No abstract

No abstract

The human pelvis is such a unique structure that enables our upper body to work so perfectly with the two legs so as to control the body's balance in the complicated postures. The aim of this study is to establish a new dynamic body sway control model in the upright standing body position in coronal plane, and to reveal the possible control mechanisms underlying the body sway with special concerns on the roles that the pelvis and its muscles are performing during the sway. The plant of control model, the dynamics of human body, includes five parts, i.e. two ankles, two hips and one lumbosacral joint , which makes up a multi-link inverted pendulum system, and is driven by two pairs of muscles, the psoas major (PM) and glutaeus medius (GM). Body sway records from eight healthy young subjects showed that the angular sway scopes of the ankle on roll (lateral) plane are 0.94±0.36° (eye-open) and 1.35 ± 0.52° (eye-closed) respectively, while in lumbosacral plane, the scopes are 0.99 ± 0.41° (eye-open) and 1.27 ± 0.72° (eye-closed). The ankle and lumbosacral sways were almost in the same degree, yet their phase difference was near π, which means that the body trunk maintains perpendicular to horizon during the upright stance. Surface electromyographic (sEMG) activity from GM also showed the same evidence: the activated GM was always in the same side as the deviated center-of-pressure (COP). By assuming the corrective torque of posture is regulated by PID (proportional, integral and derivative) control, the body sway can be simulated by applying human physical parameters. Our study results demonstrated that the simulated traces are consistent with the experimental recorded, suggesting that the pelvis is an important structure for the posture maintenance and control, and the mechanism of balance keeping control during upright stance can be approximately taken as a PID control. The result also suggests a novel means for postural stability assessment in individual in the future.

These results suggest that the decreased damping control by derivative gain for balance in the M/L direction is one of the risk factors for falls in the elderly.

No abstract