FYSIEKE REVALIDATIE
KINDEREN
Semester 1
,Kinderen met fysieke beperking
Inhoudsopgave
1. Cerebrale parese........................................................................................................................................ 4
De vragen..............................................................................................................................................................4
2. Ergotherapie en kinderen met cerebrale parese......................................................................................... 4
De vragen..............................................................................................................................................................4
Video.....................................................................................................................................................................5
3. Cerebrale parese en classificatie................................................................................................................. 5
Wanneer ontstaat cerebrale parese?...................................................................................................................5
Classificatie:..........................................................................................................................................................5
Spasticiteit............................................................................................................................................................6
Lichte spasticiteit..............................................................................................................................................6
Matige spasticiteit............................................................................................................................................6
Ernstige spasticiteit...........................................................................................................................................7
Topografie.........................................................................................................................................................7
Dyskinesie.............................................................................................................................................................7
Dystonie............................................................................................................................................................7
Ataxie....................................................................................................................................................................8
4. De F- words................................................................................................................................................ 9
De 6 F- woorden....................................................................................................................................................9
Function............................................................................................................................................................9
Family.............................................................................................................................................................10
Fitness.............................................................................................................................................................10
Friends............................................................................................................................................................10
Fun..................................................................................................................................................................10
Future.............................................................................................................................................................10
5. Werkcollege cerebrale parese.................................................................................................................. 11
De bewegingspatronen......................................................................................................................................11
Rompbewegingen...............................................................................................................................................12
1. Definitie................................................................................................................................................... 14
2. De efficiëntie van ondersteuning:............................................................................................................. 14
3. Early intervention (vroegbegeleiding)....................................................................................................... 14
Kinderen met cerbrale parese............................................................................................................................14
Kinderen met een risicovolle ontwikkeling.........................................................................................................15
Hadders – Algra..................................................................................................................................................15
GAME..................................................................................................................................................................15
1
,Kinderen met fysieke beperking
Motor training................................................................................................................................................15
Environmental enrichment............................................................................................................................16
1. Belangrijke behandelingsprincipes bij kinderen met cerebrale parese.......................................................17
2. Neuro development treatment................................................................................................................. 17
Evolutie...............................................................................................................................................................17
Het doel..............................................................................................................................................................17
De sleutelpunten.................................................................................................................................................17
De behandelingsprincipes...................................................................................................................................18
3. Conductieve pedagogie............................................................................................................................ 18
Het instituut:.......................................................................................................................................................18
De conductor......................................................................................................................................................18
Groepsverband...................................................................................................................................................19
Ritmische intentie...............................................................................................................................................19
Affolter................................................................................................................................................................19
4. Forsed use................................................................................................................................................ 19
5. Spiegeltherapie........................................................................................................................................ 20
6. Action observation training...................................................................................................................... 20
Pilot Randomizes Control Trial (RCT)..................................................................................................................20
1. Classificatie.............................................................................................................................................. 21
2. Classificatie: MACS................................................................................................................................... 21
Normale ontwikkeling........................................................................................................................................21
Orthesen.............................................................................................................................................................22
1. Expliciet leren.......................................................................................................................................... 23
2. Implicitie leren......................................................................................................................................... 23
1. Zintuigen.................................................................................................................................................. 24
2. De sensomotirische cirkel......................................................................................................................... 24
3. De hersenen verwerken de informatie en sturen de respons aan..............................................................25
4. Sensorische informatieverwerking is niet alleen perceptie........................................................................25
5. Hiërarchische organisatie van de hersenen............................................................................................... 25
6. Sensorisch profiel..................................................................................................................................... 25
2
, Kinderen met fysieke beperking
Opbouw sensorisch profiel.............................................................................................................................27
7. Drie niveaus van sensorische informatie................................................................................................... 27
Sensorische informatieverwerking.....................................................................................................................27
Modulatie...........................................................................................................................................................28
Gedrag en emotionele reacties..........................................................................................................................28
8. Werking van de hersenen......................................................................................................................... 29
Kwadranten van regulatie..................................................................................................................................29
Problemen......................................................................................................................................................30
1. Inleiding................................................................................................................................................... 33
Sheila Henderson................................................................................................................................................33
Comorbiditeit......................................................................................................................................................33
2. Diagnostische criteria: DSM 5 (DCD)......................................................................................................... 33
Interpretatie DSM-5............................................................................................................................................34
3. Diagnose.................................................................................................................................................. 34
4. Klinisch beeld:.......................................................................................................................................... 35
5. Gevolgen.................................................................................................................................................. 35
6. Stress process framework........................................................................................................................ 35
7. Onderliggende mechanismen van de motorische beperkingen..................................................................36
8. Effectieve therapievorm........................................................................................................................... 36
Procesgeoriënteerde aanpak..............................................................................................................................36
Taakgeoriënteerde aanpak:...............................................................................................................................36
9. CO-OP...................................................................................................................................................... 37
NTT = Neuromotot Task Training.......................................................................................................................37
3
KINDEREN
Semester 1
,Kinderen met fysieke beperking
Inhoudsopgave
1. Cerebrale parese........................................................................................................................................ 4
De vragen..............................................................................................................................................................4
2. Ergotherapie en kinderen met cerebrale parese......................................................................................... 4
De vragen..............................................................................................................................................................4
Video.....................................................................................................................................................................5
3. Cerebrale parese en classificatie................................................................................................................. 5
Wanneer ontstaat cerebrale parese?...................................................................................................................5
Classificatie:..........................................................................................................................................................5
Spasticiteit............................................................................................................................................................6
Lichte spasticiteit..............................................................................................................................................6
Matige spasticiteit............................................................................................................................................6
Ernstige spasticiteit...........................................................................................................................................7
Topografie.........................................................................................................................................................7
Dyskinesie.............................................................................................................................................................7
Dystonie............................................................................................................................................................7
Ataxie....................................................................................................................................................................8
4. De F- words................................................................................................................................................ 9
De 6 F- woorden....................................................................................................................................................9
Function............................................................................................................................................................9
Family.............................................................................................................................................................10
Fitness.............................................................................................................................................................10
Friends............................................................................................................................................................10
Fun..................................................................................................................................................................10
Future.............................................................................................................................................................10
5. Werkcollege cerebrale parese.................................................................................................................. 11
De bewegingspatronen......................................................................................................................................11
Rompbewegingen...............................................................................................................................................12
1. Definitie................................................................................................................................................... 14
2. De efficiëntie van ondersteuning:............................................................................................................. 14
3. Early intervention (vroegbegeleiding)....................................................................................................... 14
Kinderen met cerbrale parese............................................................................................................................14
Kinderen met een risicovolle ontwikkeling.........................................................................................................15
Hadders – Algra..................................................................................................................................................15
GAME..................................................................................................................................................................15
1
,Kinderen met fysieke beperking
Motor training................................................................................................................................................15
Environmental enrichment............................................................................................................................16
1. Belangrijke behandelingsprincipes bij kinderen met cerebrale parese.......................................................17
2. Neuro development treatment................................................................................................................. 17
Evolutie...............................................................................................................................................................17
Het doel..............................................................................................................................................................17
De sleutelpunten.................................................................................................................................................17
De behandelingsprincipes...................................................................................................................................18
3. Conductieve pedagogie............................................................................................................................ 18
Het instituut:.......................................................................................................................................................18
De conductor......................................................................................................................................................18
Groepsverband...................................................................................................................................................19
Ritmische intentie...............................................................................................................................................19
Affolter................................................................................................................................................................19
4. Forsed use................................................................................................................................................ 19
5. Spiegeltherapie........................................................................................................................................ 20
6. Action observation training...................................................................................................................... 20
Pilot Randomizes Control Trial (RCT)..................................................................................................................20
1. Classificatie.............................................................................................................................................. 21
2. Classificatie: MACS................................................................................................................................... 21
Normale ontwikkeling........................................................................................................................................21
Orthesen.............................................................................................................................................................22
1. Expliciet leren.......................................................................................................................................... 23
2. Implicitie leren......................................................................................................................................... 23
1. Zintuigen.................................................................................................................................................. 24
2. De sensomotirische cirkel......................................................................................................................... 24
3. De hersenen verwerken de informatie en sturen de respons aan..............................................................25
4. Sensorische informatieverwerking is niet alleen perceptie........................................................................25
5. Hiërarchische organisatie van de hersenen............................................................................................... 25
6. Sensorisch profiel..................................................................................................................................... 25
2
, Kinderen met fysieke beperking
Opbouw sensorisch profiel.............................................................................................................................27
7. Drie niveaus van sensorische informatie................................................................................................... 27
Sensorische informatieverwerking.....................................................................................................................27
Modulatie...........................................................................................................................................................28
Gedrag en emotionele reacties..........................................................................................................................28
8. Werking van de hersenen......................................................................................................................... 29
Kwadranten van regulatie..................................................................................................................................29
Problemen......................................................................................................................................................30
1. Inleiding................................................................................................................................................... 33
Sheila Henderson................................................................................................................................................33
Comorbiditeit......................................................................................................................................................33
2. Diagnostische criteria: DSM 5 (DCD)......................................................................................................... 33
Interpretatie DSM-5............................................................................................................................................34
3. Diagnose.................................................................................................................................................. 34
4. Klinisch beeld:.......................................................................................................................................... 35
5. Gevolgen.................................................................................................................................................. 35
6. Stress process framework........................................................................................................................ 35
7. Onderliggende mechanismen van de motorische beperkingen..................................................................36
8. Effectieve therapievorm........................................................................................................................... 36
Procesgeoriënteerde aanpak..............................................................................................................................36
Taakgeoriënteerde aanpak:...............................................................................................................................36
9. CO-OP...................................................................................................................................................... 37
NTT = Neuromotot Task Training.......................................................................................................................37
3