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2010 | OriginalPaper | Hoofdstuk

18 Evidence-based fysiotherapie bij patiënten met een CVA

Auteur : Roland van Peppen

Gepubliceerd in: Jaarboek Fysiotherapie Kinesitherapie 2010

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

In westerse landen is CVA bij volwassenen de belangrijkste reden voor het ontstaan van een ernstige chronische beperking. Ongeveer 70 procent van de patiënten die in Nederland een CVA overleven, ondervindt onomkeerbare problemen in de activiteiten van hun dagelijks leven (ADL) en sociale participatie. Revalidatie is de belangrijkste behandeling, waarin fysiotherapie wordt beschouwd als een van de kerndisciplines. Tot voor kort werden patiënten na een CVA ‘methodegericht’ (Bobath/NDT, Brunnstrom, enz.) gerevalideerd, veelal gericht op verbetering van functies en behandeling van stoornissen. Tegenwoordig is de visie dat patiënten na een CVA vooral baat hebben bij functionele, taak- en contextspecifieke oefentherapie. Die moet al snel na het CVA van start gaan en daarbij moet het liefst veel tijd worden besteed aan training. Voor het beoordelen van de functionele status van patiënten en het meten van de resultaten van een behandeling wordt de fysiotherapeut geadviseerd zeven meetinstrumenten te gebruiken. Dat komt de kwaliteit van de zorg en de communicatie met de betrokkenen ten goede. Aan het eind van dit hoofdstuk worden aanbevelingen gedaan om enkele nieuwere behandelmethoden in de KNGF-richtlijn op te nemen en wordt de vraag beantwoord of de normale motoriek wel bruikbaar is als referentiekader om het bewegen van mensen na een CVA te beschrijven en te beoordelen.
Literatuur
go back to reference Barclay-Goddard R, Stevenson T, Poluha W, Moffatt ME, Taback SP. Force platform feedback for standing balance training after stroke. Cochrane Database Syst. Rev 2004;CD004129. Barclay-Goddard R, Stevenson T, Poluha W, Moffatt ME, Taback SP. Force platform feedback for standing balance training after stroke. Cochrane Database Syst. Rev 2004;CD004129.
go back to reference Bernhardt J, Chan J, Nicola I, Collier JM. Little therapy, little physical activity: rehabilitation within the first 14 days of organized stroke unit care. J Rehabil Med 2007;39:43-8. Bernhardt J, Chan J, Nicola I, Collier JM. Little therapy, little physical activity: rehabilitation within the first 14 days of organized stroke unit care. J Rehabil Med 2007;39:43-8.
go back to reference Bode RK, Heinemann AW, Semik P, Mallinson T. Relative importance of rehabilitation therapy characteristics on functional outcomes for persons with stroke. Stroke 2004;35:2537-42. Bode RK, Heinemann AW, Semik P, Mallinson T. Relative importance of rehabilitation therapy characteristics on functional outcomes for persons with stroke. Stroke 2004;35:2537-42.
go back to reference Bots ML, Looman SJ, Koudstaal PJ, Hofman A, Hoes AW, Grobbee DE. Prevalence of stroke in the general population. The Rotterdam Study. Stroke 1996;27:1499-1501. Bots ML, Looman SJ, Koudstaal PJ, Hofman A, Hoes AW, Grobbee DE. Prevalence of stroke in the general population. The Rotterdam Study. Stroke 1996;27:1499-1501.
go back to reference Buurke JH. Walking after stroke, co-ordination patterns and functional recovery. Universiteit Twente Enschede, 2005. Buurke JH. Walking after stroke, co-ordination patterns and functional recovery. Universiteit Twente Enschede, 2005.
go back to reference Carr JH, Mungovan SF, Shepherd RB, Dean CM, Nordholm LA. Physiotherapy in stroke rehabilitation: a basis for Australian physiotherapists’ choice of treatment. Physiotherapy Theory and Practice 1994;10:201-9. Carr JH, Mungovan SF, Shepherd RB, Dean CM, Nordholm LA. Physiotherapy in stroke rehabilitation: a basis for Australian physiotherapists’ choice of treatment. Physiotherapy Theory and Practice 1994;10:201-9.
go back to reference Commissie CVA-Revalidatie. Revalidatie na een beroerte: richtlijnen en aanbevelingen voor zorgverleners. (Redactie: Franke EAM.) Den Haag: Nederlandse Hartstichting, 2001. Commissie CVA-Revalidatie. Revalidatie na een beroerte: richtlijnen en aanbevelingen voor zorgverleners. (Redactie: Franke EAM.) Den Haag: Nederlandse Hartstichting, 2001.
go back to reference Craik RL. Thirty-Sixth Mary McMillan Lecture: Never satisfied. Phys Ther 2005;85:1224-37. Craik RL. Thirty-Sixth Mary McMillan Lecture: Never satisfied. Phys Ther 2005;85:1224-37.
go back to reference Davidoff F. In the teeth of the evidence: the curious case of evidence based medicine. Mt Sinai J Med 1999;66:75-83. Davidoff F. In the teeth of the evidence: the curious case of evidence based medicine. Mt Sinai J Med 1999;66:75-83.
go back to reference Davidson I, Waters K. Physiotherapists working with stroke patients: a national survey. Physiotherapy 2000;86:69-80. Davidson I, Waters K. Physiotherapists working with stroke patients: a national survey. Physiotherapy 2000;86:69-80.
go back to reference Dawes M, Summerskill W, Glasziou P, Cartabellotta A, Martin J, Hopayian K, Porzsolt F, Burls A, Osborne J. Sicily statement on evidence-based practice. BMC Med Educ 2005;5:1-7. Dawes M, Summerskill W, Glasziou P, Cartabellotta A, Martin J, Hopayian K, Porzsolt F, Burls A, Osborne J. Sicily statement on evidence-based practice. BMC Med Educ 2005;5:1-7.
go back to reference Exel J van, Koopmanschap MA, Wijngaarden JD van, Scholte op Reimer WJ. Costs of stroke and stroke services: Determinants of patient costs and a comparison of costs of regular care and care organised in stroke services. Cost Eff Resour Alloc 2003;1:2-13. Exel J van, Koopmanschap MA, Wijngaarden JD van, Scholte op Reimer WJ. Costs of stroke and stroke services: Determinants of patient costs and a comparison of costs of regular care and care organised in stroke services. Cost Eff Resour Alloc 2003;1:2-13.
go back to reference Garland SJ, Willems DA, Ivanova TD, Miller KJ. Recovery of standing balance and functional mobility after stroke. Arch Phys Med Rehabil 2003;84:1753-9. Garland SJ, Willems DA, Ivanova TD, Miller KJ. Recovery of standing balance and functional mobility after stroke. Arch Phys Med Rehabil 2003;84:1753-9.
go back to reference Glasziou P, Irwig L, Mant D. Monitoring in chronic disease: a rational approach. BMJ 2005;330:644-8. Glasziou P, Irwig L, Mant D. Monitoring in chronic disease: a rational approach. BMJ 2005;330:644-8.
go back to reference Guyatt G. Evidence-Based Medicine. ACP J Club 1991;114. Guyatt G. Evidence-Based Medicine. ACP J Club 1991;114.
go back to reference Haart M de. Recovery of standing balance in patients with a supratentorial stroke. Radboud Universiteit Nijmegen, 2005. Haart M de. Recovery of standing balance in patients with a supratentorial stroke. Radboud Universiteit Nijmegen, 2005.
go back to reference Hafsteinsdottir TB, Algra A, Kappelle LJ, Grypdonck MH. Neurodevelopmental treatment after stroke: a comparative study. J Neurol Neurosurg Psychiatry 2005;76:788-92. Hafsteinsdottir TB, Algra A, Kappelle LJ, Grypdonck MH. Neurodevelopmental treatment after stroke: a comparative study. J Neurol Neurosurg Psychiatry 2005;76:788-92.
go back to reference Hammond R. Evaluation of physiotherapy by measuring outcome. Physiotherapy 2000;86:170-2. Hammond R. Evaluation of physiotherapy by measuring outcome. Physiotherapy 2000;86:170-2.
go back to reference Haynes RB. What kind of evidence is it that Evidence-Based Medicine advocates want health care providers and consumers to pay attention to? BMC Health Serv Res 2002;2:3-10. Haynes RB. What kind of evidence is it that Evidence-Based Medicine advocates want health care providers and consumers to pay attention to? BMC Health Serv Res 2002;2:3-10.
go back to reference Holm M. Our mandate for the new millennium: evidence based practice. Am J Occup Ther 2000;54:575-85. Holm M. Our mandate for the new millennium: evidence based practice. Am J Occup Ther 2000;54:575-85.
go back to reference Kautz SA, Duncan PW, Perera S, Neptune RR, Studenski SA. Coordination of hemiparetic locomotion after stroke rehabilitation. Neurorehabil Neural Repair 2005;19:250-8. Kautz SA, Duncan PW, Perera S, Neptune RR, Studenski SA. Coordination of hemiparetic locomotion after stroke rehabilitation. Neurorehabil Neural Repair 2005;19:250-8.
go back to reference Koek HL, Grobbee DE, Bots ML. [Trends in cardiovascular morbidity and mortality in the Netherlands, 1980-2000]. Ned Tijdschr Geneeskd 2004;148:27-32. Koek HL, Grobbee DE, Bots ML. [Trends in cardiovascular morbidity and mortality in the Netherlands, 1980-2000]. Ned Tijdschr Geneeskd 2004;148:27-32.
go back to reference Koek HL Dis SJ van, Peters RJG, Bots ML. Hart-en vaatziekten in Nederland. In: Hart- en vaatziekten in Nederland 2005, cijfers over risicofactoren, ziekte, behandeling en sterfte, pp. 6-12. Den Haag: Nederlandse Hartstichting, 2005. Koek HL Dis SJ van, Peters RJG, Bots ML. Hart-en vaatziekten in Nederland. In: Hart- en vaatziekten in Nederland 2005, cijfers over risicofactoren, ziekte, behandeling en sterfte, pp. 6-12. Den Haag: Nederlandse Hartstichting, 2005.
go back to reference Kollen B, Port I van de, Lindeman E, Twisk J, Kwakkel G. Predicting improvement in gait after stroke: a longitudinal prospective study. Stroke 2005;36:2676-80. Kollen B, Port I van de, Lindeman E, Twisk J, Kwakkel G. Predicting improvement in gait after stroke: a longitudinal prospective study. Stroke 2005;36:2676-80.
go back to reference Kwakkel G, Kollen B, Lindeman E. Understanding the pattern of functional recovery after stroke: facts and theories. Restor Neurol Neurosci 2004a;22:281-99. Kwakkel G, Kollen B, Lindeman E. Understanding the pattern of functional recovery after stroke: facts and theories. Restor Neurol Neurosci 2004a;22:281-99.
go back to reference Kwakkel G, Peppen R van, Wagenaar RC, Wood DS, Richards C, Ashburn A, Miller K, Lincoln N, Partridge C, Wellwood I, Langhorne P. Effects of augmented exercise therapy time after stroke: a meta-analysis. Stroke 2004b;35:2529-39. Kwakkel G, Peppen R van, Wagenaar RC, Wood DS, Richards C, Ashburn A, Miller K, Lincoln N, Partridge C, Wellwood I, Langhorne P. Effects of augmented exercise therapy time after stroke: a meta-analysis. Stroke 2004b;35:2529-39.
go back to reference Langhorne P, Legg L, Pollock A, Sellars C. Evidence-based stroke rehabilitation. Age Ageing 2002;31(Suppl 3):17-20. Langhorne P, Legg L, Pollock A, Sellars C. Evidence-based stroke rehabilitation. Age Ageing 2002;31(Suppl 3):17-20.
go back to reference Latash ML, Anson JG. What are ‘normal movements’ in atypical populations? Behavioral and Brain Science 1996;19:55-106. Latash ML, Anson JG. What are ‘normal movements’ in atypical populations? Behavioral and Brain Science 1996;19:55-106.
go back to reference Lennon S, Ashburn A. The Bobath concept in stroke rehabilitation: a focus group study of the experienced physiotherapists’ perspective. Disabil Rehabil 2000;22:665-74. Lennon S, Ashburn A. The Bobath concept in stroke rehabilitation: a focus group study of the experienced physiotherapists’ perspective. Disabil Rehabil 2000;22:665-74.
go back to reference Lennon S, Baxter D, Ashburn A. Physiotherapy based on the Bobath concept in stroke rehabilitation: a survey within the UK. Disabil Rehabil 2001;23:254-262. Lennon S, Baxter D, Ashburn A. Physiotherapy based on the Bobath concept in stroke rehabilitation: a survey within the UK. Disabil Rehabil 2001;23:254-262.
go back to reference Lennon S, Ashburn A, Baxter D. Gait outcome following outpatient physiotherapy based on the Bobath concept in people post stroke. Disabil Rehabil 2006;28:873-81. Lennon S, Ashburn A, Baxter D. Gait outcome following outpatient physiotherapy based on the Bobath concept in people post stroke. Disabil Rehabil 2006;28:873-81.
go back to reference McDonnell MN, Hillier SL, Miles TS, Thompson PD, Ridding MC. Influence of combined afferent stimulation and task-specific training following stroke: a pilot randomized controlled trial. Neurorehabil Neural Repair 2007;21:435-43. McDonnell MN, Hillier SL, Miles TS, Thompson PD, Ridding MC. Influence of combined afferent stimulation and task-specific training following stroke: a pilot randomized controlled trial. Neurorehabil Neural Repair 2007;21:435-43.
go back to reference McGinn TG, Guyatt GH, Wyer PC, Naylor CD, Stiell IG, Richardson WS. Users’ guides to the medical literature XXII: how to use articles about clinical decision rules. Evidence-Based Medicine Working Group. JAMA 2000;284:79-84. McGinn TG, Guyatt GH, Wyer PC, Naylor CD, Stiell IG, Richardson WS. Users’ guides to the medical literature XXII: how to use articles about clinical decision rules. Evidence-Based Medicine Working Group. JAMA 2000;284:79-84.
go back to reference Nilsson LM, Nordholm LA. Physical therapy in stroke rehabilitation: basis for Swedish physiotherapists’ choice of treatment. Physiotherapy Theory and Practice 1992;8:49-55. Nilsson LM, Nordholm LA. Physical therapy in stroke rehabilitation: basis for Swedish physiotherapists’ choice of treatment. Physiotherapy Theory and Practice 1992;8:49-55.
go back to reference Parker-Taillon D. CPA initiatives put the spotlight on evidence-based practice in physiotherapy. Physiother Can 2002;24:12-15. Parker-Taillon D. CPA initiatives put the spotlight on evidence-based practice in physiotherapy. Physiother Can 2002;24:12-15.
go back to reference Patel M, Potter J, Perez I, Kalra L. The process of rehabilitation and discharge planning in stroke: a controlled comparison between stroke units. Stroke 1998;29:2484-7. Patel M, Potter J, Perez I, Kalra L. The process of rehabilitation and discharge planning in stroke: a controlled comparison between stroke units. Stroke 1998;29:2484-7.
go back to reference Peppen RPS van. International collaboration in physiotherapy management of people with stroke. Physiother Res Int 2008a;13:3-8. Peppen RPS van. International collaboration in physiotherapy management of people with stroke. Physiother Res Int 2008a;13:3-8.
go back to reference Peppen RPS van. Towards evidence-based physiotherapy for patients with stroke, pp. 1-236. Utrecht University & Hogeschool Utrecht, 2008b. Peppen RPS van. Towards evidence-based physiotherapy for patients with stroke, pp. 1-236. Utrecht University & Hogeschool Utrecht, 2008b.
go back to reference Peppen RPS van, Kwakkel G, Harmeling BC, Kollen BJ, Hobbelen JSM, Buurke JH, Halfens JHC, Wagenborg L, Vogel MJ, Berns M, Klaveren R van, Hendriks HJM, Dekker J. KNGF-richtlijn Beroerte. Ned Tijdschr Fysioth 2004a;114:1-78. Peppen RPS van, Kwakkel G, Harmeling BC, Kollen BJ, Hobbelen JSM, Buurke JH, Halfens JHC, Wagenborg L, Vogel MJ, Berns M, Klaveren R van, Hendriks HJM, Dekker J. KNGF-richtlijn Beroerte. Ned Tijdschr Fysioth 2004a;114:1-78.
go back to reference Peppen RPS van, Kwakkel G, Wood-Dauphinee S, Hendriks HJ, Wees PJ van der, Dekker J. The impact of physical therapy on functional outcomes after stroke: what’s the evidence? Clin Rehabil 2004b;18:833-62. Peppen RPS van, Kwakkel G, Wood-Dauphinee S, Hendriks HJ, Wees PJ van der, Dekker J. The impact of physical therapy on functional outcomes after stroke: what’s the evidence? Clin Rehabil 2004b;18:833-62.
go back to reference Peppen RPS van, Kortsmit M, Lindeman E, Kwakkel G. Effects of visual feedback therapy on postural control in bilateral standing after stroke: a systematic review. J Rehabil Med 2006;38:3-9. Peppen RPS van, Kortsmit M, Lindeman E, Kwakkel G. Effects of visual feedback therapy on postural control in bilateral standing after stroke: a systematic review. J Rehabil Med 2006;38:3-9.
go back to reference Peppen RPS van, Hendriks HJM, Meeteren NLU van, Helders PJM, Kwakkel G. The development of a clinical practice stroke guideline for physiotherapists in The Netherlands: A systematic review of available evidence. Disabil Rehabil 2007;29:767-83. Peppen RPS van, Hendriks HJM, Meeteren NLU van, Helders PJM, Kwakkel G. The development of a clinical practice stroke guideline for physiotherapists in The Netherlands: A systematic review of available evidence. Disabil Rehabil 2007;29:767-83.
go back to reference Peppen RPS van, Maissan JF, Genderen FR van, Dolder R van, Meeteren NLU van. Outcome measures in physiotherapy management of patients with stroke: a survey into self-reported use, and barriers to and facilitators for use. Physiother Res Int 2008;13:255-70. Peppen RPS van, Maissan JF, Genderen FR van, Dolder R van, Meeteren NLU van. Outcome measures in physiotherapy management of patients with stroke: a survey into self-reported use, and barriers to and facilitators for use. Physiother Res Int 2008;13:255-70.
go back to reference Pollock A, Baer G, Langhorne P, Pomeroy V. Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke: a systematic review. Clin Rehabil 2007;21:395-410. Pollock A, Baer G, Langhorne P, Pomeroy V. Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke: a systematic review. Clin Rehabil 2007;21:395-410.
go back to reference Sackley CM. Falls, sway, and symmetry of weight-bearing after stroke. Int Disabil Stud 1991;13:1-4. Sackley CM. Falls, sway, and symmetry of weight-bearing after stroke. Int Disabil Stud 1991;13:1-4.
go back to reference Wit L de, Putman K, Schuback B, Komarek A, Angst F, Baert I, Berman P, Bogaerts K, Brinkmann N, Connell L, Dejaeger E, Feys H, Jenni W, Kaske C, Lesaffre E, Leys M, Lincoln N, Louckx F, Schupp W, Smith B, Weerdt W de. Motor and functional recovery after stroke: a comparison of 4 European rehabilitation centers. Stroke 2007;38:2101-7. Wit L de, Putman K, Schuback B, Komarek A, Angst F, Baert I, Berman P, Bogaerts K, Brinkmann N, Connell L, Dejaeger E, Feys H, Jenni W, Kaske C, Lesaffre E, Leys M, Lincoln N, Louckx F, Schupp W, Smith B, Weerdt W de. Motor and functional recovery after stroke: a comparison of 4 European rehabilitation centers. Stroke 2007;38:2101-7.
go back to reference WHO. Recommendations on stroke prevention, diagnosis, and therapy. Report of the WHO Task Force on Stroke and other Cerebrovascular Disorders. Stroke 1989;20:1407-31. WHO. Recommendations on stroke prevention, diagnosis, and therapy. Report of the WHO Task Force on Stroke and other Cerebrovascular Disorders. Stroke 1989;20:1407-31.
Metagegevens
Titel
18 Evidence-based fysiotherapie bij patiënten met een CVA
Auteur
Roland van Peppen
Copyright
2010
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-313-9327-5_18