2025-2026
EVIDENCE-BASED KINESITHERAPIE
BIJ NEUROLOGISCHE
AANDOENINGEN
WPO
,TABLE OF CONTENTS
1 Hydrotherapie...................................................................................................................... 4
1.1 Wat is hydrotherapie......................................................................................... 4
1.2 Hydrostatica/dynamica .................................................................................... 4
1.2.1 Wet van Archimedes ...........................................................................................................4
1.2.2 Verschillende functies ........................................................................................................4
1.3 Therapie modaliteiten ....................................................................................... 5
1.3.1 Halliwick methode ..............................................................................................................5
1.3.2 Bad Ragaz ring methode ......................................................................................................6
1.3.3 Aquafitness .........................................................................................................................6
1.3.4 Oefentherapie .....................................................................................................................6
1.3.5 Ai Chi ..................................................................................................................................7
1.3.6 Watsu .................................................................................................................................8
1.3.7 Onder water loopband/aquabike .........................................................................................8
1.3.8 Leerlijn zwemmen ...............................................................................................................8
1.4 Doelgroepen ..................................................................................................... 8
1.5 Evidence-based ................................................................................................ 9
1.5.1 Evidence – CVA .................................................................................................................10
1.5.2 Evidence – MS ...................................................................................................................11
1.5.3 Evidence – Parkinson Disease ...........................................................................................13
2 Cognitief Therapeutische Oefeningen – Perfetti Concept ..................................................... 16
2.1 Concepten in Neurologische Revalidatie .......................................................... 16
2.2 Cognitief-therapeutische oefeningen (Perfetti) ................................................. 17
2.2.1 Ontstaan Perfetti ...............................................................................................................17
2.2.2 Hypothese.........................................................................................................................17
2.2.3 Waarnemen ......................................................................................................................17
2.2.4 Aandoening .......................................................................................................................17
2.2.5 Perceptuele hypothese .....................................................................................................19
1
, 2.2.6 Therapiemethodiek ...........................................................................................................19
2.2.7 Therapiemiddelen .............................................................................................................20
2.2.8 Therapie Bestaat uit 3 graden ............................................................................................20
2.2.9 Manipulatief vermogen......................................................................................................21
3 BPPV ................................................................................................................................. 22
3.1 Anatomie en functie......................................................................................... 22
3.1.1 Evenwichtsorgaan .............................................................................................................22
3.1.2 Vestibulum........................................................................................................................22
3.1.3 3 halfcirkelvormige kanalen...............................................................................................23
3.2 BPPV ............................................................................................................... 24
3.2.1 Ontstaan ...........................................................................................................................24
3.2.2 Klachten............................................................................................................................24
3.2.3 Oorzaak ............................................................................................................................25
3.3 Behandeling .................................................................................................... 26
3.3.1 Algemeen ..........................................................................................................................26
3.3.2 Aandachtspunten vooraf ...................................................................................................26
3.4 Overzicht onderzoek ........................................................................................ 26
3.4.1 Posterieur kanaal ..............................................................................................................27
3.4.2 Horizontaal kanaal ............................................................................................................29
3.5 Info.................................................................................................................. 32
4 Verworven hersenletsel ..................................................................................................... 32
4.1 Casus 1 ........................................................................................................... 32
4.1.1 Antwoorden ......................................................................................................................33
4.1.2 Casus 1 feedback .............................................................................................................33
4.2 Casus 2 ........................................................................................................... 34
4.2.1 Antwoorden ......................................................................................................................35
4.2.1 Casus 2 feedback .............................................................................................................36
4.3 Casus 3 ........................................................................................................... 36
4.3.1 Casus 3 feedback .............................................................................................................37
2
, 4.4 Extra (complexe) casus .................................................................................... 38
4.4.1 Antwoorden ......................................................................................................................39
4.4.2 Feedback ..........................................................................................................................39
4.5 Extra oefeningen interpretatie MBV .................................................................. 40
4.5.1 Antwoorden ......................................................................................................................41
3
EVIDENCE-BASED KINESITHERAPIE
BIJ NEUROLOGISCHE
AANDOENINGEN
WPO
,TABLE OF CONTENTS
1 Hydrotherapie...................................................................................................................... 4
1.1 Wat is hydrotherapie......................................................................................... 4
1.2 Hydrostatica/dynamica .................................................................................... 4
1.2.1 Wet van Archimedes ...........................................................................................................4
1.2.2 Verschillende functies ........................................................................................................4
1.3 Therapie modaliteiten ....................................................................................... 5
1.3.1 Halliwick methode ..............................................................................................................5
1.3.2 Bad Ragaz ring methode ......................................................................................................6
1.3.3 Aquafitness .........................................................................................................................6
1.3.4 Oefentherapie .....................................................................................................................6
1.3.5 Ai Chi ..................................................................................................................................7
1.3.6 Watsu .................................................................................................................................8
1.3.7 Onder water loopband/aquabike .........................................................................................8
1.3.8 Leerlijn zwemmen ...............................................................................................................8
1.4 Doelgroepen ..................................................................................................... 8
1.5 Evidence-based ................................................................................................ 9
1.5.1 Evidence – CVA .................................................................................................................10
1.5.2 Evidence – MS ...................................................................................................................11
1.5.3 Evidence – Parkinson Disease ...........................................................................................13
2 Cognitief Therapeutische Oefeningen – Perfetti Concept ..................................................... 16
2.1 Concepten in Neurologische Revalidatie .......................................................... 16
2.2 Cognitief-therapeutische oefeningen (Perfetti) ................................................. 17
2.2.1 Ontstaan Perfetti ...............................................................................................................17
2.2.2 Hypothese.........................................................................................................................17
2.2.3 Waarnemen ......................................................................................................................17
2.2.4 Aandoening .......................................................................................................................17
2.2.5 Perceptuele hypothese .....................................................................................................19
1
, 2.2.6 Therapiemethodiek ...........................................................................................................19
2.2.7 Therapiemiddelen .............................................................................................................20
2.2.8 Therapie Bestaat uit 3 graden ............................................................................................20
2.2.9 Manipulatief vermogen......................................................................................................21
3 BPPV ................................................................................................................................. 22
3.1 Anatomie en functie......................................................................................... 22
3.1.1 Evenwichtsorgaan .............................................................................................................22
3.1.2 Vestibulum........................................................................................................................22
3.1.3 3 halfcirkelvormige kanalen...............................................................................................23
3.2 BPPV ............................................................................................................... 24
3.2.1 Ontstaan ...........................................................................................................................24
3.2.2 Klachten............................................................................................................................24
3.2.3 Oorzaak ............................................................................................................................25
3.3 Behandeling .................................................................................................... 26
3.3.1 Algemeen ..........................................................................................................................26
3.3.2 Aandachtspunten vooraf ...................................................................................................26
3.4 Overzicht onderzoek ........................................................................................ 26
3.4.1 Posterieur kanaal ..............................................................................................................27
3.4.2 Horizontaal kanaal ............................................................................................................29
3.5 Info.................................................................................................................. 32
4 Verworven hersenletsel ..................................................................................................... 32
4.1 Casus 1 ........................................................................................................... 32
4.1.1 Antwoorden ......................................................................................................................33
4.1.2 Casus 1 feedback .............................................................................................................33
4.2 Casus 2 ........................................................................................................... 34
4.2.1 Antwoorden ......................................................................................................................35
4.2.1 Casus 2 feedback .............................................................................................................36
4.3 Casus 3 ........................................................................................................... 36
4.3.1 Casus 3 feedback .............................................................................................................37
2
, 4.4 Extra (complexe) casus .................................................................................... 38
4.4.1 Antwoorden ......................................................................................................................39
4.4.2 Feedback ..........................................................................................................................39
4.5 Extra oefeningen interpretatie MBV .................................................................. 40
4.5.1 Antwoorden ......................................................................................................................41
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