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Postural Control
-The maintenance of body alignment and spatial orientation in order to put the body in a position to enable effective movement
Alignment
-Biomechanical positioning of body segments and limbs to one another
Includes whole body alignment (aka “posture”) and
segment alignment
Orientation
-The spatial positioning of the body to the environment at any given moment in time
Stability
-A position that is resistant to disturbance or returns to its normal state after disruption
Joint level control
-Maintains structural integrity of the joint while still permitting motion
Segmental level control
-The anchoring and stabilizing of body parts to provide a firm foundation upon which other body parts can move
Whole-body level control
-orients the body to prevent or prepare for falls, and is better known as balance
Muscle tone
-Base level of muscle activity for postural control
Tone
-The force with which the muscle resists lengthening, that is, its stiffness
Tone regulates?
-The storage and release of elastic energy
-Force dampening
Dampening
-Helps smooth out movements
Stiffness
-Regulates the storage and release of elastic energy
Muscle tone is dependent on what two factors?
-Passive and active tone
Passive tone
-Viscoelasticity of the muscle and tendon tissue
Active tone
-The level of neural activation of the muscle tissue
Range of muscle tone
-Hypotonia: low tone/ muscles are less stiff/ less ready to respond
-Normal: balanced level of muscle readiness and stiffness
-Hypertonia: high tone/ muscles are overly stiff / resistant to movement
What are the 4 systems that provide Postural Control?
-Sensory/reflexive systems
-Neuromuscular components
-Musculomechanical components
-CNS components
What system is associated with feedforward control?
-Visual systems
What system is associated with synergies?
-Neuromuscular components
What system is associated with conscious control?
-CNS
Proactive posture
-Postural control prepares the body for an anticipated postural disturbance
Reactive posture
-Postural control occurs in response to postural disturbances
The 4 systems together contribute to what 3 levels of postural control?
-Reflexive
-Autonomic
-Voluntary
Reflexive
-Sensory systems and musculomechanical systems
Autonomic
-Sensory systems, musculomechanical systems, neuromuscular systems, CNS systems
Voluntary
-CNS systems
Quiet stance
-The posture of standing upright with minimal movement while maintaining balance.
Perturbation
-Any external or internal force that disturbs posture or balance, requiring the body to make a corrective response to maintain stability.
Ankle strategy
-(Dorsi-plantar flexion) provides the quickest way to maintain balance under normal circumstances.
Hip strategy
-Enables more correction and affords a different biomechanical profile than an ankle strategy
Does not rely as much on foot friction with the support surface
Suspensory strategy
-Involves going into a crouched flexed position to lower the center of mass
More common in those afraid to fall or when in an unfamiliar environment
Fixed point is?
-Ankle, hip, and suspensory
Change in support is?
-Stepping and reaching
Proactive postural control comes in what two basic forms?
-Upcoming or expected environmental circumstances or bodily actions
-Anticipatory postural adjustments (APAs)
How do we measure postural control?
-EMG
-Plumb line
-Timmed sawy
EMG
-Evaluate muscle activation patterns of postural support muscles during goal-directed movements, perturbed movements, or during quiet stance.
Plumb line
-Comparing the body’s position to a vertical reference line created by gravity
Timed sway
-A person stands in quiet stance and the amount of body sway is timed or observed over a set period.