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2022 | OriginalPaper | Hoofdstuk

8. Heup

Auteur : Dr. W. van der Weegen

Gepubliceerd in: Geriatrie in de fysiotherapie en kinesitherapie - praktijk

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Artrose is een langzaam, wisselend progressief pathologisch proces waarbij de hoeveelheid en kwaliteit van het gewrichtskraakbeen afneemt. Klinisch kenmerkt artrose zich door pijn, gewrichtsstijfheid en functio laesa, de medische diagnose wordt middels anamnese en röntgenfoto’s gesteld. De behandeling is conservatief (adviezen voor veranderen van de leefstijl, gericht op de balans tussen belasting en belastbaarheid, fysiotherapie/kinesitherapie en pijnstilling) en in ernstigere gevallen operatief. Fysiotherapeutische/kinesitherapeutische 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, het onderhouden van de gewrichts- en spierfunctie en van het uithoudingsvermogen. Bij ernstige artrose is een gewrichtsvervangende prothese een effectieve interventie. Bij de revalidatie hiervan speelt fysiotherapie/kinesitherapie eveneens een rol. Naast het verminderen van postoperatieve pijn en zwelling, het verbeteren van spierkracht en beweeglijkheid en het opheffen van functionele beperkingen, is coaching van de patiënt een belangrijk aspect.
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Metagegevens
Titel
Heup
Auteur
Dr. W. van der Weegen
Copyright
2022
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2785-0_8