HeartSpace Blog

A thoughtful commentary on issues in Physical Therapy for children, adolescents and adults experiencing challenges with movement

Pondering Postural Control: Cognitive Resources

Our last system in this series is cognitive resources. This is not cognition in the sense that we think about postural control every moment of every day (which would be exhausting!) but rather in the sense that there is a layer of unconscious energy that our brain dedicates to postural control. Over my career, I

Pondering Postural Control: Emotional Regulation

This is a topic near and dear to my heart. Early on in my career, I met a great number of children who were anxious and uncomfortable with movement. Philosophically I decided it was important to prioritize the child’s comfort over the attainment of a therapy goal. In therapy I experienced that when a child

Pondering Postural Control: Sensory Strategies

Postural control is an example of dynamic systems theory in action – there are so many individual yet interdependent systems all working to create a successful outcome. We have already discussed several important sensory systems; visual, vestibular and proprioceptive. The discussion of sensory strategies is really a further discussion about these integrated relationships – that

Pondering Postural Control: The Visual System

We know that the visual system is complicated because we’ve discussed vision before.  The Eyes Have It: The Foundation introduced the concept of functional vision and how the eyes and the head are intimately connected so there is a stable visual platform.  The Eyes Have It: The Basics reviewed the basics of functional visual skills and contrasted

Pondering Postural Control: The Proprioceptive System

Proprioception = the sensation of body position and movement   Our sense of proprioception is a (mostly) unconscious piece of our perception of our body’s position. It involves information from  mechanoreceptors in our muscles, tendons and joints: muscle spindles and Golgi tendon organs (GTOs).  This information provides a constant monitoring of the position of our