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The human leg, in the general word sense, is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or gluteal region. However, the definition in human anatomy refers only to the section of the lower limb extending from the knee to the ankle, also known as the crus or, especially in non-technical use, the shank. Legs are used for standing, and all forms of locomotion including recreational such as dancing, and constitute a significant portion of a person's mass. Female legs generally have greater hip anteversion and tibiofemoral angles, but shorter femur and tibial lengths than those in males.
The center of pressure is the point where the total sum of a pressure field acts on a body, causing a force to act through that point. The total force vector acting at the center of pressure is the value of the integrated vectorial pressure field. The resultant force and center of pressure location produce equivalent force and moment on the body as the original pressure field. Pressure fields occur in both static and dynamic fluid mechanics. Specification of the center of pressure, the reference point from which the center of pressure is referenced, and the associated force vector allows the moment generated about any point to be computed by a translation from the reference point to the desired new point. It is common for the center of pressure to be located on the body, but in fluid flows it is possible for the pressure field to exert a moment on the body of such magnitude that the center of pressure is located outside the body.
A balance disorder is a disturbance that causes an individual to feel unsteady, for example when standing or walking. It may be accompanied by feelings of giddiness, or wooziness, or having a sensation of movement, spinning, or floating. Balance is the result of several body systems working together: the visual system (eyes), vestibular system (ears) and proprioception. Degeneration or loss of function in any of these systems can lead to balance deficits.
The vestibular system, in vertebrates, is a sensory system that creates the sense of balance and spatial orientation for the purpose of coordinating movement with balance. Together with the cochlea, a part of the auditory system, it constitutes the labyrinth of the inner ear in most mammals.
The anterior cruciate ligament (ACL) is one of a pair of cruciate ligaments in the human knee. The two ligaments are also called "cruciform" ligaments, as they are arranged in a crossed formation. In the quadruped stifle joint, based on its anatomical position, it is also referred to as the cranial cruciate ligament. The term cruciate translates to cross. This name is fitting because the ACL crosses the posterior cruciate ligament to form an “X”. It is composed of strong, fibrous material and assists in controlling excessive motion. This is done by limiting mobility of the joint. The anterior cruciate ligament is one of the four main ligaments of the knee, providing 85% of the restraining force to anterior tibial displacement at 30 and 90° of knee flexion. The ACL is the most injured ligament of the four located in the knee.
A handstand is the act of supporting the body in a stable, inverted vertical position by balancing on the hands. In a basic handstand, the body is held straight with arms and legs fully extended, with hands spaced approximately shoulder-width apart and the legs together. There are many variations of handstands, all of which require the performer to possess adequate balance and upper body strength.
Posturography is the technique used to quantify postural control in upright stance in either static or dynamic conditions. Among them, Computerized dynamic posturography (CDP), also called test of balance (TOB), is a non-invasive specialized clinical assessment technique used to quantify the central nervous system adaptive mechanisms involved in the control of posture and balance, both in normal and abnormal conditions. Due to the complex interactions among sensory, motor, and central processes involved in posture and balance, CDP requires different protocols in order to differentiate among the many defects and impairments which may affect the patient's posture control system. Thus, CDP challenges it by using several combinations of visual and support surface stimuli and parameters.
The vestibulospinal tract is a neural tract in the central nervous system. Specifically, it is a component of the extrapyramidal system and is classified as a component of the medial pathway. Like other descending motor pathways, the vestibulospinal fibers of the tract relay information from nuclei to motor neurons. The vestibular nuclei receive information through the vestibulocochlear nerve about changes in the orientation of the head. The nuclei relay motor commands through the vestibulospinal tract. The function of these motor commands is to alter muscle tone, extend, and change the position of the limbs and head with the goal of supporting posture and maintaining balance of the body and head.
The core or trunk is the axial (central) part of an organism's body. In common parlance, the term is broadly considered to be synonymous with the torso, but academically it also includes the head and neck. Functional movements are highly dependent on this part of the body, and lack of core muscular development can result in a predisposition to injury. The major muscles of the core reside in the area of the belly and the mid and lower back, and peripherally include the hips, the shoulders and the neck.
Active sitting occurs when seating allows or encourages the seated occupant to be active even whilst seated. Also referred to as dynamic sitting, the concept is that flexibility and movement while sitting can be beneficial to the human body and make some seated tasks easier to perform. One of the earliest forms of active sitting is the common rocking chair which allows forward and backward swaying motion.
Standing, also referred to as orthostasis, is a position in which the body is held in an erect ("orthostatic") position and supported only by the feet. Although seemingly static, the body rocks slightly back and forth from the ankle in the sagittal plane. The sagittal plane bisects the body into right and left sides. The sway of quiet standing is often likened to the motion of an inverted pendulum.
Balance in biomechanics, is an ability to maintain the line of gravity of a body within the base of support with minimal postural sway. Sway is the horizontal movement of the centre of gravity even when a person is standing still. A certain amount of sway is essential and inevitable due to small perturbations within the body or from external triggers. An increase in sway is not necessarily an indicator of dysfunctional balance so much as it is an indicator of decreased sensorimotor control.
Force platforms or force plates are measuring instruments that measure the ground reaction forces generated by a body standing on or moving across them, to quantify balance, gait and other parameters of biomechanics. Most common areas of application are medicine and sports.
Locomotor effects of shoes are the way in which the physical characteristics or components of shoes influence the locomotion neuromechanics of a person. Depending on the characteristics of the shoes, the effects are various, ranging from alteration in balance and posture, muscle activity of different muscles as measured by electromyography (EMG), and the impact force. There are many different types of shoes that exist, such as running, walking, loafers, high heels, sandals, slippers, work boots, dress shoes, and many more. However, a typical shoe will be composed of an insole, midsole, outsole, and heels, if any. In an unshod condition, where one is without any shoes, the locomotor effects are primarily observed in the heel strike patterns and resulting impact forces generated on the ground.
Obesity and walking describes how the locomotion of walking differs between an obese individual and a non-obese individual. The prevalence of obesity is a worldwide problem. In 2007–2008, prevalence rates for obesity among adult American men were approximately 32% and over 35% amongst adult American women. According to the Johns Hopkins Bloomberg School of Public Health, 66% of the American population is either overweight or obese and this number is predicted to increase to 75% by 2015. Obesity is linked to health problems such as decreased insulin sensitivity and diabetes, cardiovascular disease, cancer, sleep apnea, and joint pain such as osteoarthritis. It is thought that a major factor of obesity is that obese individuals are in a positive energy balance, meaning that they are consuming more calories than they are expending. Humans expend energy through their basal metabolic rate, the thermic effect of food, non-exercise activity thermogenesis (NEAT), and exercise. While many treatments for obesity are presented to the public, exercise in the form of walking is an easy, relatively safe activity that has the potential to move a person towards a negative energy balance and if done for a long enough time may reduce weight.
Neuromechanics of orthoses refers to how the human body interacts with orthoses. Millions of people in the U.S. suffer from stroke, multiple sclerosis, postpolio, spinal cord injuries, or various other ailments that benefit from the use of orthoses. Insofar as active orthoses and powered exoskeletons are concerned, the technology to build these devices is improving rapidly, but little research has been done on the human side of these human-machine interfaces.
Gait deviations are nominally referred to as any variation of standard human gait, typically manifesting as a coping mechanism in response to an anatomical impairment. Lower-limb amputees are unable to maintain the characteristic walking patterns of an able-bodied individual due to the removal of some portion of the impaired leg. Without the anatomical structure and neuromechanical control of the removed leg segment, amputees must use alternative compensatory strategies to walk efficiently. Prosthetic limbs provide support to the user and more advanced models attempt to mimic the function of the missing anatomy, including biomechanically controlled ankle and knee joints. However, amputees still display quantifiable differences in many measures of ambulation when compared to able-bodied individuals. Several common observations are whole-body movements, slower and wider steps, shorter strides, and increased sway.
The Parallel Walk Test is a quick and simple quantitative measuring tool for balance during walking and could be a useful tool in clinical settings for assessing balance before and after treatments and to discriminate high fall risk potential.
Limits of Stability (LoS) are defined as the points at which the center of gravity (CoG) approaches the limits of the base of support (BoS) and a correction strategy is required to return the center of mass (CoM) to within the BoS." In other words, LoS is the amount of maximum excursion an individual is able to intentionally cover in any direction without losing his/her balance or taking a step. The normal sway angle in the antero-posterior direction and medio-lateral direction is approximately 12.5° and 16° respectively. This area of stable swaying is often referred to as the 'Cone of Stability'. The limits of this cone of stability keep changing constantly depending on the task being performed.
References
- Benda, B.J., Riley, P.O. and Krebs, D.E. (1994). Biomechanical relationship between center of gravity and center of pressure during standing. IEEE Transactions on Rehabilitation Engineering, 2(1), 3-10.
- Fernie, G.R, Gryfe, C.I., Holliday, P.J., and Llewellyn, A. (1982). The relationship of postural sway in standing to the incidence of falls in geriatric subjects. Age and Ageing, 11(1), 11-16.
- Gribble, P.A., Hertel, J. (2004). Effect of Lower-Extremity Fatigue on Postural Control. Archives of Physical Medicine Rehabilitation and Rehabilitation, 85, 589-592.