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Attentional demands
vary in function
-type of postural task and sensory context
-performance of secondary task not always detrimental to postural control
-important to assess balance under both single and duel task conditions
Steady-State Balance
- Body alignment can minimize effect of gravitational forces
- Muscle tone keeps body from collapsing in response to the pull of gravity (Intrinsic stiffness of muscles, background muscle tone, postural tone)
Muscle Tone
-Force with which a muscle resists being lengthened
-certain level of muscle tone is always present in conscious, relaxed people
-non neural contributions to muscle tone
-neural contributions to muscle tone
SSB movement strategies
-stability limits point at which a person will change the configuration of BOS to achieve flexibility
-not fixed boundaries; change according to task and characteristics of person and environment
-affected by position and velocity of COM at any given moment
Attentional resources
information processing resources required to complete a task
Dual-task interference
two tasks performed simultaneously; attentional resources may decrease in performance on one or more tasks
Spinal Contributions
-orientation component of postural control: tonic activation of extensor muscles for weight support
-directionally specific responses to perturbations present at spinal cord level
Brainstem contributions
-regulation of postural tone and automatic postural synergies
-nuclei contribute to restoration of equillibrium
-regulation of anticipatory postural control
Basal ganglia and cerebellar contributions
- cerebellum controls adaptation of postural responses
- basal ganglia control postural set, react to changing environment quickly
Alignment
-midline of mastoid process
-just in front of shoulder joints
-close to midline of the hip joints
-anterior to center of knee
-just infront of the ankle joint
Postural tone
-activity in antigravity postural muscles increases to counteract the gravity
-Sensory inputs from multiple systems are critical to postural tone
-trunk and limb muscle activation is critical to the maintenance of steady state balance when sitting in a quiet stance
AP stability
ankle, hip, change in support strategies
ML and multidirectional stability
alignment of body segments and muscles requires activation of forces at different joints and in different directions to recover stability
Refining and tuning muscle synergies
-Postural synergies not fixed, stereotypical reactions
-They are refined and tuned in response to changing demands in task and environment
-Adaptation: refining and tuning movements in response to task demands
Reactive balance control in sitting
-recovery of stability in seated position controlled similarly to that in stance
-individual muscles change their relative activation depending on direction of instability
Proactive balance control
CNS uses anticipatory processes in controlling action
-Critical to lower-extremity activites
-Postural activity anticipates voluntary movement
Optimal Postural control
-ability to maintain a vertical orientation in regard to gravity
-ability to maintain balance in presence of both internal and external challenges
Postural control
Controlling body's position in space for dual purposes of stability and orientation
Postural orientation
ability to maintain relationship between body segments and between body and environment for a task
Postural stability
ability to control the COM in relationship to the BOS
Center of mass
a point at the center of the total body mass
center of gravity
Vertical projection of the COM
Base of support
area of the body in contact with the support surface
Task constraints to postural control
Balance control: steady state, reactive, and proactive
-Feedback control: occurs in response to sensory feedback from an external perturbation: REACTIVE
-Feedforward control: anticipatory postural adjustments made in anticipation of a voluntary movement: ANTICIPATORY
Environmental constraints to postural control
-Changes in support surface
-differences in visual and surface conditions
-multiple tasks
SSB Visual contributions
-Position and motion of head with respect to surrounding objects
-reference for verticality
-info for steady-state postural control
SSB Somatosensory
-Provides CNS with position and motion info about the body with reference to support systems
-Reports info about the relationship of body segments to another
Task-dependent sensory reweighting
-CNS reweights sensory info under task changing conditions
-occurs during learning of new motor skills
Sensory inputs for reactive balance
- Visual information: gathered as person enters environment to form a map of environmental affordances
- Somatosensory inputs: controlling body sway when imbalance caused by rapid displacements of support surface
- Contribution of vestibular system: smaller than somatosensory inputs
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