Balance Flashcards

1
Q

Postural control

A

Controlling body position for stability and orientation

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2
Q

Postural orientation

A

Maintain relationship between segment and body and
Environment

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3
Q

Posture stability (balance)

A

Control COM in relationship to BOS with balanced forces

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4
Q

Center of mass

A

Center of the body mass, average of body segments

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5
Q

Center of mass on Adults

A

S2

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6
Q

Center of gravity

A

Vertical projection of COM, changes with environment

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7
Q

Center of pressure

A

Center distribution of total force, sum of all forces on the floor

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8
Q

Base of support

A

Body part in contact with support surface, usually feet

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9
Q

Vertical line of body alignment: Standing

A

Mastoid process, anterior to shoulders, hip joints, anterior to knee joints, anterior to ankle joints

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10
Q

Muscle tone

A

Force to which a muscle resists being lengthened

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11
Q

Postural tone

A

Increase in activity of postural muscles, requires sensory input from multiple systems

-gastroc, tib ant, glut med, tfl, ilipsoas, errectors

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12
Q

Balance Considerations

A

Vision, vestibular, and proprioception

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13
Q

3 Types of Postural Control

A

Automatic (Steady state), reactive, proactive/anticipatory

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14
Q

Ankle strategy

A

Small perturbation, reactive balance training
-rotation around ankle joint

Post Displacement:
-dorsiflexors, quads, abs

Ant Displacement:
-plantarflexors, gastroc, hamstring, errectors

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15
Q

Hip Strategy

A

Larger, faster perturbation, ankle motion limited

Post Displacement:
-quads, abs

Ant Displacement:
-hamstring, errectors

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16
Q

Stepping Strategy

A

Largest, fastest

17
Q

Reach strategy

A

Arms engage, similar to stepping strategy

18
Q

Normal Postural Sway

A

Ant/Pst: 12deg
Lateral: 16deg

19
Q

MSK Components of Balance

A

-joint ROM, spine flexibility, muscle tone, segmental mmt

20
Q

Neuro Components of Balance

A

-sensory processes
-hihger level integration
-Neuromuscular

21
Q

Vertical line of body alignment: Sitting

A

-head balanced on level shoulders
-upper body erect
-shoulders over hips
-deett and knees apart

22
Q

Semicircular Canals

A

-angular acceleration
-sensitive to fast movements
-slips, falls, trips, gait

23
Q

Otolith Organs

A

-linear position and acceleration
-head in space
-respond to slow head movements

24
Q

Causes of Balance Impairments

A

-injury to inner ear, SC, peripheral receptors, cerebellum, basal ganglia, proprioceptors, MSK
-lesions to neuro

25
Q

Spatiotemporal Compensations

A

Change BOS:
-widen, shuffling feet, shifting onto stronger leg

Restriction of mmt:
-stiffening, moving slowly
-Standing Reaching forward: flx hips instead of DF ankles
-Standing Reaching sideways:
flex trunk instead of lat moving hips
-Sitting Reaching Sideways: flexing forward and not to side
-In standing: not ttaking step when needed

Using hands for support
-holding onto things

26
Q

Balance Guidelines

A

-cannot be trained in isolation
-stand/sitt, static/dynamic
-double/single limb
-postural adjustments are action specific
-should progress
-include external cues that require stepping

Safety:
-gait belt
-stand behind and to the side
-near railing, no sharp edges
-check equipment
-clean floor

27
Q

Balance Training: Mode

A

-weight shift w/ increasing sway
-speed
-surface challenges
-weight distribution on chairs (balls and leaning)

28
Q

Balance Training: Postural Training

A

-awareness of posture

-modified position
-increase varietty of BOS and arm positions
-unstable sessions
-visual cues and mirros
-static and dynamic posture
-Change environment

29
Q

Balance Training: Movements

A

-movment patterns (PNF)
-trunk rotations
-head movements
-stepping

30
Q

Balance Training: Progression

A

-BOS: wide to narrow
-Posture: stable to unstable
-Visual: closing
-COG: distrupitions
-Unable surfaces
-environments
-REPETITION

31
Q

Balance PNF Techniques

A

Stability:
-rhythmic stabilization
-alternating isometrics

Enhance Dynamic Balance:
-Isotonic contractions
-Slow and quick reversals