Revalidatie en preventie meer dan alleen spieren trainen. Lorenzo d Hont [ Master Sportfysiotherapeut]

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1 Revalidatie en preventie meer dan alleen spieren trainen Lorenzo d Hont [ Master Sportfysiotherapeut]

2 Patiënt X VKB-R 2014

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4 30 tot 40 maal grotere kans op een VKB recidief

5 Na 12 maanden ondervindt 28% een recividerend enkel trauma

6 Amateur voetballers rapporteerde meer recividerende blessures

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8 Neuroplasticiteit = structurele en functionele reorganisatie

9 Motorisch leren Pijn Blessures Sensorische prikkelingen Cognitieve processen

10 Veranderingen brein activatie: Somatosensoriek Motorische cortex (injury vs. non-injury) Spieractivatie

11 Still at the beginning to discover brain mechanisms after injuries

12 Intentie Motoriek Actie

13 Intentie Motoriek Actie

14 Intentie Actie Model 1. Beweeg - oplossing 2. Sturing 3. Beweeg - probleem Voeg een intentie toe

15 85-95% richt feedback naar lichaam of bewegingen van sporter

16 Interne focus vs. Externe focus Knie niet naar binnen Raak de kegel o o Verstoring automatische bewegingen Minder vloeiende bewegingen

17 Nauwkeurigheid schieten en koppen Effects of Internal and External Focus of Attention on the Performance Penalty Kick in The Beginner Soccer Player (Abdar 2013) Effects of Internal, External and Preference of Attentional Focus Feedback Instructions on Learning Soccer " Head Kick (Miçooğulları 2012)

18 Motorisch leren Attentional focus and motor learning: A review of 15 years. (Wulf 2013) Attentional focus affects movement efficiency. (Lohse et. al 2012). Verbeteren squat shift

19 Motorisch leren Attentional focus and motor learning: A review of 15 years. (Wulf 2013) Attentional focus affects movement efficiency. (Lohse et. al 2012) Minimaliseren knie valgus

20 Efficiëntere spieractivatie Attentional focusing instructions influence force production and muscular activity during isokinetic elbow flexions. (Marchant et. al 2009) Neuromuscular effects of shifting the focus of attention in a simple force production task. (Lohse & Sherwood 2011)

21 Verticaal en horizontaal springen Bij het springen je knie helemaal strekken Standing Long-Jump Performance is Enhanced when Using an External Focus of Attention (Porter 2010) Enhanced retention of drop vertical jump landing technique: A randomized controlled trial (Welling 2016) The effects of attentional focus on jump performance and knee joint kinematics in patients after ACL reconstruction (Gokeler et. al 2016) 1m 16cm

22 Verticaal en horizontaal springen Standing Long-Jump Performance is Enhanced when Using an External Focus of Attention (Porter 2010) Enhanced retention of drop vertical jump landing technique: A randomized controlled trial (Welling 2016) The effects of attentional focus on jump performance and knee joint kinematics in patients after ACL reconstruction (Gokeler et. al 2016) Spring zo ver mogelijk van de startlijn af 1m 64cm

23 Verticaal en horizontaal springen Standing Long-Jump Performance is Enhanced when Using an External Focus of Attention (Porter 2010) Enhanced retention of drop vertical jump landing technique: A randomized controlled trial (Welling 2016) The effects of attentional focus on jump performance and knee joint kinematics in patients after ACL reconstruction (Gokeler et. al 2016) Spring zo dicht mogelijk bij het gewicht 1m 66cm?

24 The effect of attentional focus strategy on physiological and motor performance during a sit-up exercise. (Neumann 2013) Hartslag frequentie

25 O2 verbruik On the optimal focus of attention for efficient running at high intensity. (Schücker et. al 2013) The effect of attentional focus on running economy. (Schücker et. al 2009)

26 Sprint prestatie Attentional focus effects on sprint start performance as a function of skill level (Ille et. al 2013) Altering focus of attention influences elite athletes sprinting performance (Poter 2013)

27 Sprint prestatie Attentional focus effects on sprint start performance as a function of skill level (Ille et. al 2013) Altering focus of attention influences elite athletes sprinting performance (Poter 2013)

28 Externe focus Betere verwerking informatie Meer taak-relevante signalen voor bewegingsuitvoering Betere prestaties Efficiëntere spier activatie met minder co-contractie Grotere variabiliteit in bewegingen

29 Brain knows nothing of muscle, but may learn about the mechanics of movement Hughlings 1899