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Graded exposure bij chronische lage rugklachten

  • I. P. J. Huijnen
  • R. J. E. M. Smeets

Samenvatting

Lage rugklachten zijn een groot gezondheidsprobleem in de westerse samenleving waarbij vaak geen specifieke oorzaak kan worden achterhaald. Dit leidt tot enorme maatschappelijke kosten. Graded exposure is een effectieve behandeling voor patiënten met deze ‘aspecifieke’ rugklachten. Aangezien er bij veel patiënten misvattingen over rugklachten bestaan – bijvoorbeeld dat een hernia altijd moet worden geopereerd, dat op röntgenfoto’s, CT-scans en MRI’s altijd de oorzaak van de pijn zichtbaar wordt en dat pijn altijd betekent dat er sprake is van letsel of schade – is het belangrijk hier uitleg over te geven gedurende het behandeltraject. Deze misvattingen kunnen namelijk het effect van een graded-exposurebehandeling negatief beïnvloeden. Ten slotte is het van belang uitkomstmaten te gebruiken voor behandeltrajecten. Voor rugklachten zijn enkele specifieke meetinstrumenten beschikbaar waarmee het effect van een behandeltraject inzichtelijk kan worden gemaakt.

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Copyright information

© Bohn Stafleu van Loghum 2017

Authors and Affiliations

  • I. P. J. Huijnen
    • 1
  • R. J. E. M. Smeets
    • 2
  1. 1.Adelante ZorggroepHoensbroekThe Netherlands
  2. 2.Libra Revalidatie en AudiologieUniversiteit MaastrichtMaastrichtThe Netherlands

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