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Samenvatting Handelingsproblemen | Bot- en gewrichtsaandoeningen | Thomas More | 2026/27

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Dit document behandelt bot- en gewrichtsaandoeningen uit het ergotherapie-vak Handelingsproblemen aan Thomas More Hogeschool. Het dekt osteoporose, artrose en jicht met nadruk op oorzaken, symptomen, functiebeperking en behandelingsaanpakken inclusief preventie en ergotherapeutische interventies. Een praktisch naslagwerk voor het begrip van aandoeningen die handelingsproblemen veroorzaken en essentieel voor examenvoorbereiding in Ergotherapie.

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Bot – en gewrichtsaandoeningen
1. Bouw synoviaal gewricht




2. Stoornissen
Osteoporose (botontkalking)
- Broze botten  makkelijk breken
- Meer botafbraak dan opbouw
- Fracturen bij mineure trauma 
indeukingsfracturen
- GEEN gewrichtsaandoening
- Risicofactoren
o Vrouw, vroegtijdige menopauze
o Blank
o Magere lichaamsbouw
o Fysieke inactiviteit
o Roken & alcohol
- Primaire & secundaire osteoporose
- Normaal  kyfose
o Rompoprichting belemmerd
o Functioneel gebruik armen belemmerd
o Valrisico
o IADL & ADL verslechterd
o AH problemen door kyfose  slaapstoornissen
- Preventie (behandeling)
o Lichaamsbeweging & valpreventie
 Rust vs activiteit
 Beveilig cliënt
 Valpreventie  visus, BD, gangpatroon, hulpmiddel,
slaapmed, huisinrichting
o Voedingsadviezen
 Ca inname
 Supplementen: Ca, Vit D
o Medicatie
 Remmen botafbraak, gunstig effect op botdensiteit
Artrose (mechanische gewrichtsaandoening)
- Degeneratie kraakbeen & onderliggend bot (bot op bot)
o Coxartrose : heup

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Uploaded on
October 6, 2026
Number of pages
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Written in
2025/2026
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