• Center of mass (CoM): Location of the whole body mass center. (a.k.a., “center of gravity”)
  • Center of pressure (CoP): Location of the net force perpendicular to gravity (for one foot or both)
  • Base of support (BoS): Range of possible locations of the CoP in a static posture.

Static balance: the abiltiy to keep the Center of Mass within the Base of Support

What happens when the Center of Mass exceeds the Base of Support?

Dynamic balance: the ability to keep the Center of Mass within the Base of Support over multiple gait cycles.

Why Balance is a Complex Processo

  • It requires sensory information, both instrinsic via body and extrinsic via environment info
    • proprioception ( body pos )
    • mechanoreception ( pressure )
    • visual
    • vestibular ( ears )
  • sensory integration and formation of a motor plan
    • brain, cortical control
    • Spinal Cord, sub cortical control
  • execution of motor plan
    • neuromusculoskeletal ssytem
  • young people dont tend to use a lot of concious cortical control, very subconcious, whereas for older people is a much more concious process.

Ways to Balance

  • ankle strategy
    • modulate your center of pressure within the foot/base of support
  • hip strategy
    • modulate center of mass if center of pressure is limited ( e.g., balance beam )
    • arm motion has a similar effect
  • stepping
    • when center of pressure exceeds base of support
    • additional center of mass modulation

Tests