Proprioceptive control of posture: a review of new concepts

Allum, J.H.J.; Bloem, Bastiaan R.; Carpenter, Mark G.; Hulliger, M.; Hadders‐Algra, Mijna

doi:10.1016/s0966-6362(98)00027-7

Cited by 222 publications

(145 citation statements)

References 102 publications

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“…Therefore, their sustained reliance on ankle proprioception showed their inability to switch to a more appropriate proprioceptive postural control strategy, as demonstrated by other studies [9,10], leading to decreased postural stability. In contrast, based on the lower proprioceptive weighting ratios, healthy controls seemed to make more use of other proprioceptive signals, in addition to those from the ankles, which is more in line with the multi-segmental control model [1,8]. These results confirmed our previous findings [4,10].…”

Section: Control Conditionsupporting

confidence: 89%

“…Thus, reducing the fatigability of the back muscles might reverse this effect. The possibility to rely on both ankle and trunk proprioceptive signals (i.e., a multi-segmental control strategy) to control posture may lead to a greater flexibility in adapting to different postural circumstances [1,29]. In contrast, a dominant reliance on ankle signals implies a lesser ability to adapt to more complex postural situations [9,10].…”

Section: Discussionmentioning

confidence: 99%

“…The central nervous system (CNS) must identify and selectively focus on the sensory inputs (visual, vestibular, proprioceptive) that provide the functionally most reliable signals [1]. Muscle fatigue may decrease the reliability of the proprioceptive signals [2] and therefore the CNS might down-weight this sensory input and/or up-weight proprioceptive signals of other muscles to control posture [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…Healthy individuals normally maintain postural stability using a ''multisegmental'' control strategy [1,4,8]. In contrast, people with LBP seem to use a more rigid postural strategy (i.e., ankle-steered strategy) to control postural balance resulting in postural instability when postural demands increase [9,10].…”

Section: Introductionmentioning

confidence: 99%

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The effect of acute back muscle fatigue on postural control strategy in people with and without recurrent low back pain

et al. 2011

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Back muscle fatigue decreases the postural stability during quiet standing, but it is not known whether this fatigue-induced postural instability is due to an altered proprioceptive postural control strategy. Therefore, the aim of the study was to evaluate if acute back muscle fatigue may be a mechanism to induce or sustain a suboptimal proprioceptive postural control strategy in people with and without recurrent low back pain (LBP). Postural sway was evaluated on a force platform in 16 healthy subjects and 16 individuals with recurrent LBP during a control (Condition 1) and a back muscle fatigue condition (Condition 2). Back muscle fatigue was induced by performing a modified Biering-Sørensen test. Ankle and back muscle vibration, a potent stimulus for muscle spindles, was used to differentiate proprioceptive postural control strategies during standing on a stable and unstable support surface, where the latter was achieved by placing a foam pad under the feet. Ankle signals were predominantly used for postural control in all subjects although, in each condition, their influence was greater in people with LBP compared to healthy subjects (p \ 0.001). The latter group adapted their postural control strategy when standing on an unstable surface so that input from back muscles increased (p \ 0.001). However, such adaptation was not observed when the back muscles were fatigued. Furthermore, people with LBP continued to rely strongly on ankle proprioception regardless of the testing conditions. In conclusion, these findings suggest that impaired back muscle function, as a result of acute muscle fatigue or pain, may lead to an inability to adapt postural control strategies to the prevailing conditions.

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Section: Control Conditionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effect of acute back muscle fatigue on postural control strategy in people with and without recurrent low back pain

et al. 2011

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“…During the hip strategy in more perturbed situations or when the ankle muscles cannot act, the body COM moves backwards or forwards opposite to the head movement by means of muscle responses that either flex or extend the hip (Winter 1995). Allum et al (1998) questioned the major role of lower-leg proprioceptive control of posture, especially the dominant ankle strategy, and concluded that postural and gait movements are centrally organized at two levels. The first level involves the generation of a directionally-specific response pattern based primarily on hip or trunk proprioceptive input and secondarily on vestibular input.…”

Section: Postural and Balance Controlmentioning

confidence: 99%

Human-centred approaches in slipperiness measurement

Grönqvist¹,

Abeysekera²,

Gard³

et al. 2001

Ergonomics

110

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A number of human-centred methodologies-subjective, objective, and combined-are used for slipperiness measurement. They comprise a variety of approaches from biomechanically-oriented experiments to psychophysical tests and subjective evaluations. The objective of this paper is to review some of the research done in the field, including such topics as awareness and perception of slipperiness, postural and balance control, rating scales for balance, adaptation to slippery conditions, measurement of unexpected movements, kinematics of slipping, and protective movements during falling. The role of human factors in slips and falls will be discussed. Strengths and weaknesses of human-centred approaches in relation to mechanical slip test methodologies are considered. Current friction-based criteria and thresholds for walking without slipping are reviewed for a number of work tasks. These include activities such as walking on a level or an inclined surface, running, stopping and jumping, as well as stair ascent and descent, manual exertion (pushing and pulling, load carrying, lifting) and particular concerns of the elderly and mobility disabled persons. Some future directions for slipperiness measurement and research in the field of slips and falls are outlined. Human-centred approaches for slipperiness measurement do have many applications. First, they are utilized to develop research hypotheses and models to predict workplace risks caused by slipping. Second, they are important alternatives to apparatus-based friction measurements and are used to validate such methodologies. Third, they are used as practical tools for evaluating and monitoring slip resistance properties of foot wear, anti-skid devices and floor surfaces.

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Control and Training of Posture and Balance

Taube

Gollhofer

2010

Neuromuscular Aspects of Sport Performance

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Proprioceptive control of posture: a review of new concepts

Cited by 222 publications

References 102 publications

The effect of acute back muscle fatigue on postural control strategy in people with and without recurrent low back pain

The effect of acute back muscle fatigue on postural control strategy in people with and without recurrent low back pain

Human-centred approaches in slipperiness measurement

Control and Training of Posture and Balance

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