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Actieve aanpak van chronische lage rugpijn: klinisch onderzoek en behandeling

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Jaarboek Fysiotherapie Kinesitherapie 2009

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Samenvatting

Bij de actieve aanpak van chronische lage rugpijn, wordt vaak slechts gedacht aan de behoefte aan diverse oefeningen. Om de behandeling echter zo specifiek mogelijk op de individuele problematiek van de patiënt en zijn dagelijkse activiteiten te kunnen oriënteren is allereerst een uitgebreid, gestandaardiseerd en betrouwbaar klinisch onderzoek noodzakelijk. De behandeling die volgt is vaak samengesteld uit verscheidene componenten, met het accent op de belangrijkste hinder voor de patiëent. De behandeling moet voldoende individueel gericht zijn, maar het is niet zinvol om al te complexe oefeningen aan te bieden wanneer dat niet nodig is. De belangrijkste boodschap aan de patiënt is dat hij zelf een grote verantwoordelijkheid draagt voor het welslagen van de therapie en het streven naar onafhankelijkheid. Daartoe is een goede communicatie tussen de patiënt en therapeut essentieel.

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Literatuur

  • Airaksinen O, Brox JI, Cedraschi C, et al. European guidelines of chronic nonspecific low back pain. European Spine Journal 2006;15(Suppl 2): S192–300.

    Google Scholar 

  • Bergmark A. Stability of the lumbar spine. A study in mechanical engineering. Acta Orthop Scand 1989;230(Suppl.):20–4.

    Google Scholar 

  • Comerford MJ, Mottram SL. Functional stability re-training: principles and strategies for managing mechanical dysfunction. Manual Therapy 2001;6(1):3-14.

    Article  CAS  PubMed  Google Scholar 

  • Danneels L, Vanthillo B. Oefentherapie bij rugaandoeningen. Antwerpen: Standaard Uitgeverij nv, 2005.

    Google Scholar 

  • Fanello S, Jousset N, Roquelaure Y, et al. Evaluation of a training program for the prevention of lower back pain among hospital employees. Nursing & Health Sciences 2002;4(1-2):51–4.

    Article  CAS  Google Scholar 

  • Goff B. The application of recent advances in neurophysiology to Miss R Rood’s concept of neuromuscular facilitation. Physiotherapy 1972;58(2):409–15.

    CAS  PubMed  Google Scholar 

  • Haswell K, Gilmour J, Moore B. Clinical decision rules for identification of low back pain patiënts with neurologic involvement in primary care. Spine 2008;33(1):68–73.

    Article  PubMed  Google Scholar 

  • Kankaanpää M, Taimela S, Airaksinen O, et al. The efficacy of active rehabilitation in chronic low back pain. Spine 1999;24(10):1034–42.

    Article  CAS  PubMed  Google Scholar 

  • Kendall FP, Kendall McCreary E. Spieren. Houten: Bohn Stafleu Van Loghum, 1986.

    Google Scholar 

  • Kole-Snijders AMJ, Sillen W, Willen A, et al. Screeningsvragenlijst voor acute rug-, neken schouderpijn. Geautoriseerde Nederlandse vertaling. In: Vlaeyen JWS, Heuts PHTG, redactie. Gedragsgeorieönteerde behandelingsstrategieeön bij rugpijn (pp. 132-4). Houten/Diegem: Bohn Stafleu Van Loghum, 2000.

    Google Scholar 

  • Linton SJ, Hallden K. Can we screen for problematic back pain? A screening questionnaire for predicting outcome in acute and subacute back pain. Clinical Journal of Pain 1998;14(3):209–15.

    Article  CAS  PubMed  Google Scholar 

  • Luomajoki H, Kool J, Bruin ED de, et al. Reliability of movement control tests in the lumbar spine. BMC Musculoskeletal Disorders 2007;12(8):90.

    Article  Google Scholar 

  • Maher CG, Latimer J, Adams R. An investigation of the reliability and validity of posteroanterior spinal stiffness judgments made using a reference-based protocol. Physical Therapy 1998;78(8):829–37.

    CAS  PubMed  Google Scholar 

  • Main CJ, Williams A. ABC of psychological medicine: Musculoskeletal pain. British Medical Journal 2002;325:534–7.

    Article  PubMed Central  PubMed  Google Scholar 

  • McGill S. Low back disorders. Evidence-based prevention and rehabilitation. Champaign, IL: Human Kinetic Publishers, 2002.

    Google Scholar 

  • Mohseni-Bandpei MA, Watson MJ, Richardson B. Application of surface electromyography in the assessment of low back pain: A literature review. Physical Therapy Reviews 2000;5(2):93–105.

    Article  Google Scholar 

  • Nachemson AL, Jonsson E. Neck and Back Pain: The Scientific Evidence of Causes, Diagnosis and Treatment. Philadelphia: Lippincott Williams & Wilkins, 2000.

    Google Scholar 

  • Nielens H, Van Zundert J, Mairiaux P, et al. KCE report 48A chronische lage rugpijn. 2e print 19/02/2007.

    Google Scholar 

  • O’Sullivan PB. Lumbar segmental ‘instability’: clinical presentation and specific stabilizing exercise management. Man Ther 2000;5(1):2–12.

    Article  PubMed  Google Scholar 

  • O’Sullivan PB, Twomey LT, Allison GT. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine 1997;22(24):2959–67.

    Article  PubMed  Google Scholar 

  • Picavet HS, Bos GA van den. The contribution of six chronic conditions to the total burden of mobility disability in the Dutch population. American Journal of Public Health 1997;87(10):1680–2.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Pullman SL, Goodin DS, Marquinez AI, Tabbal S, Rubin M. Clinical utility of surface EMG: Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2000;55(2):171–7.

    Article  CAS  PubMed  Google Scholar 

  • Qvistgaard E, Rasmussen J, Lætgaard J, et al. Intra-observer and inter-observer agreement of the manual examination of the lumbar spine in chronic low-back pain. European Spine Journal 2007;16(2):277–82.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rasmussen-Barr E, Nilsson-Wikmar L, Arvidsson I. Stabilizing training compared with manual treatment in sub-acute and chronic low-back pain. Manual Therapy 2003; 8(4):233–41.

    Article  CAS  PubMed  Google Scholar 

  • Richardson C, Hodges P, Hides J. Therapeutic exercise for lumbopelvic stabilization. 2nd ed. London: Churchill Livingstone, 2004.

    Google Scholar 

  • Roussel NA, Nijs J, Truijen S, et al. Low back pain: clinimetric properties of the Trendelenburg test, active straight leg raise test, and breathing pattern during active straight leg raising. Journal of Manipulative and Physiological Therapeutics 2007; 30(4):270–8.

    Article  PubMed  Google Scholar 

  • Seffinger MA, Najm WI, Mishra SI, et al. Reliability of spinal palpation for diagnosis of back and neck pain: a systematic review of the literature. Spine 2004;29(19):E413–25.

    Article  Google Scholar 

  • Stevens VK, Bouche KG, Mahieu NN, et al. Reliability of a functional clinical test battery evaluating postural control, proprioception and trunk muscle activity. American Journal of Physical Medicine and Rehabilitation 2006a;85(9):727–36.

    Article  PubMed  Google Scholar 

  • Stevens VK, Bouche KG, Mahieu NN, et al. Trunk muscle activation in healthy subjects during bridging stabilization exercises. BMC Musculoskeletal Disorders 2006b;7:75.

    Article  PubMed Central  PubMed  Google Scholar 

  • Stevens VK, Coorevits PL, Bouche KG, et al. The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Manual Therapy 2007a;12(3):271–9.

    Article  PubMed  Google Scholar 

  • Stevens VK, Vleeming A, Bouche KG, Mahieu NN, et al. Electromyographic activity of trunk and hip muscles during stabilization exercises in four-point kneeling in healthy volunteers. European Spine Journal 2007b;16(5):711–8.

    Article  PubMed Central  PubMed  Google Scholar 

  • Stevens V, Witvrouw E, Vanderstraeten G, et al. The relevance ofincreasing resistance on trunk muscle activity during seated axial rotation. Physical Therapy in Sport 2007c;8(1):7–13.

    Article  Google Scholar 

  • Stevens VK, Crombez G, Parlevliet TG, et al. The effectiveness of specific exercise therapy versus device exercise therapy in the treatment of chronic low back pain patiënts. Under revision in Journal of Rehabilitation Medicine, 2008a.

    Google Scholar 

  • Stevens VK, Parlevliet TG, Coorevits PL, et al. The effect of increasing resistance on trunk muscle activity during extension and flexion exercises on training devices. Journal of Electromyography and Kinesiology 2008b (in press).

    Google Scholar 

  • Strender LE, Sjoblom A, Sundell K, et al. Interexaminer reliability in physical examination of patiënts with low back pain. Spine 1997;22(7):814–20.

    Article  CAS  PubMed  Google Scholar 

  • Suni J, Rinne M, Natri A, et al. Control of the lumbar neutral zone decreases low back pain and improves self-evaluated work ability: a i2-month randomized controlled study. Spine 2006;31(18):E611–20.

    Article  Google Scholar 

  • Taimela S, Diederich C, Hubsch M, et al. The role of physical exercise and inactivity in pain recurrence and absenteism from work after active out pati#x00EB;nt rehabilitation for recurrent or chronic low back pain. Spine 2000;25(14):1809–16.

    Article  CAS  PubMed  Google Scholar 

  • Tulder M van, Becker A, Bekkering T, et al. European guidelines for the management of acute nonspecific low back pain in primary care. European Spine Journal 2006; 15(Suppl 2):S169–91.

    Article  PubMed Central  PubMed  Google Scholar 

  • Vlaeyen JW, Kole-Snijders AM, Boeren RG, et al. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain 1995;62(3): 363–72.

    Article  CAS  PubMed  Google Scholar 

  • Vroomen PCAJ, Krom MCTFM de, Wilmink JT, et al. Diagnostic value of history and physical examination in patiënts suspected of lumbosacral nerve root compression. Journal of Neurology, Neurosurgery, and Psychiatry 2002;72(5):630–4.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Waddell G. The back pain revolution. Edinburgh: Churchill Livingstone, 1998.

    Google Scholar 

  • Winters MV, Blake CG, Trost JS, et al. Passive versus active stretching of hip flexor muscles in subjects with limited hip extension: a randomized clinical trial. Physical Therapy 2004; 84(9):800–7.

    PubMed  Google Scholar 

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Authors
  1. Veerle Steuens
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Editor information

Editors and Affiliations

  1. Nederlands Huisartsen Genootschap, Utrecht, Medisch Centrum Geraets-Blokland-Vrouenraets, Landgraaf

    J.J.X.R. Geraets (epidemioloog, gezondheidswetenschapper, fysiotherapeut, Hogeschool Zuyd, Heerlen) (epidemioloog, gezondheidswetenschapper, fysiotherapeut, Hogeschool Zuyd, Heerlen)

  2. departement Revalidatiewetenschappen, Katholieke Universiteit Leuven, Heverlee

    A. Nieuwboer (hoogleraar) (hoogleraar)

  3. vakgroep Menselijke Fysiologie,Faculteit Lichamelijke Opvoeding en Kinesitherapie, Vrije Universiteit Brussel, Brussel

    J. Nijs (docent) (docent)

  4. vakgroep Musculoskeletale Kinesitherapie, departement Gezondheidszorg, Hogeschool Antwerpen, Antwerpen

    J. Nijs (docent) (docent)

  5. afdeling Paramedische zorg, Nederlands instituut voor onderzoek van de gezondheidszorg (Nivel), Utrecht

    C. Veenhof (programmaleider) (programmaleider)

  6. Universitair Centrum voor Sport, Beweging en Gezondheid, Universitair Medisch Centrum Groningen, Rijksuniversiteit Groningen, Groningen

    C.P. van Wilgen (onderzoekscoördinator, fysiotherapeut en gezondheidspsycholoog) (onderzoekscoördinator, fysiotherapeut en gezondheidspsycholoog)

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© 2009 Bohn Stafleu van Loghum

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Steuens, V. (2009). Actieve aanpak van chronische lage rugpijn: klinisch onderzoek en behandeling. In: Geraets, J., Nieuwboer, A., Nijs, J., Veenhof, C., van Wilgen, C. (eds) Jaarboek Fysiotherapie Kinesitherapie 2009. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-313-6912-6_15

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  • DOI: https://doi.org/10.1007/978-90-313-6912-6_15

  • Publisher Name: Bohn Stafleu van Loghum, Houten

  • Print ISBN: 978-90-313-6032-1

  • Online ISBN: 978-90-313-6912-6

  • eBook Packages: Dutch language eBook collection

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