Topic 7 Exam 2 Flashcards
What does a stabilogram access?
1. How can we assess posture using a stabilogram?
How much postural sway there is
How much does the center of mass change when you close your eyes
- How do young adults and elderly differ in postural sway?
Elderly have more postural sway especially in the medio-lateral direction
- What are predictive strategies during upright standing?
Predictive
* Calf muscles
* Forward = shorten
* Back = lengthen
* *not a stretch response
- What are reactive strategies during upright standing?
When outside disturbance exceeds the predictive strategy’s ability to maintain
equilibrium = Reactive
* Reflex contributes to automatic postural
response strategy
- Predictive and reactive strategies during upright standing
What is their role in maintaining balance and posture? Be able to describe examples for each.
Control of equilibrium for postural sway
- Name and describe the five automatic postural reactions.
Hip strategy
Ankle strategy
Stepping Strategy
Weight Shift Strategy
Suspension Strategy
Automatic postural reactions
Hip strategy
Proximal to distal activation of muscles – same side as COG shift
- Perturbations that are large in comparison with the supporting surface
= task requires a large or rapid shift in COG - *Appears only if vestibular reception is intact
Automatic postural reactions
Ankle strategy
Older adults wont use this, instead you will see them use the hip stragety
Distal to proximal activation of muscles –
opposite side as COG shift (“elongation of the weight-bearing side“)
* Small shifts or perturbations of COG = task requires maintenance of upright posture
- *Appears only if somatosensory reception is intact
Automatic postural reactions
Stepping Strategy
When limits of stability are reached or exceeded, muscles activate to
allow a compensatory weight shift
* Large, gross perturbations
Automatic postural reactions
Weight Shift Strategy
Shifting from one leg or limb to the other
Automatic postural reactions
Suspension Strategy
Lower COG by quickly flexing knees
- During accelerations and momentum with perturbations (i.e. roller
skating)
- What did the study by Mackey & Robinovitch (2005) determine about postural stability and fall risk?
Postural steadiness measures NOT correlated with balance recovery measures
- Can adjustments be made to automatic responses i.e. can they change with experience/through learning? Describe the example from class.
Yes they can change
In 4 trials there was then adjustment
- What was the moving room experiment?
What did it reveal about the influence of the visual sense on balance? What specific aspect of visual perception was involved?
The floor is stationary it is not moving, the walls and ceiling are moving messes up optic flow (by generating optic flow)
What did it reveal about the influence of the visual sense on balance? INFLUENCES IT
What specific aspect of visual perception was involved? OPTIC FLOW
INFANT:
As the wall moved closer to their face they fell on their butt
As the wall moved farther forward they stumbled forward
ADULT:
As the adult is standing on a balance beam, the walls move and the adult becomes unstable
automatic response…….
can be modified, reflexes can not be modified