrale sensitisatie.........................................................................................................................28
Somatisatie......................................................................................................................................30
Acute pijn.........................................................................................................................................31
4
