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Physiology of Body   Equilibrium  &  Balance SYED TOUSIF AHMED
Centre of gravity To balance the centre of gravity must be above the support point.
Physiology Of Body  Balance
Physiology Of Body   Balance
Balance : ,[object Object],[object Object],[object Object],[object Object]
Equilibrium ,[object Object],[object Object],[object Object],[object Object],[object Object]
BALANCE Anticipatory Mechanisms (internal) Proactive Mechanisms (external) Reactive Mechanisms Sensory Systems Body Schema Neuro-muscular Synergies Musculo-skeletal Components
Balance and Orientation Pathways
CNS 1- Cerebral cortex 2- Brainstem  3- Cerebellum 2- Vestibular 3- Proprioceptive 1-  visual Muscle commands 1- 2- Systems regulating body balance ,[object Object]
The Cerebellum ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy of the Cerebellum ,[object Object],[object Object],[object Object],[object Object],[object Object]
Figure 12.17b (b) Medulla oblongata  Flocculonodular lobe  Choroid plexus of fourth  ventricle Posterior lobe  Arbor vitae  Cerebellar cortex Anterior lobe Cerebellar peduncles •  Superior •  Middle •  Inferior
Cerebellum Cortico cerebellum Vestibulo cerebellum Spinocerebellum
Vestibulocerebellum ,[object Object]
Spinocerebellum ,[object Object]
Corticocerebellum ,[object Object]
 
Granule  cell axons ascend to the molecular layer, bifurcate and form parallel fibers that run parallel to folia forming excitatory synapses on  Purkinje cell dendrites. Cerebellar cortex also has several types of  inhibitory interneurons: basket cells, Golgi cells, and stellate cells. Purkinje cell axon is only output  of cerebellar cortex, is  inhibitory and projects to the deep nuclei and vestibular nuclei. Deep nuclei axons are the most common outputs of the cerebellum (excitatory).
Cerebellar Cortical Circuits
 
Cerebellar Output Pathways Lesions of lateral cerebellum affect distal limb coordination. Medial lesions affect mainly trunk control, posture, balance, and gait. Cerebellar deficits occur ipsilateral to the lesion because cerebellar outputs go to the contralateral side and then motor pathways decussate back to the original side (“double cross-over”). Vermis lesions do not cause unilateral deficits because medial muscle groups typically receive bilateral UMN inputs.
Static Equilibrium   1)  keep the body in a desired position ,  Static equilibrium  – The equilibrium is maintained in a  FIXED POSITION , usually while stood on one  foot. maintenance of body posture relative to gravity while the body is still.
Dynamic Equilibrium   2)  move the body in a controlled way . Dynamic equilibrium   The equilibrium must be maintained  while performing a task  which involves MOVEMENT e.g. Walking the beam.  – maintenance of the body posture (mainly the head) in response to sudden movements. Tracking a moving object.
Vestibular Reflexes ,[object Object],[object Object]
The vestibular labyrinth
The Vestibular Apparatus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Detect linear accelerations along any axis Detect angular accelerations about any axis Vestibular receptors
[object Object],[object Object],[object Object],Stimulus to the vestibular sensory organs
Vestibular receptors
Static Equilibrium Inside the vestibule are two chambers  :  utricle  and  saccule . Regions of hair cells and supporting cells called  maculae .  Otoliths  – “ear rocks”
The Utricle and Saccule ,[object Object],[object Object],[object Object],[object Object],[object Object]
Maculae
The Semicircular Canals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
the vestibular labyrinth Anterior Lateral Posterior
Otolithic  membrane Hair cell Anatomy: Maculae of Utricle or Saccule Physiology: Linear acceleration of head
[object Object],Vestibular pathways
 
Vestibulo-Ocular Reflex (VOR) STIMULUS = Head movement Efferent =  oculomotor nerves Effector =  Extra-ocular muscles Sensory =  Vestibular HC Afferent =  vestibular nerve Center  ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vestibular pathways
Vestibular pathways
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vestibular pathways
[object Object],[object Object],[object Object],Vestibular processing areas
THE END

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Physiology of equilibrium & balance

  • 1. Physiology of Body Equilibrium & Balance SYED TOUSIF AHMED
  • 2. Centre of gravity To balance the centre of gravity must be above the support point.
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  • 7. BALANCE Anticipatory Mechanisms (internal) Proactive Mechanisms (external) Reactive Mechanisms Sensory Systems Body Schema Neuro-muscular Synergies Musculo-skeletal Components
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  • 12. Figure 12.17b (b) Medulla oblongata Flocculonodular lobe Choroid plexus of fourth ventricle Posterior lobe Arbor vitae Cerebellar cortex Anterior lobe Cerebellar peduncles • Superior • Middle • Inferior
  • 13. Cerebellum Cortico cerebellum Vestibulo cerebellum Spinocerebellum
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  • 18. Granule cell axons ascend to the molecular layer, bifurcate and form parallel fibers that run parallel to folia forming excitatory synapses on Purkinje cell dendrites. Cerebellar cortex also has several types of inhibitory interneurons: basket cells, Golgi cells, and stellate cells. Purkinje cell axon is only output of cerebellar cortex, is inhibitory and projects to the deep nuclei and vestibular nuclei. Deep nuclei axons are the most common outputs of the cerebellum (excitatory).
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  • 21. Cerebellar Output Pathways Lesions of lateral cerebellum affect distal limb coordination. Medial lesions affect mainly trunk control, posture, balance, and gait. Cerebellar deficits occur ipsilateral to the lesion because cerebellar outputs go to the contralateral side and then motor pathways decussate back to the original side (“double cross-over”). Vermis lesions do not cause unilateral deficits because medial muscle groups typically receive bilateral UMN inputs.
  • 22. Static Equilibrium 1) keep the body in a desired position , Static equilibrium – The equilibrium is maintained in a FIXED POSITION , usually while stood on one foot. maintenance of body posture relative to gravity while the body is still.
  • 23. Dynamic Equilibrium 2) move the body in a controlled way . Dynamic equilibrium The equilibrium must be maintained while performing a task which involves MOVEMENT e.g. Walking the beam. – maintenance of the body posture (mainly the head) in response to sudden movements. Tracking a moving object.
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  • 30. Static Equilibrium Inside the vestibule are two chambers : utricle and saccule . Regions of hair cells and supporting cells called maculae . Otoliths – “ear rocks”
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  • 34. the vestibular labyrinth Anterior Lateral Posterior
  • 35. Otolithic membrane Hair cell Anatomy: Maculae of Utricle or Saccule Physiology: Linear acceleration of head
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