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Development of Postural Control
Test 2
37
Physiology
Graduate
07/18/2011

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Term
Postural control develops simultaneously with what 2 systems?
Definition
Locomotor
Manipulative
Term
Control of posture is essential for what 2 things?
Definition
Mobility
Reaching
Term
Emerges during development, from interaction of neural and musculoskeletal systems, determined by task and environment.
Definition
Postural Control
Term
Development of postural control is due to interactions among neural and musculoskeletal systems, including (6)
Definition
1. Changes in musculoskeletal system
2. Development of neuromuscular synergies used for balance
3. Development of sensory systems
4. Development of sensory strategies for organizing multiple inputs
5. Development of internal mapping of perception to action
6. Development of adaptive and anticipatory mechanisms
Term
Development of postural control generally follows what path?
Definition
Cephalo-caudal
Term
Name the order in which postural control occurs from first to last.
Definition
Head Control
Upper Trunk Control
Sitting Upright
Standing with support
Standing without support
Term
Within the first few days of life, what will the child start to orient to?
Definition
Visual stimulation
Term
Children will react to __ __ when 3 days old
Definition
Visual flow
Term
__ neural networks for "visual proprioception" functioning at birth.
Definition
Subcortical
Term
Early sitters freeze DOF and gradually free DOF with experience in static sitting. Name the 3 stages.
Definition
1. Variability in movement and only holding head upright (4-5.5 mo)
2. Freeze DOF and able to sit 10-30 seconds (5-6.5 mo)
3. Independent sitting master and able to increase adaptability (6-8 mo)
Term
__ __ (in response to perturbation) are present but variable/not reliable at 1 month, accurate/refined by the time of independent sitting (6-8 mo)
Definition
Muscle Synergies
Term
Infants rely heavily on vision and learn to scale and map visual sensations with postural activity, with experience begin to rely on somatosensory inputs
Definition
Static
Term
Take away vision, somatosensory and vestibular can elicit a response
Definition
Perturbations
Term
With practice, infants more often show complete postural responses, and more often can modulate responses __
Definition
Appropriately
Term
Name 2 things that are different in standing vs. sitting.
Definition
1. Decreased stability limits
2. More joints (DOF) to control
Term
When will children have sufficient strength to stand?
Definition
6-8 mo
Term
At what age will children begin to build synergies from ankle up, when tehy begin to pull-to-stand
Definition
7-9 mo
Term
__ inputs elicit postural responses 5 mo, earlier (developmentally) than somatosensory inputs
Definition
Visual
Term
Infants are ___ to adapt inappropriate visual responses (moving room) with repeated trials
Definition
Unable
Term
Independent walkers (what age?) can sense increasingly unstable surfaces, hold on to support
Definition
13-14 mo
Term
__ year olds have active control of hip strategy
Definition
7-10 yo
Term
Name 2 effects that practice has on postural control in stance.
Definition
1. Improves use of and organization of postural muscle responses
2. Effects limited for latency of response by neural maturation/myelination
Term
Name 2 reasons why children are less stable than adults.
Definition
1. COM at T12
2. Young children sway faster and with greater amplitude in stance
Term
Amplitude of sway decreases with age. Adult like by __ yo (eyes open)
or ___ yo (eyes closed)
Definition
9-12
12-15
Term
Velocity of sway decreases with age and is adult-like by what age?
Definition
12-15 yo
Term
Younger children __ DOF
Definition
Restrict
Term
Younger children ___ mo, responses are more variable and slower (delayed response time), last longer, greater amplitude of sway to perturbed stance.
Definition
15-18 mo
Term
With perturbed stance there is __ at 4-6 years old (responses slower and more variable)
Definition
Regression
Term
Name 2 reasons for regression for perturbed stance at 4-6 yo
Definition
1. Period of rapid growth, changes in body form
2. Likely related to changes in nervous system
Term
Younger children use multiple __ __ (over and under shoot) vs older chilren (>7 yo) and adults (rapid, large torques)
Definition
torque adjustments
Term
Young children (<3 yo) rely heavily on __ even though it is not required.
Definition
Vision
Term
Under 7 yo, children are unable to maintain stance with only __ info
Definition
Vestibular
Term
Under 7 yo, there is a reduced ability to solve __ conflicts (in presence of unreliable input from 1 or more senses)
Definition
Sensory
Term
At this age a child is able to sit independently, and have relatively adult-like reaching. They can activate postural muscles in advance of reaching most of the time.
Definition
9 mo
Term
At what age do children show progressive improvement in advanced activation of postural muscles when reaching in stance.
Definition
10-17 mo
Term
At what age are childrens anticipatory responses adult-like in stance?
Definition
4-6 yo
Term
Many tasks involve postural and cognitive attentional demands. Children < __ yo show greater deterioration of performance in dual-task situations.
Definition
7
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