Posture & balance Flashcards
What is the difference between static & dynamic posture?
Static:
- body is aligned and maintained in certain positions (standing, sitting, kneeling)
Dynamic:
- body is moving (walking, running, lifting)
Explain the relationship between CoM, LoG, and BoS
- LoG must stay w/in BoS or individual will fall
- Higher CoM = LoG outside BoS = less stable
- Lower CoM = LoG stays inside BoS = more stable
Does CoM move towards or away from weight added?
- towards
How does reactive postural control differ from proactive postural control?
Reactive:
- compensatory
- “reacts” to the external forces
Proactive:
- anticipatory
- getting ready for the external forces
What are the 3 systems responsible for postural control?
- vestibular
- vision
- somatosensory (proprioceptors in joints, ligaments, tendons, muscles
What are the goals of control?
- control body’s spatial orientation
- keep CoM over BoS
- stabilize head vertically for gaze
Why is a person likely to re-sprain an ankle after the initial sprain injury?
- ankle lacks ability to detect PROM & less stable
- lack of input for proprioception
- can’t detect input = less ability to be reactive/proactive
What is an example of sensory perturbations?
- altering vision input
- closing eyes/ears w/ balance training
What is an example of mechanical perturbations?
- cause direct changes in CoM to BoS relationship
- arm locked in a position then external force pushing/pulling the arm
What are the anti-gravity postural muscles?
- Neck & back extensors (erector spinae)
- hip & knee extensors (glutes)
- Neck & trunk flexors (abdominals)
- hip abductors & adductors (TFL, glute med)
- DF’s & PF’s (gastroc/soleus, tib anterior)
Describe the type of postural synergy or strategy for the ankle, hip, and stepping when it comes to size of perturbation
Ankle:
- small
Hip:
- large
Stepping:
- very large
Describe the type of postural synergy or strategy for the ankle, hip, and stepping when it comes to order of muscle activation
Ankle:
- posterior displacement = tib ant., quads, abs
- anterior displacement = gastroc, hamstrings, para spinals
Hip:
- Posterior displacement = abs, quads, tib ant.
- Anterior displacement = para spinals, hamstrings, gastroc
Describe the type of postural synergy or strategy for the ankle, hip, and stepping when it comes to sequence of strategies with increasing perturbation
Ankle:
- distal to proximal
Hip:
- proximal to distal
Stepping:
- widens BoS
- younger take 1 step
- older take multiple
Describe the type of postural synergy or strategy for the ankle, hip, and stepping when it comes to typical scenarios for each strategy
Ankle:
- leaning forward/backward & keeping balance
Hip:
- balancing on a board/tightrope
Stepping:
- falling over & taking a step to catch yourself
What is postural sway?
- body’s constant swaying motion
- sagittal = 12 degrees
- frontal = 16 degrees
Limit of Stability (LoS) = edge of the sway envelope