Posture, dynamic stability, and voluntary movement.

UFR-STAPS, université Paris-Sud-11, rue Langevin, 91405 Orsay, France.
Neurophysiologie Clinique/Clinical Neurophysiology (Impact Factor: 1.46). 01/2009; 38(6):345-62. DOI: 10.1016/j.neucli.2008.10.001
Source: PubMed

ABSTRACT This paper addresses the question of why voluntary movement, which induces a perturbation to balance, is possible without falling down. It proceeds from a joint biomechanical and physiological approach, and consists of three parts. The first one introduces some basic concepts that constitute a theoretical framework for experimental studies. The second part considers the various categories of "postural adjustments" (PAs) and presents major data on "anticipatory postural adjustments" (APA). The last part explores the concept of "posturokinetic capacity" (PKC) and its possible applications.

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    ABSTRACT: Background Anticipatory postural adjustments (APAs) are motor responses generated to stabilize balance prior to voluntary movement. This study investigated how infrapatellar fat pad pain induces reorganization of APAs during reaction time tasks. It has been hypothesized that knee pain may cause insufficient APAs, thereby impairing the balance.Methods While standing, 12 healthy men performed two reaction time tasks (shoulder flexion of the dominant side and bilateral heel lift, respectively) before, during and after experimental infrapatellar fat pad pain induced in the dominant side by injections of hypertonic saline. Isotonic saline was injected as control. The reaction time task performance was assessed by peak angle and peak angular velocity. Timing and intensity of the postural muscle activity were recorded by surface electromyography.ResultsThe reaction time task performance was not significantly affected by experimental pain. The onset of muscle activity in vastus medialis, vastus lateralis and tibialis anterior muscles on the dominant side during the bilateral heel lift task was significantly delayed during pain, and their muscle activity was reduced when compared with non-painful sessions (p < 0.05). The contralateral vasti muscles demonstrated early onset during pain compared with the non-painful session of the same task (p ≤ 0.05).Conclusions This study demonstrates that knee pain reorganizes the APAs which may destabilize the balance control. The knee pain-related reorganization of postural muscle activity during APA may be a part of the central modulation to maintain posture and protect the painful limb while preserving the reaction task movement performance.
    European journal of pain (London, England) 02/2015; DOI:10.1002/ejp.667 · 3.22 Impact Factor
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    Annals of Physical and Rehabilitation Medicine 10/2013; 56:e305. DOI:10.1016/
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    Annals of Physical and Rehabilitation Medicine 10/2013; 56:e305. DOI:10.1016/