Revalidatieleer overzicht
Examen 1 e semester trainingsleer en begrippen van de revalidatietraining
Inhoudsopgave
ANATOMIE ..................................................................................................................................................... 3
Ligament ............................................................................................................................................................. 3
Pees .................................................................................................................................................................... 3
Spier .................................................................................................................................................................... 4
Bot ...................................................................................................................................................................... 4
Hyalien kraakbeen .............................................................................................................................................. 4
Fibrocartilagineus kraakbeen ............................................................................................................................. 5
KADER ............................................................................................................................................................ 6
Ligament ............................................................................................................................................................. 6
Pees .................................................................................................................................................................... 6
Spier .................................................................................................................................................................... 8
Bot .................................................................................................................................................................... 11
Hyalien kraakbeen ............................................................................................................................................ 12
Fibrocartilagineu kraakbeen ............................................................................................................................. 15
HERSTELPROCES ........................................................................................................................................... 18
Ligament ........................................................................................................................................................... 18
Pees .................................................................................................................................................................. 18
Spier .................................................................................................................................................................. 19
MUSCLE TEAR .............................................................................................................................................. 19
CONTUSION ................................................................................................................................................. 19
Bot .................................................................................................................................................................... 20
FRACTUUR.................................................................................................................................................... 20
STRESSFRACTUUR ........................................................................................................................................ 20
Hyalien kraakbeen ............................................................................................................................................ 21
ACUUT (POST-TRAUMA) .............................................................................................................................. 21
DEGENERATIEF ............................................................................................................................................. 22
Fibrocartilagineus kraakbeen ........................................................................................................................... 22
Meniscus ...................................................................................................................................................... 22
Labrum schouder ......................................................................................................................................... 23
Labrum heup ................................................................................................................................................ 25
KEY POINTS BEHANDELING ........................................................................................................................... 26
Ligament ........................................................................................................................................................... 26
Pees .................................................................................................................................................................. 26
,Spier .................................................................................................................................................................. 28
MUSCLE TEAR .............................................................................................................................................. 28
CONTUSION ................................................................................................................................................. 28
Bot .................................................................................................................................................................... 29
FRACTUUR.................................................................................................................................................... 29
STRESSFRACTUUR ........................................................................................................................................ 30
Hyalien kraakbeen ............................................................................................................................................ 31
Pubalgie ............................................................................................................................................................ 32
TAKE HOME MESSAGES .................................................................................................................................... 33
Ligament ........................................................................................................................................................... 33
Pees .................................................................................................................................................................. 33
Spier .................................................................................................................................................................. 33
Bot .................................................................................................................................................................... 34
Hyalien kraakbeen ............................................................................................................................................ 34
Fibrocartilagineus kraakbeen ........................................................................................................................... 34
,ANATOMIE
Ligament
Structuur Soorten Functie
▶1/3 collageen vezels (type ▶Intra-articulair ▶Passieve
1 = 90%; type 3 = 10%) ▶Capsulair gewrichtsstabilisatie
▶Proteoglycanen (1%) en ▶Extra-capsulair ▶Proprioceptie (cruciaal vr
elastine aansturing spieren rond
▶2/3 H2O gewricht = NMC)
▶Oriëntatie ▶Voorkomen extreme
collageenvezels afhankelijk bewegingen
functie ligament (parallel, ▶Begeleiden fysiologische
schuin, spiraalvormig, …) bewegingen
▶Doorbloeding -
bezenuwing afhankelijk
Pees
Structuur Soorten Functie
▶Collageen type 1 ▶Energy-storing tendon ▶Kracht en energie:
▶80-90% H2O ▶Positional tendon - Doorgeven
▶Elastine - Absorberen
▶Vezels parallel ▶Stabiliteit (nmc)
▶Een zekere doorbloeding ▶Elasticiteit:
en bezenuwing - Tijdelijk energie
opslaan en afgeven
(cfr. Sprongen)
, Spier
Structuur Functie
▶Spiervezels & BW ▶Kracht en energie:
▶Oriëntatie: - Genereren
- Parallel - Doorgeven
- Fusiform - Absorberen
- Triangulair ▶Houding en stabiliteit (nmc)
- (Multi)Pennate ▶ROM
▶Goede doorbloeding en bezenuwing
Bot
Structuur Functie
▶Osteocyten, osteoblasten en ▶Kapstok/hefboom voor locomotorisch
osteoclasten systeem
▶Collageen ▶Beschermen onderliggende organen
▶ECM ▶Grootste calciumopslag
▶Goed doorbloed en geïnnerveerd ▶Aanmaken RBC
Hyalien kraakbeen
Structuur Functie
▶1-5mm dik – 70% H2O ▶Congruentie gewrichtsoppervlak
▶Collageen type II en proteoglycanen ▶Vlot laten verlopen van bewegingen
▶Chondrocyten ▶Opvangen van belasting/krachten
▶GEEN bloed-, zenuw-en
lymfevoorziening
▶Diffusie voeding- en afvalstoffen
▶Uitzonderlijk celdeling
Examen 1 e semester trainingsleer en begrippen van de revalidatietraining
Inhoudsopgave
ANATOMIE ..................................................................................................................................................... 3
Ligament ............................................................................................................................................................. 3
Pees .................................................................................................................................................................... 3
Spier .................................................................................................................................................................... 4
Bot ...................................................................................................................................................................... 4
Hyalien kraakbeen .............................................................................................................................................. 4
Fibrocartilagineus kraakbeen ............................................................................................................................. 5
KADER ............................................................................................................................................................ 6
Ligament ............................................................................................................................................................. 6
Pees .................................................................................................................................................................... 6
Spier .................................................................................................................................................................... 8
Bot .................................................................................................................................................................... 11
Hyalien kraakbeen ............................................................................................................................................ 12
Fibrocartilagineu kraakbeen ............................................................................................................................. 15
HERSTELPROCES ........................................................................................................................................... 18
Ligament ........................................................................................................................................................... 18
Pees .................................................................................................................................................................. 18
Spier .................................................................................................................................................................. 19
MUSCLE TEAR .............................................................................................................................................. 19
CONTUSION ................................................................................................................................................. 19
Bot .................................................................................................................................................................... 20
FRACTUUR.................................................................................................................................................... 20
STRESSFRACTUUR ........................................................................................................................................ 20
Hyalien kraakbeen ............................................................................................................................................ 21
ACUUT (POST-TRAUMA) .............................................................................................................................. 21
DEGENERATIEF ............................................................................................................................................. 22
Fibrocartilagineus kraakbeen ........................................................................................................................... 22
Meniscus ...................................................................................................................................................... 22
Labrum schouder ......................................................................................................................................... 23
Labrum heup ................................................................................................................................................ 25
KEY POINTS BEHANDELING ........................................................................................................................... 26
Ligament ........................................................................................................................................................... 26
Pees .................................................................................................................................................................. 26
,Spier .................................................................................................................................................................. 28
MUSCLE TEAR .............................................................................................................................................. 28
CONTUSION ................................................................................................................................................. 28
Bot .................................................................................................................................................................... 29
FRACTUUR.................................................................................................................................................... 29
STRESSFRACTUUR ........................................................................................................................................ 30
Hyalien kraakbeen ............................................................................................................................................ 31
Pubalgie ............................................................................................................................................................ 32
TAKE HOME MESSAGES .................................................................................................................................... 33
Ligament ........................................................................................................................................................... 33
Pees .................................................................................................................................................................. 33
Spier .................................................................................................................................................................. 33
Bot .................................................................................................................................................................... 34
Hyalien kraakbeen ............................................................................................................................................ 34
Fibrocartilagineus kraakbeen ........................................................................................................................... 34
,ANATOMIE
Ligament
Structuur Soorten Functie
▶1/3 collageen vezels (type ▶Intra-articulair ▶Passieve
1 = 90%; type 3 = 10%) ▶Capsulair gewrichtsstabilisatie
▶Proteoglycanen (1%) en ▶Extra-capsulair ▶Proprioceptie (cruciaal vr
elastine aansturing spieren rond
▶2/3 H2O gewricht = NMC)
▶Oriëntatie ▶Voorkomen extreme
collageenvezels afhankelijk bewegingen
functie ligament (parallel, ▶Begeleiden fysiologische
schuin, spiraalvormig, …) bewegingen
▶Doorbloeding -
bezenuwing afhankelijk
Pees
Structuur Soorten Functie
▶Collageen type 1 ▶Energy-storing tendon ▶Kracht en energie:
▶80-90% H2O ▶Positional tendon - Doorgeven
▶Elastine - Absorberen
▶Vezels parallel ▶Stabiliteit (nmc)
▶Een zekere doorbloeding ▶Elasticiteit:
en bezenuwing - Tijdelijk energie
opslaan en afgeven
(cfr. Sprongen)
, Spier
Structuur Functie
▶Spiervezels & BW ▶Kracht en energie:
▶Oriëntatie: - Genereren
- Parallel - Doorgeven
- Fusiform - Absorberen
- Triangulair ▶Houding en stabiliteit (nmc)
- (Multi)Pennate ▶ROM
▶Goede doorbloeding en bezenuwing
Bot
Structuur Functie
▶Osteocyten, osteoblasten en ▶Kapstok/hefboom voor locomotorisch
osteoclasten systeem
▶Collageen ▶Beschermen onderliggende organen
▶ECM ▶Grootste calciumopslag
▶Goed doorbloed en geïnnerveerd ▶Aanmaken RBC
Hyalien kraakbeen
Structuur Functie
▶1-5mm dik – 70% H2O ▶Congruentie gewrichtsoppervlak
▶Collageen type II en proteoglycanen ▶Vlot laten verlopen van bewegingen
▶Chondrocyten ▶Opvangen van belasting/krachten
▶GEEN bloed-, zenuw-en
lymfevoorziening
▶Diffusie voeding- en afvalstoffen
▶Uitzonderlijk celdeling
