SlideShare a Scribd company logo
1 of 34
Jan Willem Kramer
Podoposturaal therapeut, fysiotherapeut, MSU echografist
Het effect van
podoposturale
therapiezolen op
chronische lagerugpijn.
Een observationeel cohortonderzoek
Waarom dit onderzoek?
• Veel voorkomend probleem
• Het effect van de therapie aantonen
Inleiding
Het
onderzoek
• 53 deelnemers
• 0 meting
intake, lichamelijk onderzoek, vragenlijsten
• Evaluatie momenten
2, 5, 9 en 18 maanden na de 0 meting
Resultaten
Meting
Lage rugpijn
0 1 2 3 4
0
1
2
3
4
5
6
Pijn
-1,45 -2,35 -2,78 -3,17
Meting
Uitstralende pijn naar hoge en lage kant
0 1 2 3 4
0
1
2
3
4
5
6
Pijn
Lage kant Hoge kant
Meting
Oswerty low back pain disability
0 1 2 3 4
0
5
10
15
20
25
30
Oswertyscore
-5,49 -8,39 -10,08 -12,49
Meting
Oswerty score uitstraling naar hoge en lage
kant
0 1 2 3 4
0
5
10
15
20
25
30
Oswertyscore
Lage kant Hoge kant
Meting
Lage rugpijn
0
1
2
3
4
5
6
Pijn
0 1 2 3 4
-1,45 -2,35 -2,78 -3,17
0
5
10
15
20
25
30
0 1 2 3 4
-5,49 -8,39 -10,08 -12,49
Oswerty low back pain
0 1 2 3 4
Meting
Uitstralende pijn
0
1
2
3
4
5
6
Pijn
Lage kant Hoge kant
0
5
10
15
20
25
30
Oswerty
0 1 2 3 4
Periode
De totale kosten per maand per fase (per patient)
0
100
200
300
400
500
600
Kosten
- Patient costs
- Healthcare costs
- Primary care
- Secondary care
- Prescription medication
- Costs of lost productivity
- Societal costs
T0 - T1 T1 - T2 T2 - T3 T3 - T4
Breakdown
Conclusie
• Er is een significante afname in zowel pijn als beperking
• Verschil in beloop bij de verschillende subgroepen
• Afname van de gemiddelde kosten
Discussie
• Er is sprake van een beperkt aantal deelnemers
• Er is geen controlegroep
Dankwoord
• VU Vrije Universiteit van Amsterdam
• Angelique van Kippersluis
• Annet Zevenbergen
• Saskia Wijlhuizen
• Dr. Judith Bosmans
• Noordwest ziekenhuis
• Dr. Adri Apeldoorn epidemioloog
• Stichting LOOP
• Omni Podo Genootschap
• Podocentrum Alkmaar
Meer informatie op www.podoalkmaar.nl/publicaties
Volledige artikelen op de website van stichting Loop.
Vragen?

More Related Content

Featured

Social Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie InsightsSocial Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie Insights
Kurio // The Social Media Age(ncy)
 
Good Stuff Happens in 1:1 Meetings: Why you need them and how to do them well
Good Stuff Happens in 1:1 Meetings: Why you need them and how to do them wellGood Stuff Happens in 1:1 Meetings: Why you need them and how to do them well
Good Stuff Happens in 1:1 Meetings: Why you need them and how to do them well
Saba Software
 
Introduction to C Programming Language
Introduction to C Programming LanguageIntroduction to C Programming Language
Introduction to C Programming Language
Simplilearn
 

Featured (20)

How to Prepare For a Successful Job Search for 2024
How to Prepare For a Successful Job Search for 2024How to Prepare For a Successful Job Search for 2024
How to Prepare For a Successful Job Search for 2024
 
Social Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie InsightsSocial Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie Insights
 
Trends In Paid Search: Navigating The Digital Landscape In 2024
Trends In Paid Search: Navigating The Digital Landscape In 2024Trends In Paid Search: Navigating The Digital Landscape In 2024
Trends In Paid Search: Navigating The Digital Landscape In 2024
 
5 Public speaking tips from TED - Visualized summary
5 Public speaking tips from TED - Visualized summary5 Public speaking tips from TED - Visualized summary
5 Public speaking tips from TED - Visualized summary
 
ChatGPT and the Future of Work - Clark Boyd
ChatGPT and the Future of Work - Clark Boyd ChatGPT and the Future of Work - Clark Boyd
ChatGPT and the Future of Work - Clark Boyd
 
Getting into the tech field. what next
Getting into the tech field. what next Getting into the tech field. what next
Getting into the tech field. what next
 
Google's Just Not That Into You: Understanding Core Updates & Search Intent
Google's Just Not That Into You: Understanding Core Updates & Search IntentGoogle's Just Not That Into You: Understanding Core Updates & Search Intent
Google's Just Not That Into You: Understanding Core Updates & Search Intent
 
How to have difficult conversations
How to have difficult conversations How to have difficult conversations
How to have difficult conversations
 
Introduction to Data Science
Introduction to Data ScienceIntroduction to Data Science
Introduction to Data Science
 
Time Management & Productivity - Best Practices
Time Management & Productivity -  Best PracticesTime Management & Productivity -  Best Practices
Time Management & Productivity - Best Practices
 
The six step guide to practical project management
The six step guide to practical project managementThe six step guide to practical project management
The six step guide to practical project management
 
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
 
Unlocking the Power of ChatGPT and AI in Testing - A Real-World Look, present...
Unlocking the Power of ChatGPT and AI in Testing - A Real-World Look, present...Unlocking the Power of ChatGPT and AI in Testing - A Real-World Look, present...
Unlocking the Power of ChatGPT and AI in Testing - A Real-World Look, present...
 
12 Ways to Increase Your Influence at Work
12 Ways to Increase Your Influence at Work12 Ways to Increase Your Influence at Work
12 Ways to Increase Your Influence at Work
 
ChatGPT webinar slides
ChatGPT webinar slidesChatGPT webinar slides
ChatGPT webinar slides
 
More than Just Lines on a Map: Best Practices for U.S Bike Routes
More than Just Lines on a Map: Best Practices for U.S Bike RoutesMore than Just Lines on a Map: Best Practices for U.S Bike Routes
More than Just Lines on a Map: Best Practices for U.S Bike Routes
 
Ride the Storm: Navigating Through Unstable Periods / Katerina Rudko (Belka G...
Ride the Storm: Navigating Through Unstable Periods / Katerina Rudko (Belka G...Ride the Storm: Navigating Through Unstable Periods / Katerina Rudko (Belka G...
Ride the Storm: Navigating Through Unstable Periods / Katerina Rudko (Belka G...
 
Barbie - Brand Strategy Presentation
Barbie - Brand Strategy PresentationBarbie - Brand Strategy Presentation
Barbie - Brand Strategy Presentation
 
Good Stuff Happens in 1:1 Meetings: Why you need them and how to do them well
Good Stuff Happens in 1:1 Meetings: Why you need them and how to do them wellGood Stuff Happens in 1:1 Meetings: Why you need them and how to do them well
Good Stuff Happens in 1:1 Meetings: Why you need them and how to do them well
 
Introduction to C Programming Language
Introduction to C Programming LanguageIntroduction to C Programming Language
Introduction to C Programming Language
 

Presentatie congres 14 juni 2019 - Jan Willen Kramer

  • 1. Jan Willem Kramer Podoposturaal therapeut, fysiotherapeut, MSU echografist Het effect van podoposturale therapiezolen op chronische lagerugpijn. Een observationeel cohortonderzoek
  • 2. Waarom dit onderzoek? • Veel voorkomend probleem • Het effect van de therapie aantonen
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 18. • 53 deelnemers • 0 meting intake, lichamelijk onderzoek, vragenlijsten • Evaluatie momenten 2, 5, 9 en 18 maanden na de 0 meting
  • 20. Meting Lage rugpijn 0 1 2 3 4 0 1 2 3 4 5 6 Pijn -1,45 -2,35 -2,78 -3,17
  • 21. Meting Uitstralende pijn naar hoge en lage kant 0 1 2 3 4 0 1 2 3 4 5 6 Pijn Lage kant Hoge kant
  • 22. Meting Oswerty low back pain disability 0 1 2 3 4 0 5 10 15 20 25 30 Oswertyscore -5,49 -8,39 -10,08 -12,49
  • 23. Meting Oswerty score uitstraling naar hoge en lage kant 0 1 2 3 4 0 5 10 15 20 25 30 Oswertyscore Lage kant Hoge kant
  • 24. Meting Lage rugpijn 0 1 2 3 4 5 6 Pijn 0 1 2 3 4 -1,45 -2,35 -2,78 -3,17 0 5 10 15 20 25 30 0 1 2 3 4 -5,49 -8,39 -10,08 -12,49 Oswerty low back pain
  • 25. 0 1 2 3 4 Meting Uitstralende pijn 0 1 2 3 4 5 6 Pijn Lage kant Hoge kant 0 5 10 15 20 25 30 Oswerty 0 1 2 3 4
  • 26. Periode De totale kosten per maand per fase (per patient) 0 100 200 300 400 500 600 Kosten - Patient costs - Healthcare costs - Primary care - Secondary care - Prescription medication - Costs of lost productivity - Societal costs T0 - T1 T1 - T2 T2 - T3 T3 - T4 Breakdown
  • 28. • Er is een significante afname in zowel pijn als beperking • Verschil in beloop bij de verschillende subgroepen • Afname van de gemiddelde kosten
  • 30. • Er is sprake van een beperkt aantal deelnemers • Er is geen controlegroep
  • 32. • VU Vrije Universiteit van Amsterdam • Angelique van Kippersluis • Annet Zevenbergen • Saskia Wijlhuizen • Dr. Judith Bosmans • Noordwest ziekenhuis • Dr. Adri Apeldoorn epidemioloog • Stichting LOOP • Omni Podo Genootschap • Podocentrum Alkmaar
  • 33. Meer informatie op www.podoalkmaar.nl/publicaties Volledige artikelen op de website van stichting Loop.