Performa
nce
Assessme
nt
Fysiotech
iek
Romy Leussink
,Inhoudsopgave
Thermotherapie.....................................................................................................................................4
Inleiding..............................................................................................................................................4
Aard van de prikkel.........................................................................................................................4
Behandelbare grootheid en bouwstenen.......................................................................................4
Fysiologische effecten.....................................................................................................................5
Voorbereiding behandeling................................................................................................................5
Contra-indicaties............................................................................................................................5
Inspectie.........................................................................................................................................5
Toepassing thermotherapie...............................................................................................................7
Applicatievormen...........................................................................................................................7
Behandeling........................................................................................................................................8
Hot-/coldpack.................................................................................................................................8
IJsmassage......................................................................................................................................8
Ultrageluid..............................................................................................................................................9
Inleiding..............................................................................................................................................9
Theorie...............................................................................................................................................9
Aard van de prikkel.........................................................................................................................9
De behandelbare grootheid en bouwsteen..................................................................................10
De biofysische werking op het menselijk lichaam........................................................................10
De fysiologische effecten..............................................................................................................11
Voorbereiding behandeling..............................................................................................................12
Contra indicaties...........................................................................................................................12
Inspectie.......................................................................................................................................12
Sensibiliteitstesten.......................................................................................................................12
Dosering........................................................................................................................................12
Behandeling......................................................................................................................................12
Instelling apparatuur....................................................................................................................13
Uitvoering.....................................................................................................................................13
Casuïstieken......................................................................................................................................13
Casus 1..........................................................................................................................................13
Casus 2..........................................................................................................................................13
Casus 3..........................................................................................................................................14
Casus 4..........................................................................................................................................14
1
, Casus 5..........................................................................................................................................14
Casus 6..........................................................................................................................................14
Transcutane Electrische Neuro-stimulatie (TENS)................................................................................15
Theorie.............................................................................................................................................15
Aard van de prikkel.......................................................................................................................17
Behandelbare grootheid en bouwsteen.......................................................................................17
Fysiologische effecten...................................................................................................................17
Dosering........................................................................................................................................17
Voorbereiding behandeling..............................................................................................................17
Milde of intensieve TENS-vorm? Spinaal en centraal pijnmodulerend systeem...........................17
Contra indicaties...........................................................................................................................18
Inspectie.......................................................................................................................................18
Toepassing TENS...............................................................................................................................19
Stroomvormen..............................................................................................................................19
Applicatievormen.........................................................................................................................20
Zenuwprikkelpunten.....................................................................................................................20
Behandeling......................................................................................................................................28
Instelling apparatuur....................................................................................................................28
Uitvoering.....................................................................................................................................28
Casuïstieken......................................................................................................................................28
Casus 1..........................................................................................................................................28
Casus 2..........................................................................................................................................28
Casus 3..........................................................................................................................................29
Casus 4..........................................................................................................................................29
Casus 5..........................................................................................................................................29
NeuroMusculaire ElektroStimulatie (NMES).........................................................................................30
Inleiding............................................................................................................................................30
Inleiding elektrotherapie..............................................................................................................30
Basiskennis NMES.........................................................................................................................30
Theorie.............................................................................................................................................32
Aard van de prikkel.......................................................................................................................32
Behandelbare grootheden en bouwstenen..................................................................................32
Fysiologische effecten...................................................................................................................33
Voorbereiding behandeling..............................................................................................................33
Applicatievormen.........................................................................................................................33
Contra-indicaties...........................................................................................................................34
2
, Inspectie.......................................................................................................................................34
Parameters...................................................................................................................................34
Behandeling......................................................................................................................................36
Instelling apparatuur....................................................................................................................36
Uitvoering.....................................................................................................................................36
Casuïstieken......................................................................................................................................36
Casus 1..........................................................................................................................................36
Casus 2..........................................................................................................................................36
Casus 3..........................................................................................................................................37
Casus 4..........................................................................................................................................37
Casus 5..........................................................................................................................................37
3
nce
Assessme
nt
Fysiotech
iek
Romy Leussink
,Inhoudsopgave
Thermotherapie.....................................................................................................................................4
Inleiding..............................................................................................................................................4
Aard van de prikkel.........................................................................................................................4
Behandelbare grootheid en bouwstenen.......................................................................................4
Fysiologische effecten.....................................................................................................................5
Voorbereiding behandeling................................................................................................................5
Contra-indicaties............................................................................................................................5
Inspectie.........................................................................................................................................5
Toepassing thermotherapie...............................................................................................................7
Applicatievormen...........................................................................................................................7
Behandeling........................................................................................................................................8
Hot-/coldpack.................................................................................................................................8
IJsmassage......................................................................................................................................8
Ultrageluid..............................................................................................................................................9
Inleiding..............................................................................................................................................9
Theorie...............................................................................................................................................9
Aard van de prikkel.........................................................................................................................9
De behandelbare grootheid en bouwsteen..................................................................................10
De biofysische werking op het menselijk lichaam........................................................................10
De fysiologische effecten..............................................................................................................11
Voorbereiding behandeling..............................................................................................................12
Contra indicaties...........................................................................................................................12
Inspectie.......................................................................................................................................12
Sensibiliteitstesten.......................................................................................................................12
Dosering........................................................................................................................................12
Behandeling......................................................................................................................................12
Instelling apparatuur....................................................................................................................13
Uitvoering.....................................................................................................................................13
Casuïstieken......................................................................................................................................13
Casus 1..........................................................................................................................................13
Casus 2..........................................................................................................................................13
Casus 3..........................................................................................................................................14
Casus 4..........................................................................................................................................14
1
, Casus 5..........................................................................................................................................14
Casus 6..........................................................................................................................................14
Transcutane Electrische Neuro-stimulatie (TENS)................................................................................15
Theorie.............................................................................................................................................15
Aard van de prikkel.......................................................................................................................17
Behandelbare grootheid en bouwsteen.......................................................................................17
Fysiologische effecten...................................................................................................................17
Dosering........................................................................................................................................17
Voorbereiding behandeling..............................................................................................................17
Milde of intensieve TENS-vorm? Spinaal en centraal pijnmodulerend systeem...........................17
Contra indicaties...........................................................................................................................18
Inspectie.......................................................................................................................................18
Toepassing TENS...............................................................................................................................19
Stroomvormen..............................................................................................................................19
Applicatievormen.........................................................................................................................20
Zenuwprikkelpunten.....................................................................................................................20
Behandeling......................................................................................................................................28
Instelling apparatuur....................................................................................................................28
Uitvoering.....................................................................................................................................28
Casuïstieken......................................................................................................................................28
Casus 1..........................................................................................................................................28
Casus 2..........................................................................................................................................28
Casus 3..........................................................................................................................................29
Casus 4..........................................................................................................................................29
Casus 5..........................................................................................................................................29
NeuroMusculaire ElektroStimulatie (NMES).........................................................................................30
Inleiding............................................................................................................................................30
Inleiding elektrotherapie..............................................................................................................30
Basiskennis NMES.........................................................................................................................30
Theorie.............................................................................................................................................32
Aard van de prikkel.......................................................................................................................32
Behandelbare grootheden en bouwstenen..................................................................................32
Fysiologische effecten...................................................................................................................33
Voorbereiding behandeling..............................................................................................................33
Applicatievormen.........................................................................................................................33
Contra-indicaties...........................................................................................................................34
2
, Inspectie.......................................................................................................................................34
Parameters...................................................................................................................................34
Behandeling......................................................................................................................................36
Instelling apparatuur....................................................................................................................36
Uitvoering.....................................................................................................................................36
Casuïstieken......................................................................................................................................36
Casus 1..........................................................................................................................................36
Casus 2..........................................................................................................................................36
Casus 3..........................................................................................................................................37
Casus 4..........................................................................................................................................37
Casus 5..........................................................................................................................................37
3
