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39 Cards in this Set

  • Front
  • Back
Force
a push or pull that tends to cause motion
Newton's Laws of Motion
I - every object in a state of motion tends to stay in motion
II - F=ma
III - every action has an equal and opposite reaction
Inertia
Mass
Weight
I - resistance to movement
M - amount of matter in body
W - gravitational pull on body
Main Determinant of Force
F=ma
mass and acceleration
How do we measure forces?
measured using force plates = anterior/posterior and medial/lateral directions for vertical forces
Newton's 3rd Law Applied to Gait
III - every action has an equal and opposite reaction
Force placed into ground causes an equal and opposite reaction through the skeleton
Ground Reaction Force
how much force you are placing in the ground that is being transmitted back up through your spinous processes
Ground Reaction Force Distributions During Gait
Changing continuously during gait: heel contact, mid-stance, and pre-swing
Piezoelectric Effect
Measured through force plates - crystals are compressed/stressed/loaded and electricity is produced
Pressure
Measured by force plates:
P=F/A
Measured in N/m2 and lb/in2
Definition of Center of Pressure
pressure on the base of support where the pressure would be centered over one point - strike index
Types of Strike Index
rear foot striker
mid-foot striker
forefoot striker
COP and Postural Stability: How does it vary throughout gait?
It is a single measure
Oscillates throughout gait as you sway back and forth - more focused in the forefoot strike index
Factors Measuring Sway
range
mean
SD
COV
Less sway doesn't mean _______ stability.
more
More coordination = _______ stability.
more
Definition of Center of Mass
point equivalent to the total body mass in the global reference system: varies in relation to shape/orientation of object
Factors that Affect COG/COM
base of support
amount of mass
location of mass
- position of body segments and height of COM above base
- Added external mass
Purpose of Balance Method
used to determine COM
How does COM cause you to fall?
COG/COM can fall outside of based of support = fall
What happens if you fall outside your base of support?
corrective stumble
Center of Gravity During Gait
when one foot is on the ground and the other is in swing - your body falls out of its base of support - you are continually falling and catching yourself throughout the gait cycle
Changes in COM & GRF When Walking at Different Speeds
COM is higher with increasing speed
GRF is higher with increasing speed
Postural Control of COP in Relation to Anterior & Lateral Sway
Anterior - increase in anterior sway, increase in plantarflexor activity
Lateral - increase in lateral sway, increase in hip abductor/adductor activity
COP Excursion
located within base of support and can be achieved by regulating joint and muscle stiffness:
- intrinsic muscle stiffness that dependent on the viscoelastic properties
- neural component
Static Posturography
subjects stand quietly on a face plate which records COP excursions
- used in PD patients
- increase in displacement = increase in instability
Dynamic Posturography
subjects stand quietly on a movable support surface that suddenly rotates up and displaces the subject backwards
- Gastrocs are activated
- increase in COG displacement in PD pts
- increase in latency in PD pts
Feedforward and Feedback Mechanisms
Feedforward: anticipated postural instability
Feedback: unanticipated postural instability
Feedforward Control
Triggered centrally before voluntary movement
- around 100 msec
- faster than voluntary rxn time
Muscles Activated by Backward and Forward Sway
B - Abductors, Quads, Tibs
F - Para, Hams, Gastrocs
Postural Threat
Hydraulic platform lift used to manipulated the height which is set at 3 different levels:
- Low: 40 cm
- Med: 100 cm
- High: 160 cm
Overall Effect of Amplitued & Frequency in Relation to Postural Threat
As postural threat increases:
- decrease in amplitude of COP
- increase in frequency of COP
LOG During Quiet Stance
it falls between the knee and hip joint:
- passive tension around ankle joints oppose external forces with no force around knee and hips
- LOG falls anterior to foot causing DF
COM Falls anterior to Ankle Causes:
tendency to fall unless opposed by Soleus activity
if Soleus activity is not enough - then Gastrocs is activated
Motion at Joints: Ankle and Hip
- Ankle used in during quiet stance and when small pertubations applied to body
- dorsiflexors and plantarflexors help control the mechanism
Hip Strategy is used for:
used for anterior/posterior control if pertubations are too large for ankle strategy to support it
Hip Strategy Occurs as a Consequence of:
1. increased postrual sway
2. larger pertubations to body
3. inability to control motion at the ankle joint
4. perceived instabilities due to threat to postrure
Control of Medial/Lateral Sway
controlled by hip abductors/adductors - loading of one limb and unloading of the opposite limb (load/unload mechanism)
Muscles used for:
- anterior/posterior
- medial/lateral
AP - ankle muscles
ML - adductors/abductors
Both activated at the same time