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Static Posture
The positioning of the musculoskeletal system while the body is motionless.
Static posture examples
standing, lying, kneeling
Dynamic posture
Positioning of the body during any movement
Dynamic posture examples
walking, running, jumping, throwing, lifting
COM aka
center of gravity
COM
Hypothetical point at which all mass of an object is concentrated
The center of mass is essentially
a balancing point
Adult CoM
Anterior to S2
The Center of Mass lies closer to
heavier region
The CoM may not
be located in the body
With multiple segments, COM of combined unit will change if
segments are rearranged
Seated CoM
just below the axilla
CoM stays the same in a
rigid segment
1 multiple choice option
CoM changes in a
non-rigid body
2 multiple choice options
Line of Gravity
imaginary vertical line that passes through the center of gravity
The line of gravity is a
gravitational vector
the line of gravity is always
vertically pointing downwards
plumb line
A string with a weight used to provide a vertical reference line
CoM doesn't change location in a rigid body however, what does?
LoG
BoS
base of support
Standing on 2 feet
bipedal
Bipedal stance grants
use of UE
Quadruped vs. Biped
quadruped position is more stable d/t wider BoS
Line of gravity must lie within
BoS
if the LoG leaves the BoS
The individual may fall
Large BoS
LoG stays inside and the person is more stable
Small BoS
LoG moves outside= less stable
Higher CoM
LoG moves outside of the BoS and is less stable
Lower CoM
LoG, stays inside BoS and is more stable
Internally adding mass
weight gain or pregnancy
Externally adding mass
added force by a bag or external object on the body
New CoM will shift toward
addt'l weight
If a mass is subtracted the CoM will
Deviate towards the heavier side
if a cuff weight is added to the wrist, what happens to the extremity's Center of Mass
the CoM deviates and moves towards the wrist
How does the shifted Center of mass affect the muscles that lift the arm?
they have to work harder to lifted the added weight
What would happen to the body's overall Center of Mass if a person had a below knee amputation on the right leg?
The center of mas would shift to the left side and move up because it's heavier to the left and proximally
Postural control
Person's ability to maintain stability of the body and it's segments in response to the forces that disturb its equilibrium
Three balance systems
visual, vestibular, somatosensory systems
In children less than 2, which systems are of higher importance
Somatosensory proprioceptors and vestibular system
30% of stability is lost with
eye closure
Those over 60 yo, ___ of stability is lost with eye closure
50%
CNS selects responses based on
past experiences and the goal of the response
Reactive responses
Reactions to external forces that displace the bodies CoM
compensatory response
a response that offsets the effects of the upcoming unconditioned stimulus
Reactive aka
compensatory
Proactive aka
anticipatory
anticipatory response
Occur in anticipation of internal forces
Goals of control
- Keep body's spatial orientation
- Keep the CoM over the BoS
- Stabilize head vertically for gaze
Basic elements of control
Absent or altered inputs
Absent or altered inputs
can't relay sensory info to brain
Absent or altered outputs
Muscles can't respond appropriately, atrophy, disease
anti-gravity muscles definition
muscles that resist gravity, primarily posterior muscles, used in extension and hyperextension and plantar flexion (hip and knee extensors and trunk and neck extensors)
anti-gravity muscles
-Hip extensors
-knee extensors
-Trunk extensors
-neck and back extensors and flexrs
hip-adductors and abductors
-DF and PF
pertubation
Any sudden change in conditions that displaces the body posture away from equilibrium
sensory perturbation
caused by altering visual input
mechanical perturbation
changes in BOS by an outside force
Perturbations of breathing while standing are counterbalanced by
muscles in the trunk and LE
Postural responses to perturbations caused by external forces are
reactive
synergies
Patterns of muscle activity organized by the CNS in response to perturbations in the standing position
Synergies are
task specific and vary according to many factors
Fixed support strategies
Occur when BoS during perturbation and recovery of equilibrium
Fixed support strategies by position
ankle and hip
Changes in support strategies
Shifts in BoS or entire body
Stepping, Grasping
Head stabilizing strategies
Head-stabilizing strategies
Stabilize head with trunk
Stabilize head in space
Stabilize with trunk
vertical position of the head during movement
Stabilize head with trunk
Ankle strategies
small disruptions to balance, ankle synergy displaces center of gravity with movement at the ankle joint
Ankle strategies occur in what fashion
distal to proximal
Anterior displacement of CoM and Log
POSTERIOR MUSCLES MUST COUNTERBALANCE
Hip strategy
Used when perturbation is fast or large amplitude
Surface is unstable or shorter than feet
Muscles recruited proximal-to-distal
Head movement out-of-phase with hips
hip strategy guideline
proximal to distal
Stepping strategy
largest, fastest perturbation; more frequent with aging
Young people may take 1
large step
older people may
take many smaller steps
Older Center of pressure is
closer to the edge
Reactive vs. Proactive
Reactive- Acting in response
Proactive-acting in anticipation
Why is a person likely to re-sprain an ankle after the initial sprain injury?
laxity as well as the joint deals with lots of mass
size of perturbation for ankle strategy
small
size of perturbation for hip strategy
larger
size of perturbation for stepping strategy
largest
order of muscle activation for ankle strategy
distal then proximal
order of muscle activation for hip strategy
proximal then distal
sequence of strategies
Ankle-->hip--;stepping
External forces
intertia, gravity, GRF
Active internal forces
generated by muscle
pasive internal forces
Ligaments, capsules, soft tissue
to be in equilibrium
internal and external forces must equal 0
Optimal standing posture has no
acceleration
postural sway
Swaying back and forth when standing upright
sway envelope
path of the body's movement during standing
Normal sway
โข12ยฐ sagittal plane
โข16ยฐ frontal plane
Limit of stability
The distance outside of the base of support that he or she can move into without losing control of his or her center of gravity
Ground reaction force
An equal and opposite external force that is exerted back onto the body by the ground.
GRF represents
magnitude and direction of loading applied to the feet
Center of pressure
center of distribution of total force applied to supporting surface
Point of application of GRF
center of pressure (COP)
Located between feet in bilateral stance
CoP
Path of CoP is determined by
pressure applied to a foce plate
coincident action lines
LoG and GRF
LoG is equal in magnitude and in same direction as
force of the person on the ground
LoG =
GRF in equilibrium