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  • Summary of response

    Dear list members,
    this is the summary of responses I got from the following question:
    I am working in the field of balance and aging. My current problem is
    the clear seperation/definition of synonym used terms. In
    Shymway-Cook/Woollacott "Motor control" they state that there is no
    universal definition of posture and balance (pp119). A new book in
    German brought the problems of terms to my attention because there
    mobility and locomotion is used in different ways (Runge, M.
    "Gehstoerungen, Stuerze, Hueftfrakturen" 1998). By going back to the
    anglistic definition I found the same problems. Now my questions are
    Is there a difference/definition between balance and posture ?
    and what is the difference/definition between locomotion and mobility ?

    In addition I would appreciate if somebody could point me to the
    relevant literature to back the seperation/definition up.
    Thank you very much for all the responses. It was more then helpful to
    see
    that this question is not as easily solved as I had thought. I have
    copied all the responses
    as followed with just shortening of the adresses.
    Thanks again for the help.


    Here are the responses:
    Balance can be divided into 2 types: Static balance and dynamic balance.

    Static balance is the ability to maintain a desired body posture
    (=position
    of the body in space). Dynamic balance is the ability to maintain body
    posture while the body is moving. (see Payne & Isaacs, 1999. Human Motor

    Development). So balance is the ability to keep body posture, while
    posture
    is the actual body position which can vary.
    I do not have a reference for locomotion and mobility, but I think you
    have
    the same type of dilemma as above: mobility refers to an ability to
    move,
    while locomotion refers to the act of getting from one spot to another.
    You
    might not have the ability to move, but you might have means to locomote

    (i.e.: wheel chair).

    Carola Frank A?albjornsson, Ph.D.
    Research & Development



    Hi Ellen,
    I don't have any literature sources on this topic. However, I thought
    about
    it for a little bit and came up with these possible differences. These
    may
    agree or disagree with what other people say.
    These are my 2 cents:

    (1) balance vs. posture
    I would interpret balance to mean that the body center of mass is
    actively
    controlled at an equilibrium position (whether static or dynamic), while

    posture would be defined as the positions that multiple segments must
    attain
    in order to provide for balance.
    (2) locomotion vs. mobility
    I would interpret locomotion as the active control of various segments
    to
    alter the location of the body center of mass, while mobility is the
    passive
    ability of those segments to attain certain positions that will allow
    for
    locomotion.
    Anyway, these could be wrong or right.
    Cheers,
    Andrew
    Andrew Mahar, MS
    Orthopedic Biomechanics Research Center

    I need to look back at the definitions of balance & posture but I
    believe
    that there are alot of differences between locomotion & mobility.
    Locomotion applies only to gait & mobility is more broad. You can have
    passive and active range of motion (mobility) & you can have mobility in

    different activities other than gait.
    Karen Perell

    Pax!
    Interesting query about posture and balance. The usage of these
    terms suggests the following: posture refers to a static description;
    balance refers to a dynamic description. Posture is e.g. of interest
    in ergonomy. Balance is something one may study using the force
    plate and is affected by the posture. The force plate may record the
    swaying and represent it as a *posturogram*. Well, this is just my
    intuition about these terms.
    regards
    Frank B
    ===================================
    Frank Borg
    Chydenius Institute/ Jyväskylä Univ.



    Dear all,

    Dr. Freiberger's question about cross-cultural terminolgy for
    locomotion, posture and balance prompts me to mention something I
    started while idly passing the time away last weekend. I started
    compiling a list of words used in various languages. I started with
    "to walk" and "gait" (though I have now added "Balance" and "Posture")
    and my survey is very sketchy, but I wonder if you could have a look
    and let me know any words from your own language that could be added?

    http://guardian.curtin.edu.au/cga/art/literature.html#language

    For example, I gather that in Swahili the following words are used:
    -kongoja (unsteadily)
    -nyata (quietly)
    -tataga (quickly)
    -sita (slowly or uncertainly)
    -enda kikongwe (bent over and with difficulty)
    -chechea (carefully)
    -tagaa (with long steps)
    -dundika (gracefully)
    -andamana (in a line)
    -bata (like a duck)

    .. whereas in Polish, you can say:
    chwiejny- (unbalanced)
    defilodovy- (goose-stepping)
    rovny- (rhythmical, decisive)
    (appologies for my non-appropriate fonts)
    With all the nations represented on BIOMCH-L these days, we ouight to
    be able to come up with an interesting list! I look forward to hearing
    from you.

    Chris
    --
    Dr. Chris Kirtley MD PhD
    Associate Professor


    Dear Dr Ellen Freiberger,

    Posture is a characteristic of the position of the body, in the
    purest sense it can be described within its own frame of reference.
    For example hip flexion or thoracic kyphosis can be determined
    without an external frame of reference.

    References for this concept are commonly presented in the anatomical
    literature and modelling literature.
    Some (therapists) describe posture in relation to the line of gravity
    (or the horizontal) as an external static frame of reference. See the
    classical postural assessments using a plumbline (string with weight)
    or grid system as examples.
    These are examples of static posture where angles are calculated
    relative to the vertical / horizontal.

    References for this type of postural concept are in the "posture"
    literature using the vertical as a reference frame and head posture
    literature where the eye angle is associated with the horizontal.
    Areas of interest are in spinal pain (Back and neck) and in
    ergonomics gaze angles etc.
    Once body position (posture) is defined relative to gravity (and
    supporting surface) it also defines the centre of mass and the base
    of support. (The base of support can be static or dynamic). The
    behavioural attempts to maintain the (projection of the) CoM within
    the base of support can be considered a balancing process.
    Therefore posture and balance are related in this context.
    The difference between locomotion and mobility are less obvious (to
    me). In my area of physical therapy the locomotion would more likely
    refer to getting from one point to another - mostly gait but would
    also include the ability to use a wheelchair.
    Mobility (individual) includes the concept of locomotion, yet would
    also includes issues of the ability to transfer, sit to stand.
    Utilising the concept of societal limitations mobility can also
    include "access" to social contact etc.
    Mobility can also refer to a joint - in essence range of motion for
    the functional task.
    cheers
    GTA.

    Dear Ellen,
    My one-eurocent contribution to the balance/posture/mobility/locomotion
    definitions:
    Some years ago I was struggling with some of these terms when I was
    writing a paper for a Norwegian journal. Upon brousing the movement
    science litterature, I
    came across several anglo terms related to what in Norwegian is called
    "bevegelse" (Bevegung/Movement). Here is a handful:
    Movement
    Motion
    Mobility
    Locomotion
    Emotion
    May be the definition of movement by Higgins (Physical Therapy
    72(2);1991:123-139) may shred some light on the problem of interpreting
    these terms:
    "Movement is a kinematic chain of motion having spatial and temporal
    coherence to the task at hand."
    Interestingly Susan Higgins used the word "motion" to define "movement"
    in this task-oriented approach. I suggest the theoretical approach may
    have to be declared
    also in the definition of other terms related to motor control.
    Looking forward to learning what other people come up with on this
    important topic.
    Rolf
    __________________________________________________ _________
    Rolf Moe-Nilssen, PhD, PT, Associate professor, Section of
    Physiotherapy Science


    'm sorry but I don't have the references to back up my statements,but as
    I understood it posture simply refers to the geometry of the body or
    bodies in question
    (e.g., joint or segmental angles) while balance refers whether or not
    that posture (and motion) yields an equilibrium ("balance" of forces
    acting on the
    object(s)). Note there may be stable, neutral, unstable, static and
    dynamic equilibriums.

    John D. Henley
    1301 Devers Dr #13

    Hello.
    My name is Clare Johnson and my Ph.D. dissertation was entitled: Aging
    and Postural Control.
    Balance is concerned with bodily equilibrium and posture deals with the
    relative position of the various parts of the body (limbs, etc.). If I
    can be of more help please let
    me know.
    Clare B. Johnson, Ph.D.


    here are two replies in German:
    hi ellen,
    auf deine anfrage hin fiel mir spontan das buch von Berger et al. (1984)

    Haltung und Bewegung beim Menschen ein. ich weiss allerdings nicht, ob
    dort
    die gewünschten termini definiert sind. ein weiterer gedanke, der mir
    kam,
    ist die veröffentlichung von sylvia öunpuu (1994) terminology for
    clinical
    gait analysis. du kannst sie im internet finden, die seite habe ich aber

    nicht mehr im kopf. ihre damals angegebene adresse lautet
    sounpuu@ccmckids.org,; gait analysis laboratory, newington children's
    hospital.
    ich hoffe ich konnte dir weiterhelfen
    gruss mark

    Sehr geehrte Frau Freiberger,
    einer der besten Antworten zur Frage des Unterschiedes von
    posture und balance in von Dr. Francesco Benvenuti aus Florenz,
    sein Arbeitsgebiet ist posture and balance (benvenuti@dinonet.it) -
    einen schönen Gruss von mir.
    Falls es interessiert, wir bereiten gerade einen EU Antrag vor zum
    Thema postural stability and falls, ein Teil der Arbeit ist die
    Taxonomie.
    Frohes Schaffen und Grüse aus Ulm
    Clemens Becker
    Dr. Clemens Becker
    Geriatric Centre Ulm





    Dr. Ellen Freiberger
    Institute of Sportsciences
    University Erlangen - Nuernberg
    Gebbertstr. 123 b
    91058 Erlangen /Germany

    Tel: ++49(0)9131-8528790
    Fax: ++49(0)9131-8528198

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