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Samenvatting theorie wervelkolomklachten
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Samenvatting van alle stof over de wervelkolomklachten
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Samenvattingtheorie
BLOK 2.1: WERVELKOLOMKLACHTEN
Wouter de Roo
,Inhoudsopgave
Week 1 .................................................................................................................................................................... 3
MB:..................................................................................................................................................................... 3
FT: ...................................................................................................................................................................... 8
GC: ................................................................................................................................................................... 13
Week 2 .................................................................................................................................................................. 17
MB:................................................................................................................................................................... 17
FT: .................................................................................................................................................................... 22
GC: ................................................................................................................................................................... 27
Week 3 .................................................................................................................................................................. 32
MB:................................................................................................................................................................... 32
MB .................................................................................................................................................................... 32
FT: .................................................................................................................................................................... 38
GC: ................................................................................................................................................................... 46
Week 4 .................................................................................................................................................................. 49
MB:................................................................................................................................................................... 49
FT: .................................................................................................................................................................... 53
GC: ................................................................................................................................................................... 57
Week 5 .................................................................................................................................................................. 60
MB:................................................................................................................................................................... 60
FT: .................................................................................................................................................................... 62
Week 6 .................................................................................................................................................................. 72
MB:................................................................................................................................................................... 72
FT: .................................................................................................................................................................... 72
GC: ................................................................................................................................................................... 76
Opbouw vaststellen samen met patiënt............................................................................................................. 79
Week 8 .................................................................................................................................................................. 80
MB:................................................................................................................................................................... 80
FT: .................................................................................................................................................................... 83
1
, ............................................................................................... 83
GC: ................................................................................................................................................................... 84
................................................................................................................. 84
2
, Week 1
MB:
Wervelkolom:
- In skelotale systeem rij botten
- Spieren omheen→ voor beweging en stabiliseren
- Beschermd en begeleid zenuwstelsel
(centraal en perifeer)
- Afgedekt met huid
- Cervicaal, thoracaal, lumbaal, sacraal, Os
coccyges
- Thoracaal weinig bewegingsmogelijkheden
door ribben
Grootste gedeelte wervelkolomklachten is A-
specifiek (niet specifiek te vinden), longen en hart
kunnen ook invloed hebben
Vormen van een normale wervel
- Kromming in wervel is veel functioneler en
handiger voor ons als mens
- Begin geboorte: Kyfose
- Groeien: lumbale lordose en kyfose en lordose
Wervel concept
- Sterke corpus
- 2 afdekplaten met disc erbovenop
- Arcus zit ertussen
- In de cirkel zitten zenuw en arterie
- 2 uitsteeksels aan de zijkant en 1 aan de achterkant
Soorten wervels
Cervicaal:
- 7 wervels
- Geen processus spinosi en anders tikt het elkaar niet aan,
anders bot op bot
- Hoog cervicaal zit de helft van de mobiliteit van de hele
cwk (90 graden rotatie is 45 hoog CWK (99% C1-C2))
- Processus uncinatus: stabilisatie en beperken beweging
(materiaal niet te bewegelijk hebben)
- Dens atriculeert aan de voorkant (bestaat niet bij iedereen uit 1
- C1-C2 kan veel rotatie hebben (dubbels op elkaar)
- C1: atlas
- C2: draaier
Thorocaal
- Thoracaal relatief weinig bewegingsbeperking (vooral flexie)→ribben zitten aan
voorkant vast
Lumbaal
3
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