PREVENTIEPLAN
FYSIOTHERAPIE BLOK 1.1
,Inhoudsopgave
INLEIDING...................................................................................................................................................... 7
1. VERWIJZING DOOR HUISARTS.................................................................................................................... 8
2. IN KAART BRENGEN VAN HET GEZONDHEIDSPROBLEEM/ANAMNESE.........................................................9
2.1 DE BELANGRIJKSTE GEZONDHEIDSRISICO’S..............................................................................................................9
2.2 DE STOORNISSEN..............................................................................................................................................9
2.3 DE MEDISCHE VOORGESCHIEDENIS.......................................................................................................................9
2.4 DE HULPVRAAG................................................................................................................................................9
2.5 DE VERWACHTINGEN.........................................................................................................................................9
2.6 DE INFORMATIEBEHOEFTE..................................................................................................................................9
2.7 DE SPORTGESCHIEDENIS.....................................................................................................................................9
2.8 DE GROND MOTORISCHE EIGENSCHAPPEN WELKE MOETEN WORDEN VERBETERD.........................................................10
2.9 DE ENERGIESYSTEMEN WELKE MOETEN WORDEN GETRAIND....................................................................................10
3. FUNCTIEONDERZOEK................................................................................................................................ 10
3.1 INSPECTIE EN PALPATIE....................................................................................................................................10
3.2 BEPALING LICHAAMSCOMPOSITIE: BMI, VETPERCENTAGE.......................................................................................10
3.3 METING BLOEDDRUK EN HARTFREQUENTIE..........................................................................................................11
3.4 METING LONGVOLUMINA.................................................................................................................................11
3.5 RESULTATEN INSPANNING-FYSIOLOGISCHE TESTS...................................................................................................11
3.6 RESULTATEN KRACHTTESTS...............................................................................................................................11
3.7 RESULTATEN INFORMATIE VOEDINGSTOESTAND....................................................................................................11
4. CONCLUSIE: VERHOUDING BELASTING/BELASTBAARHEID........................................................................12
5. BEHANDELPLAN EN BEHANDELING........................................................................................................... 12
5.1 BEHANDELDOEL OP DE KORTE TERMIJN...............................................................................................................12
5.2 BEHANDELDOEL OP DE LANGERE TERMIJN............................................................................................................13
5.3 TRAININGSSCHEMA.........................................................................................................................................13
5.4 (BIOMECHANISCH) COUNSELEN.........................................................................................................................13
5.5 VERWERKING ADVIES VOEDING EN DIËTETIEK........................................................................................................13
5.6 GEZONDHEIDSVOORLICHTING EN ADVIES GERELATEERD AAN INDIVIDUELE, CULTURELE EN LEEFTIJD GERELATEERDE
PERSPECTIEVEN.................................................................................................................................................... 14
6. EVALUATIE............................................................................................................................................... 14
6.1 GEREALISEERDE BEHANDELDOELEN.....................................................................................................................14
6.2 HERHALINGEN VAN METINGEN EN TESTS.............................................................................................................14
7. AFSLUITING.............................................................................................................................................. 15
7.1 INFORMATIE NAAR DE HUISARTS........................................................................................................................15
7.2 VERWACHT RESULTAAT BEHANDELPROGRAMMA...................................................................................................16
VERANTWOORDING VAN HET PREVENTIEPLAN............................................................................................ 16
8. RISICO’S BIJ INACTIVITEIT, BELANG VAN BEWEGEN TER PREVENTIE VAN LICHAMELIJKE KLACHTEN...........16
9. RISICO’S BIJ INVLOED VAN OUDERDOM OP SPIER/SKELET/HART- EN LONGFUNCTIE EN
ADEMHALINGSSYSTEEM.............................................................................................................................. 16
10. GEBRUIK VAN UITKOMST VAN DE TESTEN BIJ OPSTELLEN VAN HET TRAININGSPROGRAMMA.................17
11. VERANTWOORDING VAN DE KEUZES...................................................................................................... 21
11.1 INSPANNINGSTEST, KRACHTTEST, SPIROMETRIE TEST............................................................................................21
11.2 PRINCIPES VAN HET TRAININGSPROGRAMMA.....................................................................................................22
11.3 TRAININGSVARIABELEN.................................................................................................................................23
11.4 TRAININGSMETHODIEK/ORGANISATIEVORM UIT DE TRAININGSLEER........................................................................25
11.5 ENERGIESYSTEEM.........................................................................................................................................25
11.6 INSPANNINGS-FYSIOLOGISCHE EFFECTEN...........................................................................................................27
11.7 VERMOEIDHEID, EVENTUEEL SPIERPIJN.............................................................................................................28
2
, 11.8 OVERTRAINING EN DE CONSEQUENTIES HIERVAN OP JE TRAININGSSCHEMA..............................................................29
12. VERANTWOORDING VAN DE GEZONDHEIDSVOORLICHTING/ADVIES......................................................30
12.1 VERMOEIDHEID, STRESS, COPING....................................................................................................................30
12.2 MOTIVATIE, ASE-MODEL, TTM-MODEL..........................................................................................................31
12.3 VERWERKING ADVIES VOEDING EN DIËTETIEK....................................................................................................33
12.4 OVERTRAINING ..........................................................................................................................................34
BIJLAGEN..................................................................................................................................................... 35
BIJLAGE 1 ICF-MODEL...........................................................................................................................................35
BIJLAGE 2 DURNIN EN WOMERSLEY VETPERCENTAGE..................................................................................................36
BIJLAGE 3 ÅSTRAND & RHYMING NOMOGRAM..........................................................................................................37
BIJLAGE 4 HOLTEN DIAGRAM.................................................................................................................................38
.........................................................................................................................................................................38
BIJLAGE 5 TRAININGSSCHEMA.................................................................................................................................38
DAG + WEEK....................................................................................................................................................... 39
TRAINING............................................................................................................................................................39
INTENSITEIT.........................................................................................................................................................39
SERIE + HERHALINGEN...........................................................................................................................................39
SERIE RUST..........................................................................................................................................................39
WEEK 1..............................................................................................................................................................39
MAANDAG..........................................................................................................................................................39
WU1+KT1+CD1................................................................................................................................................ 39
3X10................................................................................................................................................................. 39
WOENSDAG........................................................................................................................................................ 39
WU2+ID1+CD1.................................................................................................................................................39
70% VAN HFMAX................................................................................................................................................ 39
5X5’.................................................................................................................................................................. 39
5’......................................................................................................................................................................39
DONDERDAG....................................................................................................................................................... 39
50% VAN HFMAX................................................................................................................................................ 39
2X10’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
VRIJDAG............................................................................................................................................................. 39
WU1+KT2+CD1................................................................................................................................................ 39
50% VAN 1RM...................................................................................................................................................39
4X10................................................................................................................................................................. 39
45”................................................................................................................................................................... 39
ZONDAG.............................................................................................................................................................39
WU2+ED2+CD1................................................................................................................................................39
50% VAN HFMAX................................................................................................................................................ 39
2X10’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
WEEK 2..............................................................................................................................................................39
MAANDAG..........................................................................................................................................................39
WU1+KT3+CD1................................................................................................................................................ 39
WOENSDAG........................................................................................................................................................ 39
WU3+ID2+CD1.................................................................................................................................................39
70% VAN HFMAX................................................................................................................................................ 39
6X5’.................................................................................................................................................................. 39
5’......................................................................................................................................................................39
DONDERDAG....................................................................................................................................................... 39
WU3+ED1+CD1................................................................................................................................................39
50% VAN HFMAX................................................................................................................................................ 39
2X12’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
VRIJDAG............................................................................................................................................................. 39
WU1+KT1+CD1................................................................................................................................................ 39
55% VAN 1RM...................................................................................................................................................39
3
, 4X12................................................................................................................................................................. 39
90”................................................................................................................................................................... 39
ZONDAG.............................................................................................................................................................39
WU2+ED2+CD1................................................................................................................................................39
50% VAN HFMAX................................................................................................................................................ 39
2X12’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
WEEK 3..............................................................................................................................................................39
MAANDAG..........................................................................................................................................................39
WU1+KT2+CD1................................................................................................................................................ 39
WOENSDAG........................................................................................................................................................ 39
WU2+ID1+CD1.................................................................................................................................................39
70% VAN HFMAX................................................................................................................................................ 39
3X10’................................................................................................................................................................ 39
7’......................................................................................................................................................................39
DONDERDAG....................................................................................................................................................... 39
WU3+ED1+CD1................................................................................................................................................39
50% VAN HFMAX................................................................................................................................................ 39
2X15’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
VRIJDAG............................................................................................................................................................. 39
WU1+KT3+CD1................................................................................................................................................ 39
60% VAN 1RM...................................................................................................................................................39
4X15................................................................................................................................................................. 39
90”................................................................................................................................................................... 39
ZONDAG.............................................................................................................................................................39
50% VAN HFMAX................................................................................................................................................ 39
2X15’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
WEEK 4..............................................................................................................................................................39
MAANDAG..........................................................................................................................................................39
WU1+KT3+CD1................................................................................................................................................ 39
WOENSDAG........................................................................................................................................................ 39
WU3+ID2+CD1.................................................................................................................................................39
75% VAN HFMAX................................................................................................................................................ 39
3X10’................................................................................................................................................................ 39
7’......................................................................................................................................................................39
DONDERDAG....................................................................................................................................................... 39
WU3+ED1+CD1................................................................................................................................................39
55% VAN HFMAX................................................................................................................................................ 39
2X15’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
VRIJDAG............................................................................................................................................................. 39
WU1+KT1+CD1................................................................................................................................................ 39
65% VAN 1RM...................................................................................................................................................39
5X12................................................................................................................................................................. 39
90”................................................................................................................................................................... 39
ZONDAG.............................................................................................................................................................39
WU2+ED2+CD1................................................................................................................................................39
55% VAN HFMAX................................................................................................................................................ 39
2X15’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
WEEK 5..............................................................................................................................................................39
MAANDAG..........................................................................................................................................................39
WU1+KT1+CD1................................................................................................................................................ 39
90”................................................................................................................................................................... 39
WOENSDAG........................................................................................................................................................ 39
WU2+ID1+CD1.................................................................................................................................................39
75% VAN HFMAX................................................................................................................................................ 39
4
FYSIOTHERAPIE BLOK 1.1
,Inhoudsopgave
INLEIDING...................................................................................................................................................... 7
1. VERWIJZING DOOR HUISARTS.................................................................................................................... 8
2. IN KAART BRENGEN VAN HET GEZONDHEIDSPROBLEEM/ANAMNESE.........................................................9
2.1 DE BELANGRIJKSTE GEZONDHEIDSRISICO’S..............................................................................................................9
2.2 DE STOORNISSEN..............................................................................................................................................9
2.3 DE MEDISCHE VOORGESCHIEDENIS.......................................................................................................................9
2.4 DE HULPVRAAG................................................................................................................................................9
2.5 DE VERWACHTINGEN.........................................................................................................................................9
2.6 DE INFORMATIEBEHOEFTE..................................................................................................................................9
2.7 DE SPORTGESCHIEDENIS.....................................................................................................................................9
2.8 DE GROND MOTORISCHE EIGENSCHAPPEN WELKE MOETEN WORDEN VERBETERD.........................................................10
2.9 DE ENERGIESYSTEMEN WELKE MOETEN WORDEN GETRAIND....................................................................................10
3. FUNCTIEONDERZOEK................................................................................................................................ 10
3.1 INSPECTIE EN PALPATIE....................................................................................................................................10
3.2 BEPALING LICHAAMSCOMPOSITIE: BMI, VETPERCENTAGE.......................................................................................10
3.3 METING BLOEDDRUK EN HARTFREQUENTIE..........................................................................................................11
3.4 METING LONGVOLUMINA.................................................................................................................................11
3.5 RESULTATEN INSPANNING-FYSIOLOGISCHE TESTS...................................................................................................11
3.6 RESULTATEN KRACHTTESTS...............................................................................................................................11
3.7 RESULTATEN INFORMATIE VOEDINGSTOESTAND....................................................................................................11
4. CONCLUSIE: VERHOUDING BELASTING/BELASTBAARHEID........................................................................12
5. BEHANDELPLAN EN BEHANDELING........................................................................................................... 12
5.1 BEHANDELDOEL OP DE KORTE TERMIJN...............................................................................................................12
5.2 BEHANDELDOEL OP DE LANGERE TERMIJN............................................................................................................13
5.3 TRAININGSSCHEMA.........................................................................................................................................13
5.4 (BIOMECHANISCH) COUNSELEN.........................................................................................................................13
5.5 VERWERKING ADVIES VOEDING EN DIËTETIEK........................................................................................................13
5.6 GEZONDHEIDSVOORLICHTING EN ADVIES GERELATEERD AAN INDIVIDUELE, CULTURELE EN LEEFTIJD GERELATEERDE
PERSPECTIEVEN.................................................................................................................................................... 14
6. EVALUATIE............................................................................................................................................... 14
6.1 GEREALISEERDE BEHANDELDOELEN.....................................................................................................................14
6.2 HERHALINGEN VAN METINGEN EN TESTS.............................................................................................................14
7. AFSLUITING.............................................................................................................................................. 15
7.1 INFORMATIE NAAR DE HUISARTS........................................................................................................................15
7.2 VERWACHT RESULTAAT BEHANDELPROGRAMMA...................................................................................................16
VERANTWOORDING VAN HET PREVENTIEPLAN............................................................................................ 16
8. RISICO’S BIJ INACTIVITEIT, BELANG VAN BEWEGEN TER PREVENTIE VAN LICHAMELIJKE KLACHTEN...........16
9. RISICO’S BIJ INVLOED VAN OUDERDOM OP SPIER/SKELET/HART- EN LONGFUNCTIE EN
ADEMHALINGSSYSTEEM.............................................................................................................................. 16
10. GEBRUIK VAN UITKOMST VAN DE TESTEN BIJ OPSTELLEN VAN HET TRAININGSPROGRAMMA.................17
11. VERANTWOORDING VAN DE KEUZES...................................................................................................... 21
11.1 INSPANNINGSTEST, KRACHTTEST, SPIROMETRIE TEST............................................................................................21
11.2 PRINCIPES VAN HET TRAININGSPROGRAMMA.....................................................................................................22
11.3 TRAININGSVARIABELEN.................................................................................................................................23
11.4 TRAININGSMETHODIEK/ORGANISATIEVORM UIT DE TRAININGSLEER........................................................................25
11.5 ENERGIESYSTEEM.........................................................................................................................................25
11.6 INSPANNINGS-FYSIOLOGISCHE EFFECTEN...........................................................................................................27
11.7 VERMOEIDHEID, EVENTUEEL SPIERPIJN.............................................................................................................28
2
, 11.8 OVERTRAINING EN DE CONSEQUENTIES HIERVAN OP JE TRAININGSSCHEMA..............................................................29
12. VERANTWOORDING VAN DE GEZONDHEIDSVOORLICHTING/ADVIES......................................................30
12.1 VERMOEIDHEID, STRESS, COPING....................................................................................................................30
12.2 MOTIVATIE, ASE-MODEL, TTM-MODEL..........................................................................................................31
12.3 VERWERKING ADVIES VOEDING EN DIËTETIEK....................................................................................................33
12.4 OVERTRAINING ..........................................................................................................................................34
BIJLAGEN..................................................................................................................................................... 35
BIJLAGE 1 ICF-MODEL...........................................................................................................................................35
BIJLAGE 2 DURNIN EN WOMERSLEY VETPERCENTAGE..................................................................................................36
BIJLAGE 3 ÅSTRAND & RHYMING NOMOGRAM..........................................................................................................37
BIJLAGE 4 HOLTEN DIAGRAM.................................................................................................................................38
.........................................................................................................................................................................38
BIJLAGE 5 TRAININGSSCHEMA.................................................................................................................................38
DAG + WEEK....................................................................................................................................................... 39
TRAINING............................................................................................................................................................39
INTENSITEIT.........................................................................................................................................................39
SERIE + HERHALINGEN...........................................................................................................................................39
SERIE RUST..........................................................................................................................................................39
WEEK 1..............................................................................................................................................................39
MAANDAG..........................................................................................................................................................39
WU1+KT1+CD1................................................................................................................................................ 39
3X10................................................................................................................................................................. 39
WOENSDAG........................................................................................................................................................ 39
WU2+ID1+CD1.................................................................................................................................................39
70% VAN HFMAX................................................................................................................................................ 39
5X5’.................................................................................................................................................................. 39
5’......................................................................................................................................................................39
DONDERDAG....................................................................................................................................................... 39
50% VAN HFMAX................................................................................................................................................ 39
2X10’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
VRIJDAG............................................................................................................................................................. 39
WU1+KT2+CD1................................................................................................................................................ 39
50% VAN 1RM...................................................................................................................................................39
4X10................................................................................................................................................................. 39
45”................................................................................................................................................................... 39
ZONDAG.............................................................................................................................................................39
WU2+ED2+CD1................................................................................................................................................39
50% VAN HFMAX................................................................................................................................................ 39
2X10’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
WEEK 2..............................................................................................................................................................39
MAANDAG..........................................................................................................................................................39
WU1+KT3+CD1................................................................................................................................................ 39
WOENSDAG........................................................................................................................................................ 39
WU3+ID2+CD1.................................................................................................................................................39
70% VAN HFMAX................................................................................................................................................ 39
6X5’.................................................................................................................................................................. 39
5’......................................................................................................................................................................39
DONDERDAG....................................................................................................................................................... 39
WU3+ED1+CD1................................................................................................................................................39
50% VAN HFMAX................................................................................................................................................ 39
2X12’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
VRIJDAG............................................................................................................................................................. 39
WU1+KT1+CD1................................................................................................................................................ 39
55% VAN 1RM...................................................................................................................................................39
3
, 4X12................................................................................................................................................................. 39
90”................................................................................................................................................................... 39
ZONDAG.............................................................................................................................................................39
WU2+ED2+CD1................................................................................................................................................39
50% VAN HFMAX................................................................................................................................................ 39
2X12’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
WEEK 3..............................................................................................................................................................39
MAANDAG..........................................................................................................................................................39
WU1+KT2+CD1................................................................................................................................................ 39
WOENSDAG........................................................................................................................................................ 39
WU2+ID1+CD1.................................................................................................................................................39
70% VAN HFMAX................................................................................................................................................ 39
3X10’................................................................................................................................................................ 39
7’......................................................................................................................................................................39
DONDERDAG....................................................................................................................................................... 39
WU3+ED1+CD1................................................................................................................................................39
50% VAN HFMAX................................................................................................................................................ 39
2X15’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
VRIJDAG............................................................................................................................................................. 39
WU1+KT3+CD1................................................................................................................................................ 39
60% VAN 1RM...................................................................................................................................................39
4X15................................................................................................................................................................. 39
90”................................................................................................................................................................... 39
ZONDAG.............................................................................................................................................................39
50% VAN HFMAX................................................................................................................................................ 39
2X15’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
WEEK 4..............................................................................................................................................................39
MAANDAG..........................................................................................................................................................39
WU1+KT3+CD1................................................................................................................................................ 39
WOENSDAG........................................................................................................................................................ 39
WU3+ID2+CD1.................................................................................................................................................39
75% VAN HFMAX................................................................................................................................................ 39
3X10’................................................................................................................................................................ 39
7’......................................................................................................................................................................39
DONDERDAG....................................................................................................................................................... 39
WU3+ED1+CD1................................................................................................................................................39
55% VAN HFMAX................................................................................................................................................ 39
2X15’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
VRIJDAG............................................................................................................................................................. 39
WU1+KT1+CD1................................................................................................................................................ 39
65% VAN 1RM...................................................................................................................................................39
5X12................................................................................................................................................................. 39
90”................................................................................................................................................................... 39
ZONDAG.............................................................................................................................................................39
WU2+ED2+CD1................................................................................................................................................39
55% VAN HFMAX................................................................................................................................................ 39
2X15’................................................................................................................................................................ 39
3’......................................................................................................................................................................39
WEEK 5..............................................................................................................................................................39
MAANDAG..........................................................................................................................................................39
WU1+KT1+CD1................................................................................................................................................ 39
90”................................................................................................................................................................... 39
WOENSDAG........................................................................................................................................................ 39
WU2+ID1+CD1.................................................................................................................................................39
75% VAN HFMAX................................................................................................................................................ 39
4
