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2017 | OriginalPaper | Hoofdstuk

14. Artrose van de heup; etiologie, diagnostiek en behandeling

Auteur : Dr. W. van der Weegen

Gepubliceerd in: Geriatrie in de fysiotherapie en kinesitherapie

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Artrose is een progressief pathologisch proces waarbij de hoeveelheid en kwaliteit van het gewrichtskraakbeen afnemen. Artrose komt vooral in het heup- en kniegewricht voor. Klinisch kenmerkt artrose zich door pijn, gewrichtsstijfheid en functio laesa, de diagnose wordt door middel van een anamnese en röntgenfoto’s gesteld. De behandeling is conservatief (adviezen voor het veranderen leefstijl gericht op de balans tussen belasting en belastbaarheid, fysiotherapie en pijnstilling) en in ernstigere gevallen operatief. De fysiotherapeutische behandeling is gericht op het minimaliseren van fysieke beperkingen en verbeteren van de gezondheidsgerelateerde kwaliteit van leven. Doelstellingen zijn educatie van de patiënt over het managen van het ziekteproces, onderhouden van gewrichts- en spierfunctie en van het uithoudingsvermogen. Bij ernstige artrose is een gewrichtsvervangende prothese een effectieve interventie. Bij de revalidatie hiervan speelt fysiotherapie een belangrijke rol in het verminderen van postoperatieve pijn en zwelling, het verbeteren van spierkracht en beweeglijkheid en in het opheffen van functionele beperkingen.
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Metagegevens
Titel
Artrose van de heup; etiologie, diagnostiek en behandeling
Auteur
Dr. W. van der Weegen
Copyright
2017
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-1350-1_14