Stimulus

, Volume 9, Issue 1, pp 29–35 | Cite as

Een prospectief onderzoek naar inhiberend gips als aanvulling op fysiotherapie voor kinderen met cerebrale parese

  • Joe Watt
Article
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Samenvatting

Gipsverbanden worden bij de conservatieve behandeling van cerebrale parese al een aantal jaren toegepast (Groen en Dommisse 1964). Onderbeen-, bovenarm- en heupabducerend gips werd aangebracht om abnormale patronen van motorische activiteit te inhiberen en meer normale spierfunctiepatronen te faciliteren. Dit komt overeen met de benadering op basis van de neurologische ontwikkeling (ndt) van cerebrale parese (Bobath en Bobath 1964). Meer recentelijk bepleitten Sussman en Cusick (1978) het gebruik van onderbeen-‘inhibitiegips’ ofwel ‘tonusverminderend gips’ zoals rigide enkel-voetorthesen om de voet en enkel in optimale stand te houden voor het faciliteren van de functie en het verminderen van hypertonus. Zij stelden dat alleen ingipsen geen therapie is, maar wel een nuttige aanvulling kan zijn op een goed onderbouwd ndt-programma (Sussman 1983). ndt-therapeuten hebben gunstige subjectieve ervaringen van ingipsen gemeld (Cusick 1978, Cusick en Sussman 1982), maar helaas is er weinig objectieve documentatie over de effecten van ingipsen op de functionele vaardigheden (Sussman en Cusick 1979, Yates en Mott 1980).

cerebrale parese enkel gips inhiberen kinderen onderbeen kind spiertonus 
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Copyright information

© Bohn Stafleu van Loghum 1990

Authors and Affiliations

  • Joe Watt
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