FYSIEKE REVALIDATIE KINDEREN:
ANNE-MIE ENGELEN
Inhoud
Hoorcollege 1: Cerebrale Parese...............................................................................................................................4
Wat is cerebrale parese?.......................................................................................................................................4
1
, Ergotherapie en kinderen met cerebrale parese: Wanneer starten we best met de behandeling? Waarop ligt
onze focus?............................................................................................................................................................5
Extra informatie over cerebrale parese................................................................................................................5
F-Words: zes favoriete woorden in de kinderrevalidatie......................................................................................6
Function/Functie ..............................................................................................................................................7
Family/gezin .....................................................................................................................................................7
Fitness/fitheid ...................................................................................................................................................7
Friends/vrienden ..............................................................................................................................................7
Fun/Plezier ........................................................................................................................................................8
Future/Toekomst ..............................................................................................................................................8
Conclusie...............................................................................................................................................................8
Hoorcollege 2: Family centered practise en early intervention................................................................................9
Definitie family centered practice.........................................................................................................................9
Efficiëntie van ondersteuning weerspiegelt zich in het feit dat:........................................................................10
Family Centered Service kenmerken...................................................................................................................10
Early intervention/Vroegbegeleiding..................................................................................................................11
GAME (=Goals Activity Motor Enrichment)....................................................................................................12
Hoorcollege 3: Behandelconcepten en methodes..................................................................................................13
Belangrijke behandelprincipes bij kinderen met CP...........................................................................................13
Neuro developmental treatment (NDT)..............................................................................................................13
Conductieve pedagogie.......................................................................................................................................15
Affolter................................................................................................................................................................15
Forsed Use...........................................................................................................................................................16
Spiegeltherapie....................................................................................................................................................16
Action observation training (AOT).......................................................................................................................17
Hoorcollege 4: Behandeling van de arm en handfunctie........................................................................................17
Classificatie: Geschwind......................................................................................................................................17
Classificatie: Zancolli............................................................................................................................................18
Classificatie volgens House..................................................................................................................................18
House classificatie van de arm............................................................................................................................19
Classificatie: MACS..............................................................................................................................................20
Orthesen..............................................................................................................................................................21
Hoorcollege 5: Motorisch leren..............................................................................................................................21
Expliciet leren......................................................................................................................................................22
Impliciet leren......................................................................................................................................................22
Hoorcollege 6: Developmental coördination disorder...........................................................................................24
Developmental coordination disorder/ DCD......................................................................................................24
2
, Diagnostische criteria: DSM-5 (A)...................................................................................................................24
Diagnostische criteria: DSM-5 (B):..................................................................................................................25
Diagnostische criteria: DSM-5 (C)....................................................................................................................25
Diagnostische criteria: DSM-5 (D)...................................................................................................................25
Stress process framework...................................................................................................................................27
Onderliggende mechanismen van de motorische beperkingen.........................................................................27
Effectieve therapievorm......................................................................................................................................28
CO-OP (Cognitive Oriëntation to Daily Occupational Performance)..................................................................29
NTT (Neuromotor task training)..........................................................................................................................29
hoorcollege 7: zelfredzaamheid..............................................................................................................................32
communicatie......................................................................................................................................................32
fysieke zelfredzaamheid......................................................................................................................................33
begeleiding..........................................................................................................................................................34
voorbeelden....................................................................................................................................................35
werkcollege flexie/extensie.....................................................................................................................................36
zithouding............................................................................................................................................................38
werkcollege: CVI = Cerebrale Visuele Inperking.....................................................................................................39
corticale/ cerebrale visuele inperking.................................................................................................................40
gezichtsvelden.................................................................................................................................................40
visuele velden..................................................................................................................................................40
CVI.......................................................................................................................................................................41
Roman-Lantzy......................................................................................................................................................41
fase 1...............................................................................................................................................................41
fase 2...............................................................................................................................................................43
werkcollege handling..............................................................................................................................................44
stappen................................................................................................................................................................46
werkcollege positioneren........................................................................................................................................47
dragen..................................................................................................................................................................52
werkcollege MACS...................................................................................................................................................52
3
, FYSIEKE REVALIDATIE: KINDEREN
ANNEMIE ENGELEN
HOORCOLLEGE 1: CEREBRALE PARESE
WAT IS CEREBRALE PARESE?
Cerebral palsy (=cerebrale parese), hersenverlamming. Kinderen die een letsel hebben in de
hersenen en daardoor motorisch niet goed kunnen functioneren.
Cerebral Palsy (CP) verwijst naar een groep aandoeningen in de ontwikkeling van motorische
controle en -houding, die optreden als gevolg van een niet-progressieve stoornis van het zich
ontwikkelende centrale zenuwstelsel.
De motorische aandoeningen van hersenverlamming kunnen gepaard gaan met stoornissen van
sensatie, cognitie, communicatie, perceptie en/of inbeslagstoornis.’
CP wordt gedefinieerd als een permanente beweging- en bewegingsstoornis die wordt
veroorzaakt door een verstoring in de foetus of de ontwikkeling van de hersenen.
4
ANNE-MIE ENGELEN
Inhoud
Hoorcollege 1: Cerebrale Parese...............................................................................................................................4
Wat is cerebrale parese?.......................................................................................................................................4
1
, Ergotherapie en kinderen met cerebrale parese: Wanneer starten we best met de behandeling? Waarop ligt
onze focus?............................................................................................................................................................5
Extra informatie over cerebrale parese................................................................................................................5
F-Words: zes favoriete woorden in de kinderrevalidatie......................................................................................6
Function/Functie ..............................................................................................................................................7
Family/gezin .....................................................................................................................................................7
Fitness/fitheid ...................................................................................................................................................7
Friends/vrienden ..............................................................................................................................................7
Fun/Plezier ........................................................................................................................................................8
Future/Toekomst ..............................................................................................................................................8
Conclusie...............................................................................................................................................................8
Hoorcollege 2: Family centered practise en early intervention................................................................................9
Definitie family centered practice.........................................................................................................................9
Efficiëntie van ondersteuning weerspiegelt zich in het feit dat:........................................................................10
Family Centered Service kenmerken...................................................................................................................10
Early intervention/Vroegbegeleiding..................................................................................................................11
GAME (=Goals Activity Motor Enrichment)....................................................................................................12
Hoorcollege 3: Behandelconcepten en methodes..................................................................................................13
Belangrijke behandelprincipes bij kinderen met CP...........................................................................................13
Neuro developmental treatment (NDT)..............................................................................................................13
Conductieve pedagogie.......................................................................................................................................15
Affolter................................................................................................................................................................15
Forsed Use...........................................................................................................................................................16
Spiegeltherapie....................................................................................................................................................16
Action observation training (AOT).......................................................................................................................17
Hoorcollege 4: Behandeling van de arm en handfunctie........................................................................................17
Classificatie: Geschwind......................................................................................................................................17
Classificatie: Zancolli............................................................................................................................................18
Classificatie volgens House..................................................................................................................................18
House classificatie van de arm............................................................................................................................19
Classificatie: MACS..............................................................................................................................................20
Orthesen..............................................................................................................................................................21
Hoorcollege 5: Motorisch leren..............................................................................................................................21
Expliciet leren......................................................................................................................................................22
Impliciet leren......................................................................................................................................................22
Hoorcollege 6: Developmental coördination disorder...........................................................................................24
Developmental coordination disorder/ DCD......................................................................................................24
2
, Diagnostische criteria: DSM-5 (A)...................................................................................................................24
Diagnostische criteria: DSM-5 (B):..................................................................................................................25
Diagnostische criteria: DSM-5 (C)....................................................................................................................25
Diagnostische criteria: DSM-5 (D)...................................................................................................................25
Stress process framework...................................................................................................................................27
Onderliggende mechanismen van de motorische beperkingen.........................................................................27
Effectieve therapievorm......................................................................................................................................28
CO-OP (Cognitive Oriëntation to Daily Occupational Performance)..................................................................29
NTT (Neuromotor task training)..........................................................................................................................29
hoorcollege 7: zelfredzaamheid..............................................................................................................................32
communicatie......................................................................................................................................................32
fysieke zelfredzaamheid......................................................................................................................................33
begeleiding..........................................................................................................................................................34
voorbeelden....................................................................................................................................................35
werkcollege flexie/extensie.....................................................................................................................................36
zithouding............................................................................................................................................................38
werkcollege: CVI = Cerebrale Visuele Inperking.....................................................................................................39
corticale/ cerebrale visuele inperking.................................................................................................................40
gezichtsvelden.................................................................................................................................................40
visuele velden..................................................................................................................................................40
CVI.......................................................................................................................................................................41
Roman-Lantzy......................................................................................................................................................41
fase 1...............................................................................................................................................................41
fase 2...............................................................................................................................................................43
werkcollege handling..............................................................................................................................................44
stappen................................................................................................................................................................46
werkcollege positioneren........................................................................................................................................47
dragen..................................................................................................................................................................52
werkcollege MACS...................................................................................................................................................52
3
, FYSIEKE REVALIDATIE: KINDEREN
ANNEMIE ENGELEN
HOORCOLLEGE 1: CEREBRALE PARESE
WAT IS CEREBRALE PARESE?
Cerebral palsy (=cerebrale parese), hersenverlamming. Kinderen die een letsel hebben in de
hersenen en daardoor motorisch niet goed kunnen functioneren.
Cerebral Palsy (CP) verwijst naar een groep aandoeningen in de ontwikkeling van motorische
controle en -houding, die optreden als gevolg van een niet-progressieve stoornis van het zich
ontwikkelende centrale zenuwstelsel.
De motorische aandoeningen van hersenverlamming kunnen gepaard gaan met stoornissen van
sensatie, cognitie, communicatie, perceptie en/of inbeslagstoornis.’
CP wordt gedefinieerd als een permanente beweging- en bewegingsstoornis die wordt
veroorzaakt door een verstoring in de foetus of de ontwikkeling van de hersenen.
4
