Balance and Stability

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Questions and Answers

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?

  • Visual problems
  • Depression
  • Gait difficulty
  • High physical fitness (correct)

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?

<p>Nervous system (C)</p> Signup and view all the answers

Which subsystem does the central nervous system NOT receive input from regarding balance?

<p>Hydrostatic system (D)</p> Signup and view all the answers

Which of the following is part of the somatosensory system?

<p>Somatic senses (D)</p> Signup and view all the answers

Which factor is NOT listed as a fall risk factor?

<p>Adequate nutrition (C)</p> Signup and view all the answers

How many components are there in skill-related fitness?

<p>6 (A)</p> Signup and view all the answers

What type of receptors are responsible for detecting the position in space and movement?

<p>Proprioceptors (D)</p> Signup and view all the answers

What is the role of gamma (y) motor neurons in the neuromuscular spindle?

<p>To control muscle contraction (D)</p> Signup and view all the answers

Which reflex is primarily protective against excessive stretching?

<p>Stretch reflex (C)</p> Signup and view all the answers

What is the function of Golgi tendon organs?

<p>To encode tension in muscles (B)</p> Signup and view all the answers

To achieve static equilibrium in a body, which condition must be met?

<p>All forces must cancel each other out (B)</p> Signup and view all the answers

What type of sensory fibers are associated with Golgi tendon organs?

<p>Type IB fibers (A)</p> Signup and view all the answers

Which of the following statements correctly describes reciprocal innervation?

<p>It causes contraction of antagonist muscles during agonist relaxation. (B)</p> Signup and view all the answers

What is NOT a characteristic of proprioception?

<p>Ability to regulate temperature (C)</p> Signup and view all the answers

What is meant by dynamic equilibrium?

<p>The body involves inertial forces with non-uniform movements. (A)</p> Signup and view all the answers

Which factor is not a mechanical factor that affects balance?

<p>Fear (C)</p> Signup and view all the answers

What describes stability in terms of physical state?

<p>The ability to remain unchanged despite altering forces. (A)</p> Signup and view all the answers

Which type of equilibrium is characterized by the body being at rest?

<p>Static (D)</p> Signup and view all the answers

How does the line of gravity generally project in an upright position?

<p>Vertically from the center of gravity downwards. (D)</p> Signup and view all the answers

What is the center of gravity (CG)?

<p>An imaginary point where all weight is balanced. (B)</p> Signup and view all the answers

Which physiological factor affects balance and stability?

<p>Stress and fear (A)</p> Signup and view all the answers

Which statement about the factors determining stability is incorrect?

<p>Environmental factors do not impact balance. (D)</p> Signup and view all the answers

What does the base of support (BOS) refer to?

<p>The supporting area beneath the body (B)</p> Signup and view all the answers

How does the height of the center of gravity (CG) affect stability?

<p>Lower CG increases stability (C)</p> Signup and view all the answers

Which configuration of feet provides the least stability?

<p>Feet parallel and close together (C)</p> Signup and view all the answers

What determines the most stable position in relation to the base of support?

<p>The projection of the center of gravity at the center of the base (A)</p> Signup and view all the answers

What is a key focus of stabilometry in balance assessment?

<p>Analyzing the movement of the center of pressure (B)</p> Signup and view all the answers

What is the primary requirement when performing stabilometry?

<p>To conduct the test in a strictly standardized position (A)</p> Signup and view all the answers

What defines the center of pressure?

<p>The point where the sum of vertical forces equals zero (A)</p> Signup and view all the answers

How many items are included in the Balance Evaluation System Test (BESTest)?

<p>36 (D)</p> Signup and view all the answers

Where is the center of gravity (CG) located in adults when standing upright?

<p>Just anterior to the second sacral vertebra (D)</p> Signup and view all the answers

How does the center of gravity (CG) change as a person ages from birth to adulthood?

<p>Moves lower as the person ages (A)</p> Signup and view all the answers

What is a factor that affects the location of the center of gravity (CG) in individuals?

<p>Muscle distribution and body mass proportions (D)</p> Signup and view all the answers

In which scenario does the center of gravity (CG) move backward?

<p>When a person carries a heavy backpack (D)</p> Signup and view all the answers

What happens to the center of gravity (CG) of a person following an amputation?

<p>It rises and shifts towards the healthy side (B)</p> Signup and view all the answers

Why is the center of gravity (CG) typically lower in females compared to males?

<p>Females possess wider and heavier pelvises (C)</p> Signup and view all the answers

How does the center of gravity (CG) enhance stability?

<p>By determining the body's CG and adjusting its position (C)</p> Signup and view all the answers

At what age is the center of gravity (CG) positioned at the level of the umbilicus?

<p>Around 2 years (B)</p> Signup and view all the answers

Flashcards

Balance

The ability to maintain equilibrium and control body position, especially during movement.

Balance & Nervous System

The nervous system plays a crucial role in balance by processing sensory information and coordinating muscle movements.

Sensorimotor System

It integrates sensory information received from the visual, vestibular, and somatosensory systems to help maintain balance.

Visual System & Balance

The visual system provides information about the environment and our position within it.

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Vestibular System & Balance

The vestibular system, located in the inner ear, provides information about head movement and orientation.

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Somatosensory System & Balance

The somatosensory system gathers information about the position and movement of our body parts.

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Special Senses vs Somatic Senses

These are the senses that provide information about the outside world, including sight, hearing, taste, touch, smell, and proprioception.

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Somatosensory Informers

These 'informers' provide the somatosensory system with information about touch, pressure, temperature, and pain.

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Equilibrium

A state where there is no change in the speed or direction of an object.

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Static Equilibrium

A type of equilibrium where the body is at rest and not in motion.

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Kinetic Equilibrium

A type of equilibrium where the body is moving in a straight line at a constant speed.

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Dynamic Equilibrium

A type of equilibrium where the body is moving but appears unbalanced, but doesn't fall.

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Stability

The ability to remain unchanged even when external forces are applied, and the ability to return to its original state after a disturbance.

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Line of Gravity

The imaginary vertical line through the center of gravity.

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Center of Gravity (CG)

An imaginary point where the entire weight of an object is concentrated.

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Factors influencing balance and stability

Factors that influence balance and stability.

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Proprioception

The ability to sense the position of one's body parts in space and detect movement.

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Proprioceptors

Receptors found in muscles, tendons, and ligaments that provide information about body position and movement.

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Neuromuscular spindle

A specialized sensory receptor found in muscles that detects changes in muscle length and rate of change in length.

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Myotatic reflex

A reflex triggered by stretching a muscle, causing the muscle to contract, preventing excessive stretching.

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Golgi tendon organs

Receptors located at the junction of muscle and tendons that detect changes in muscle tension.

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Inverse myotatic reflex

A reflex triggered by excessive muscle tension, causing the muscle to relax.

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Linear equilibrium

The state of zero net force acting on a body, meaning the forces are balanced and the body is stationary or moving at a constant velocity.

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CG Location in Symmetrical and Asymmetrical Objects

The CG is located in the center of objects with symmetrical mass distribution. In asymmetrical objects, the CG is closer to the heavier end.

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CG Location in Adults

In adults, the CG is located on the midline, just anterior to the second sacral vertebra.

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CG Location Differences in Sex

The CG is lower in women due to wider pelvis and shorter limbs.

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CG Location Changes with Age

Age affects the CG position. The CG is higher in newborns, descends to the level of the umbilicus by 2 years, and continues lowering until reaching the adult position.

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Effect of Added Weight on CG

Adding weight, like a backpack, shifts the CG backward. To maintain balance, the body compensates by moving the trunk forward.

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Effect of Amputation on CG

Amputation shifts the CG away from the amputated limb towards the healthy side. An artificial limb equal in weight to the healthy limb helps prevent abnormal weight distribution.

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CG and Stability

Understanding the CG helps improve stability. The location of the CG can be strategically changed to enhance balance.

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Base of Support (BOS)

The area beneath the body that provides support. It includes the points of contact with the supporting surface and the space between them.

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BOS and Stability

The stability of your body increases when the distance between the points of contact is wider. This is because a wider base of support makes you less likely to tip over.

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Center of Gravity (CG) Height

The height of your center of gravity (CG) relative to your base of support affects your balance. A lower CG makes you more stable because it takes more force to tip you over.

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Projection of the CG

The position of your center of gravity (CG) projected onto your base of support. You are most stable when your CG is directly above the center of your base of support, minimizing the potential for tipping.

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Balance Evaluation Systems Test (BESTest)

A system for assessing both static and dynamic balance. It consists of 36 items grouped into 6 systems.

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Stabilometry

A scientific tool used in balance assessment. It measures the movement of the center of pressure within the base of support to assess balance stability.

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Center of Pressure

The point on the ground where the sum of the vertical forces applied to the ground equals zero. It's a key factor in understanding balance and stability during movement.

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Center of Pressure Movement

The amount of movement of the center of pressure during a balance task. A smaller movement indicates greater balance stability.

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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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