Cervicaal
,2
,Inhoudsopgave
Kinematica CWK ........................................................................................................................... 5
Nekpijn ........................................................................................................................................ 9
Screening ................................................................................................................................... 11
Classificatie CWK aandoeningen ................................................................................................. 16
CPR ............................................................................................................................................ 19
Onderzoek ................................................................................................................................. 20
Onderzoek HCWK .............................................................................................................................. 21
Regionaal instabiliteitsonderzoek HCWK ..................................................................................... 22
Geleid actief regionaal functieonderzoek HCWK belast ............................................................... 25
Geleid actief regionaal functieonderzoek HCWK onbelast .......................................................... 28
Segmentaal onderzoek HCWK ...................................................................................................... 29
Onderzoek mid-CWK ......................................................................................................................... 36
Geleid actief regionaal en segmentaal functieonderzoek mid-CWK ............................................ 36
Passief segmentaal functieonderzoek mid-CWK .......................................................................... 38
Neurologisch onderzoek .................................................................................................................... 41
Zenuwlengtetesten en zenuwmobilisaties ........................................................................................ 42
Zenuwcompressie testen ................................................................................................................... 45
Kennspieren (myotomen) .................................................................................................................. 47
Spierlengtetesten .............................................................................................................................. 49
Spierkrachttesten nekflexoren .......................................................................................................... 50
MTrP .................................................................................................................................................. 51
Behandeling ............................................................................................................................... 55
HCWK instabiliteit ............................................................................................................................. 63
Manipulaties/mobilisaties HCWK ..................................................................................................... 64
Manipulaties/mobilisaties mid-CWK................................................................................................. 68
Cervicale radiculopathie ............................................................................................................. 76
Cervicale myelopathie ................................................................................................................ 80
Myogene nekpijn ....................................................................................................................... 83
Motor control probleem ............................................................................................................. 84
Hoofdpijn ................................................................................................................................... 87
Migraine (primaire hoofdpijn)........................................................................................................... 91
Tension Type Headache (primaire hoofdpijn) ................................................................................... 93
Clusterhoofdpijn (primaire hoofdpijn) ............................................................................................... 98
3
, Cervicogene hoofdpijn (secundaire hoofdpijn).................................................................................. 99
Duizeligheid ............................................................................................................................. 101
Duizeligheid - BPPD ......................................................................................................................... 106
Duizeligheid – Cervicogene duizeligheid ......................................................................................... 107
Duizeligheid – Neuritis vestibularis ................................................................................................. 110
Duizeligheid - Meniere .................................................................................................................... 111
Whiplash WAD ......................................................................................................................... 112
Flowchart cervicale manipulatie ............................................................................................... 115
IFOMPT .................................................................................................................................... 116
Onderzoekshypothesen CWK .................................................................................................... 121
ICD ................................................................................................................................................... 121
ICF.................................................................................................................................................... 123
Pijn................................................................................................................................................... 125
Onderzoeks- en behandeltechnieken ........................................................................................ 126
Onderzoeken ................................................................................................................................... 126
Manipulaties/Mobilisaties .............................................................................................................. 127
Skills CWK ................................................................................................................................ 128
Bijlagen .................................................................................................................................... 130
Bijlage 1 KNGF Richtlijn Nekpijn ...................................................................................................... 130
Bijlage 2 Casus ................................................................................................................................ 137
Bijlage 3 Spierversterkende oefeningen DNF .................................................................................. 139
4
,2
,Inhoudsopgave
Kinematica CWK ........................................................................................................................... 5
Nekpijn ........................................................................................................................................ 9
Screening ................................................................................................................................... 11
Classificatie CWK aandoeningen ................................................................................................. 16
CPR ............................................................................................................................................ 19
Onderzoek ................................................................................................................................. 20
Onderzoek HCWK .............................................................................................................................. 21
Regionaal instabiliteitsonderzoek HCWK ..................................................................................... 22
Geleid actief regionaal functieonderzoek HCWK belast ............................................................... 25
Geleid actief regionaal functieonderzoek HCWK onbelast .......................................................... 28
Segmentaal onderzoek HCWK ...................................................................................................... 29
Onderzoek mid-CWK ......................................................................................................................... 36
Geleid actief regionaal en segmentaal functieonderzoek mid-CWK ............................................ 36
Passief segmentaal functieonderzoek mid-CWK .......................................................................... 38
Neurologisch onderzoek .................................................................................................................... 41
Zenuwlengtetesten en zenuwmobilisaties ........................................................................................ 42
Zenuwcompressie testen ................................................................................................................... 45
Kennspieren (myotomen) .................................................................................................................. 47
Spierlengtetesten .............................................................................................................................. 49
Spierkrachttesten nekflexoren .......................................................................................................... 50
MTrP .................................................................................................................................................. 51
Behandeling ............................................................................................................................... 55
HCWK instabiliteit ............................................................................................................................. 63
Manipulaties/mobilisaties HCWK ..................................................................................................... 64
Manipulaties/mobilisaties mid-CWK................................................................................................. 68
Cervicale radiculopathie ............................................................................................................. 76
Cervicale myelopathie ................................................................................................................ 80
Myogene nekpijn ....................................................................................................................... 83
Motor control probleem ............................................................................................................. 84
Hoofdpijn ................................................................................................................................... 87
Migraine (primaire hoofdpijn)........................................................................................................... 91
Tension Type Headache (primaire hoofdpijn) ................................................................................... 93
Clusterhoofdpijn (primaire hoofdpijn) ............................................................................................... 98
3
, Cervicogene hoofdpijn (secundaire hoofdpijn).................................................................................. 99
Duizeligheid ............................................................................................................................. 101
Duizeligheid - BPPD ......................................................................................................................... 106
Duizeligheid – Cervicogene duizeligheid ......................................................................................... 107
Duizeligheid – Neuritis vestibularis ................................................................................................. 110
Duizeligheid - Meniere .................................................................................................................... 111
Whiplash WAD ......................................................................................................................... 112
Flowchart cervicale manipulatie ............................................................................................... 115
IFOMPT .................................................................................................................................... 116
Onderzoekshypothesen CWK .................................................................................................... 121
ICD ................................................................................................................................................... 121
ICF.................................................................................................................................................... 123
Pijn................................................................................................................................................... 125
Onderzoeks- en behandeltechnieken ........................................................................................ 126
Onderzoeken ................................................................................................................................... 126
Manipulaties/Mobilisaties .............................................................................................................. 127
Skills CWK ................................................................................................................................ 128
Bijlagen .................................................................................................................................... 130
Bijlage 1 KNGF Richtlijn Nekpijn ...................................................................................................... 130
Bijlage 2 Casus ................................................................................................................................ 137
Bijlage 3 Spierversterkende oefeningen DNF .................................................................................. 139
4
