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 NL
REHAB/THETA/PHYSIO
.. Drangincontinentie
Omdat dit type incontinentie samenhangt met overactiviteit van de detrusor (gladde spier van de blaas) is
het doel van de behandeling om de activiteit van deze spier te verminderen.
De detrusor wordt aangestuurd door het parasympatische zenuwstelsel, dat er voor zorgt dat de spier
actiever wordt, en door het orthosympatische systeem, dat ervoor zorgt dat activiteit afneemt.
Er zijn verschillende mechanismen die ervoor kunnen zorgen dat de detrusor minder actief is. Zo kan onder



Remmende orthosympathische neuronen worden geactiveerd.
Parasympathische motorische neuronen worden centraal geremd.

- Een frequentie van Hz via de orthosympatische route
- Een frequentie van tot  Hz via de centrale route
... Protocol
Drangincontinentie:
Week .
... Behandelingsfrequentie
Drie sessies per week.
... Plaatsing van de elektroden
Gebruik van een intravaginale sonde.
... Positie van de patiënt

een hoek van ° waarbij de voeten plat op de bank staan.


261


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