Posturale Kontrolle – Grundlagen

Zusammenfassung

Die Kontrolle des Gleichgewichts gehört mit zu den faszinierendsten Fähigkeiten des Menschen. Das „Gleichgewichtssystem“ hat die Aufgabe, die Kontrolle des Schwerpunkts innerhalb der Unterstützungsfläche zu gewährleisten. Nahezu alle menschlichen Bewegungen beinhalten diese Anforderung. Im Stehen besteht eine der großen Herausforderungen darin, den relativ hoch gelegenen Körperschwerpunkt über der relativ kleinen Unterstützungsfläche (Füße) zu kontrollieren. Dieses „System“ ist derart flexibel, dass es die Kontrolle des Körperschwerpunkts in einer beinahe unendlichen Fülle von Aufgabenstellungen und Umweltsituationen erlernen bzw. gewährleisten kann.

• Literatur

• 1 Assländer L. Sensory reweighting dynamics in human postural control. J Neurophysiol 2014; 111: 1852-1864
• 2 Batchelor FA. Falls after stroke. Int J Stroke 2012; 7: 482-490
• 3 Ceballos-Baumann A. Aktivierende Therapie bei Parkinson-Syndromen. 2. Aufl.. Stuttgart: Thieme; 2012
• 4 Czernuszenko A. Risk factors for falls in stroke patients during inpatient rehabilitation. Clin Rehabil 2009; 23: 176-188
• 5 Forster A. Incidence and consequences of falls due to stroke: A systematic inquiry. BMJ 1995; 11: 83-86
• 6 Fling BW, Dutta GG, Schlueter H. et al. Associations between proprioceptive neural pathway structural connectivity and balance in people with multiple sclerosis. Front Hum Neurosci 2014; 8: 814
• 7 Gorman SL. Development and validation of the function in sitting test in adults with acute stroke. Journal of Neurologic Physical Therapy 2010; 34 (03) 150-160
• 8 Harris J. Relationship of balance and mobility to fall incidence in people with chronic stroke. Phys Ther 2005; 85: 150-158
• 9 Horak FB. Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent falls?. Age and Ageing 2006; 35: 0 (S2)
• 10 Horak FB. The Balance Evaluation Systems Test (BESTest) to differentiate balance deficits. Phys Ther 2009; 89: 484-498
• 11 Horak FB. Postural Control. In: Binder MD, Hirokawa N, Windhorst U. eds. Encyclopedia of Neuroscience. Berlin: Springer; 2009: 3212-3219
• 12 Huber M. Posturale Kontrolle. pt Zeitschrift für Physiotherapeuten 2014; 66 (05) 12-23
• 13 Hyndman D. „Stops walking when talking“ as a predictor of falls in people with stroke living in the community. J Neurol Neurosurg Psychiatry 2004; 75: 994-997
• 14 Jacobs JV. Cortical control of postural responses. J Neural Transm 2007; 114: 1339-1348
• 15 Jonson E. Does the Functional Reach Test reflect stability limits in elderly people?. J Rehabil Med 2002; 35: 26-30
• 16 King LA. Delaying mobility disability in people with Parkinson disease using a sensorimotor agility exercise program. Phys Ther 2009; 89: 384-393
• 17 Lisberger SG. The Cerebellum. In: Kandel E. ed. Principles of Neural Science. 5th ed.. McGraw-Hill; 2013
• 18 Lovejoy O. Evolution of human walking. Scientific American 1989; 0
• 19 Macpherson JM, Horak F. Posture. In: Kandel E. ed. Principles of Neural Science. 5th ed.. McGraw-Hill; 2013
• 20 Mancini M, Horak FB. The relevance of clinical balance assessment tools to differentiate balance deficits. Eur J Phys Rehabil Med 2010; 46 (02) 239-248
• 21 Mansfield A. 2007 A perturbation-based balance training program for older adults: Study protocol for a randomised controlled trial. BMC Geriatr 2007; 7: 12
• 22 Massion J. Movement, posture and equilibrium: Interaction and coordination. Prog Neurobiol 1992; 38: 35-56
• 23 Matsuda PN, Shumway-Cook A, Bamer AM. et al. Falls in multiple sclerosis. PM R 2011; 3 (07) 624-632
• 24 Matsuda PN, Shumway-Cook A, Ciol MA. et al. Understanding falls in multiple sclerosis: Association of mobility status, concerns about falling, and accumulated impairments. Phys Ther 2012; 92 (03) 407-415
• 25 Park JH. et al. What is wrong with balance in Parkinson’s Disease?. J Mov Disord 2015; 8 (03) 109-114
• 26 Pollock A. et al. What is balance?. Clinical Rehabilitation 2000; 14: 402-406
• 27 Rinalduzzi S. et al. Balance dysfunction in Parkinson’s Disease. BioMed Research International 2015; 1-10
• 28 Rothwell JC. Overview of neurophysiology of movement control. Clin Neurol Neurosurg 2012; 114 (05) 432-435
• 29 Schoneburg B. Framework for understanding balance dysfunction in Parkinson’s disease. Mov Disord Early View 2013; 0
• 30 Shumway-Cook A, Woollacott M. Motor Control. 4th ed.. Philadelphia: Lippincott Williams & Wilkins; 2011
• 31 Sibley KM, Beauchamp MK, Van Ooteghem K. et al. Using the systems framework for postural control to analyze the components of balance evaluated in standardized balance measures: A scoping review. Arch Phys Med Rehabil 2015; 96: 122-132
• 32 Sousa A. Biomechanical and neurophysiological mechanisms related to postural control and efficiency of movement: A review. Somatosensory & Motor Research 2012; 29 (04) 131-143
• 33 Stolze H. Falls in frequent neurological diseases – prevalence, risk factors and aetiology. J Neurol 2004; 251: 79-84
• 34 Taube W. Neuronale Mechanismen der posturalen Kontrolle und der Einfluss von Gleichgewichtstraining. J Neurol Neurochir Psychiatr 2013; 14 (02) 55-56
• 35 Tyson S. How to measure balance in clinical practice. A systematic review of the psychometrics and clinical utility of measures of balance activity for neurological conditions. Clin Rehabil 2009; 23 (09) 824-840
• 36 Weerdesteyn V, de Niet M, van Duijnhoven HJ. et al. Falls in individuals with stroke. J Rehabil Res Dev 2008; 1195-1213
• 37 Yogev-Seligman G. Do we always prioritize balance when walking? Towards an integrated model of task prioritization. Movement Disorders 2012; 27 (06) 765-770