Podcast
Questions and Answers
What percentage of individuals over 65 years old fall every year?
What percentage of individuals over 65 years old fall every year?
- 20%
- 30% (correct)
- 40%
- 50%
Which of the following is NOT a common factor contributing to fall risk?
Which of the following is NOT a common factor contributing to fall risk?
- Visual problems
- Depression
- Gait difficulty
- High physical fitness (correct)
Which component is part of skill-related fitness?
Which component is part of skill-related fitness?
- Endurance
- Flexibility
- Muscle strength
- Reaction time (correct)
What is the primary system that balance is related to?
What is the primary system that balance is related to?
Which subsystem does the central nervous system NOT receive input from regarding balance?
Which subsystem does the central nervous system NOT receive input from regarding balance?
Which of the following is part of the somatosensory system?
Which of the following is part of the somatosensory system?
Which factor is NOT listed as a fall risk factor?
Which factor is NOT listed as a fall risk factor?
How many components are there in skill-related fitness?
How many components are there in skill-related fitness?
What type of receptors are responsible for detecting the position in space and movement?
What type of receptors are responsible for detecting the position in space and movement?
What is the role of gamma (y) motor neurons in the neuromuscular spindle?
What is the role of gamma (y) motor neurons in the neuromuscular spindle?
Which reflex is primarily protective against excessive stretching?
Which reflex is primarily protective against excessive stretching?
What is the function of Golgi tendon organs?
What is the function of Golgi tendon organs?
To achieve static equilibrium in a body, which condition must be met?
To achieve static equilibrium in a body, which condition must be met?
What type of sensory fibers are associated with Golgi tendon organs?
What type of sensory fibers are associated with Golgi tendon organs?
Which of the following statements correctly describes reciprocal innervation?
Which of the following statements correctly describes reciprocal innervation?
What is NOT a characteristic of proprioception?
What is NOT a characteristic of proprioception?
What is meant by dynamic equilibrium?
What is meant by dynamic equilibrium?
Which factor is not a mechanical factor that affects balance?
Which factor is not a mechanical factor that affects balance?
What describes stability in terms of physical state?
What describes stability in terms of physical state?
Which type of equilibrium is characterized by the body being at rest?
Which type of equilibrium is characterized by the body being at rest?
How does the line of gravity generally project in an upright position?
How does the line of gravity generally project in an upright position?
What is the center of gravity (CG)?
What is the center of gravity (CG)?
Which physiological factor affects balance and stability?
Which physiological factor affects balance and stability?
Which statement about the factors determining stability is incorrect?
Which statement about the factors determining stability is incorrect?
What does the base of support (BOS) refer to?
What does the base of support (BOS) refer to?
How does the height of the center of gravity (CG) affect stability?
How does the height of the center of gravity (CG) affect stability?
Which configuration of feet provides the least stability?
Which configuration of feet provides the least stability?
What determines the most stable position in relation to the base of support?
What determines the most stable position in relation to the base of support?
What is a key focus of stabilometry in balance assessment?
What is a key focus of stabilometry in balance assessment?
What is the primary requirement when performing stabilometry?
What is the primary requirement when performing stabilometry?
What defines the center of pressure?
What defines the center of pressure?
How many items are included in the Balance Evaluation System Test (BESTest)?
How many items are included in the Balance Evaluation System Test (BESTest)?
Where is the center of gravity (CG) located in adults when standing upright?
Where is the center of gravity (CG) located in adults when standing upright?
How does the center of gravity (CG) change as a person ages from birth to adulthood?
How does the center of gravity (CG) change as a person ages from birth to adulthood?
What is a factor that affects the location of the center of gravity (CG) in individuals?
What is a factor that affects the location of the center of gravity (CG) in individuals?
In which scenario does the center of gravity (CG) move backward?
In which scenario does the center of gravity (CG) move backward?
What happens to the center of gravity (CG) of a person following an amputation?
What happens to the center of gravity (CG) of a person following an amputation?
Why is the center of gravity (CG) typically lower in females compared to males?
Why is the center of gravity (CG) typically lower in females compared to males?
How does the center of gravity (CG) enhance stability?
How does the center of gravity (CG) enhance stability?
At what age is the center of gravity (CG) positioned at the level of the umbilicus?
At what age is the center of gravity (CG) positioned at the level of the umbilicus?
Flashcards
Balance
Balance
The ability to maintain equilibrium and control body position, especially during movement.
Balance & Nervous System
Balance & Nervous System
The nervous system plays a crucial role in balance by processing sensory information and coordinating muscle movements.
Sensorimotor System
Sensorimotor System
It integrates sensory information received from the visual, vestibular, and somatosensory systems to help maintain balance.
Visual System & Balance
Visual System & Balance
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Vestibular System & Balance
Vestibular System & Balance
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Somatosensory System & Balance
Somatosensory System & Balance
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Special Senses vs Somatic Senses
Special Senses vs Somatic Senses
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Somatosensory Informers
Somatosensory Informers
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Equilibrium
Equilibrium
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Static Equilibrium
Static Equilibrium
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Kinetic Equilibrium
Kinetic Equilibrium
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Dynamic Equilibrium
Dynamic Equilibrium
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Stability
Stability
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Line of Gravity
Line of Gravity
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Center of Gravity (CG)
Center of Gravity (CG)
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Factors influencing balance and stability
Factors influencing balance and stability
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Proprioception
Proprioception
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Proprioceptors
Proprioceptors
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Neuromuscular spindle
Neuromuscular spindle
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Myotatic reflex
Myotatic reflex
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Golgi tendon organs
Golgi tendon organs
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Inverse myotatic reflex
Inverse myotatic reflex
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Linear equilibrium
Linear equilibrium
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CG Location in Symmetrical and Asymmetrical Objects
CG Location in Symmetrical and Asymmetrical Objects
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CG Location in Adults
CG Location in Adults
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CG Location Differences in Sex
CG Location Differences in Sex
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CG Location Changes with Age
CG Location Changes with Age
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Effect of Added Weight on CG
Effect of Added Weight on CG
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Effect of Amputation on CG
Effect of Amputation on CG
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CG and Stability
CG and Stability
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Base of Support (BOS)
Base of Support (BOS)
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BOS and Stability
BOS and Stability
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Center of Gravity (CG) Height
Center of Gravity (CG) Height
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Projection of the CG
Projection of the CG
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Balance Evaluation Systems Test (BESTest)
Balance Evaluation Systems Test (BESTest)
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Stabilometry
Stabilometry
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Center of Pressure
Center of Pressure
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Center of Pressure Movement
Center of Pressure Movement
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Study Notes
Balance and Stability
- Importance of balance, especially in older adults (over 65): Over 30% of individuals fall annually, with recurrence in about half of cases; this increases to 40% in those aged 85+.
- Factors affecting fall risk: Impaired balance, reduced muscle strength, visual issues, polypharmacy, gait difficulties, depression, functional limitations, and pain.
- Components of physical fitness: Balance, coordination, and agility are among the six components.
Neurophysiological Aspects
- Nervous system's role: Balance is intricately linked to nervous system function.
- Sensorimotor system: This system integrates neurosensory and neuromuscular processes.
- It receives input from the visual, vestibular, and somatosensory systems.
- This information is vital for maintaining equilibrium.
- Includes receptors:
- Pacinian corpuscles: Respond to rapid vibrations and deep pressure.
- Ruffini endings: Respond to minimal mechanical stress (slow-adapting).
- Free nerve endings: Respond to bending, compression, and stretching within ligaments, capsules, and articular surfaces.
- Golgi tendon organs: Detect stretch/force in tendons and ligaments.
- Muscle spindles: Detect muscle length changes.
Definitions and Classifications
- Balance: The ability to control equilibrium (static, kinetic, or dynamic). For balance, the forces acting on the body must sum to zero, both for linear and angular movements.
- Stability: The ability to remain unchanged, even when disturbed, returning to a prior state (or initial) state. This depends on mechanical, physiological, and environmental/psychological factors.
Factors Determining Balance and Stability
- Mechanical:
- Base of support (BOS): The area beneath the body in contact with the supporting surface. Larger BOS = greater stability.
- Height of the center of gravity (CG): lower is more stable.
- Projection of the CG on the BOS: the CG's projection must be centered on the BOS for maximum stability.
- Physiological:
- Inputs from vestibular, visual, and somatosensory systems .
- General physical condition: strength, endurance, coordination, and agility play crucial roles.
- Psychological and Environmental:
- Mental state (stress, fear) and environmental factors (surface conditions, lighting) also influence stability.
- Medication and alcohol use.
Center of Gravity (CG)
- Location: In the upright position, the CG is located anterior to the second sacral vertebrae in adults.
- Factors affecting its location: Age, sex, and weight addition/subtraction. Age is a significant factor, with the CG becoming lower with age. Changes in sex and weight distribution can affect CG position.
Assessment of Balance and Stability
- Systems and tests: Dynamic and static balance tests (BESTest) evaluate balance in various contexts.
- Progression variants for static and dynamic balance: Standardized progression in exercises.
- Components of evaluation include biomechanical constraints, stability limits and verticality, anticipatory postural adjustments, and postural responses.
Computerized Systems and Wearables
- Stabilometry: Measures center of pressure movement within the base of support, assessing balance stability.
- Wearable inertial sensors: Track leg, arm, and torso motions, measuring postural stability and responsiveness.
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