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Tijdschrift voor Gerontologie en Geriatrie

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01-12-2009 | Artikel

Pijn en bewegen in relatie tot cognitie en gedrag bij dementie

Auteurs: E. Scherder, L. Eggermont, W. Achterberg, B. Plooij, K. Volkers, R. Weijenberg, A. Hooghiemstra, A. E. Prick, M. Pieper, C. Blankevoort, S. Zwakhalen, M. J. G. van Heuvelen, J. Hamers, F. Lobbezoo, D. Swaab, A. M. Pot

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 6/2009

Samenvatting

Ouderen met een dementie kunnen geconfronteerd worden met een afname in lichamelijke activiteit. Er bestaat een positieve relatie tussen lichamelijke activiteit en cognitie. Ofschoon de causaliteit van deze relatie bij ouderen met een gevorderde dementie nog moet worden aangetoond, komt uit vooral dierexperimenteel onderzoek naar voren welke schadelijke effecten niet bewegen zou kunnen hebben op het gedrag van ouderen met een dementie. Patiënten met een dementie die vanwege agitatie en onrust geïmmobiliseerd worden, kunnen een toename in agitatie en onrust gaan vertonen. Een andere oorzaak van verminderd of niet bewegen kan pijn zijn. Pijn kan zelfs toenemen bij dementie door neuropathologische veranderingen in het centraal zenuwstelsel.

Er is toenemende (inter)nationale belangstelling voor de ontwikkeling van een meer betrouwbare diagnostiek en behandeling van pijn, voor de causaliteit van de relatie tussen pijn en lichamelijke (in)activiteit en voor de causaliteit van de relatie tussen lichamelijke (in)activiteit en cognitie. In dit artikel zullen de verschillende onderwerpen in deze volgorde besproken worden.

vorige artikel Recidiverend vallen, osteoporose en sarcopenie, drie belangrijke problemen, een geïntegreerde benadering.

volgende artikel Diagnose ‘Alzheimer’ ontoereikend voor ontzegging rijbewijs

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Titel: Pijn en bewegen in relatie tot cognitie en gedrag bij dementie
Auteurs: E. Scherder
L. Eggermont
W. Achterberg
B. Plooij
K. Volkers
R. Weijenberg
A. Hooghiemstra
A. E. Prick
M. Pieper
C. Blankevoort
S. Zwakhalen
M. J. G. van Heuvelen
J. Hamers
F. Lobbezoo
D. Swaab
A. M. Pot
Publicatiedatum: 01-12-2009
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie / Uitgave 6/2009
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI: https://doi.org/10.1007/BF03088521

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