Human postural demands and balance control
during locomotive and rotational motion are of primary interest for athletic performance
and daily life. The equivocal use of terms and expressions such as equilibrium,
balance, stability/instability obstruct a clear communication of scientific
knowledge. In particular, the terms stability and balance and their different
forms or word combinations are often used with various meanings and circular
definitions not only in everyday language but in scientific communication as
well. Further, stability and balance issues of human movement are often
inadequately discussed in the literature in the form of equilibrium situations
of rigid bodies. However, for animate systems, stable and unstable equilibrium
approaches are too simplistic. As an alternative, the ‘metastability’ concept
predominantly used as part of the dynamic systems theory should be applied to
human movement. Thus, the objectives of this letter to the editor are to define
established and frequently used terms that describe responses to human movement
behavior and to introduce and rationalize the use of a more appropriate and
encompassing term entitled ‘metastability’. Equilibrium: For most instances of athletic performance,
stable states of equilibrium are in demand. Aside from net forces/torques
to sum to zero, typically three states of mechanical equilibrium are distinguished
by their response behavior to perturbations (Bartlett, 2007). For ‘stable’
equilibrium, a system will return to its original location if it is periodically
displaced. In contrast, a system is in a state of ‘unstable’ equilibrium when
it will not return into the original location when being displaced but instead
passes into a new state of stable equilibrium such as an individual falling
off a freely standing ladder (Hay, 1985). Objects showing neither tendency
to return or move away from their initial state are said to be in ‘neutral’
equilibrium. Balance: While the term equilibrium is typically
used to describe the state of a body that is not changing its speed or direction
when all forces/torques cancel out to zero, balance is conceived to be a fundamental
requirement for athletic performance and everyday activities. Balance can
be considered as an (task-specific) ability of an individual to control either
static or dynamic equilibrium while maintaining a stable position (Knudson,
2007). Components of this balance ability are needed in both static equilibrium
conditions (handstand on balance beam) and during dynamic movement (running).
Individuals with good balance are able to adequately and continuously control
their body position or center of mass (CoM) over the base of support (BoS)
(Knudson, 2007). However, for dynamic movement, the projection of the CoM
may periodically move from within the BoS to outside, as with running, while
balance may continuously be maintained (Hof et al., 2005). Thus, balance is
considered as an inversely related interplay of stability and mobility of
the body with respect to its BoS (Hudson, 1996). The greatest potential for
stability is represented by a large BoS, a low CoM, and the projection of
the CoM centered in the BoS. However, mobility is restricted under these conditions.
In turn, mobility is facilitated by a small BoS (push-off phase during ground
contact while running) with the projection of the CoM located at the boundaries
of the BoS or even outside. This interplay of stability and mobility is task-specific.
An archer desires high stability and low mobility, a sprinter wants low stability
and high mobility, and a ballerina seeks low stability and low mobility (Hudson,
1996). Stability/Instability: For the human body, stability
describes the body’s resistance to being moved out of the present state of
motion, linear or rotary, by external forces or torques. Linear stability
of a moving body is considered its resistance to being accelerated, stopped
or having its direction changed. Linear stability is bound to a direction
in space. A body may be stable in one direction but not necessarily in another.
In contrast, rotary stability may be considered as a resistance to change
the present state of angular motion by external torques accelerating or stopping
the rotation about a given axis, or to change the angular motion from one
axis to another. For upright postures with no angular motion, rotary stability
would be associated with the resistance of the body to tripping over. Linear
or rotary stability can be improved by various motor strategies. For example,
a) extending the BoS, b) maintaining the projection of the CoM safely within
the BoS, c) lowering the CoM, d) shifting the CoM and the line of gravity
towards an incoming force, and/or e) extending the BoS towards an incoming
force (Burkett, 2010). As most definitions and conceptualizations of balance and stability
in some way or other refer to equilibrium, a true equilibrium of forces/torques
is practically non-existent in humans due to the ongoing mechanics of vital
processes such as cardiorespiratory functioning and muscular activity. Even
when attempting to stand as still as possible, these physiological processes
will always ensure a certain degree of body sway, since the erect human body
can be described as a constantly fluctuating inverted pendulum (Loram and
Lakie, 2002). Instead, equilibrium is considered a virtual target condition
of the mover who is attempting to control for body posture and static/dynamic
balance during performance. For individuals in
motion, the term linear stability is often applied to dynamic/locomotive
movements such as running (Burkett, 2010). Although during some phase of these
movements, the objective of the individual may be to maintain dynamic
equilibrium, be firmly established, resist change to their position, or
minimize fluctuations, the individual will eventually want to change position
by moving easily and sometimes suddenly. In this regard, individuals can be
considered to move along a continuum of equilibrium states (Figure 1). Here,
aside from the CoM projection to remain within the BoS, the CoM momentum must
be accounted for as well (Hof et al., 2005). Hence, dynamic stability is
achieved during locomotion since stance periods are continuously provided (CoM
within BoS) while the CoM projection repetitively passes through the BoS. Stable, unstable,
and neutral states of equilibrium are typically found in rigid bodies rather
than in animate objects. However, humans are highly dynamic, animate, non-rigid
bodies equipped by nature with physiological mechanisms to compensate for
perturbations in stationary and locomotive environments. The term,
‘instability’ appears inadequate for the response behavior of biological
systems to perturbations. Metastability:Although stable
instability may seem like an oxymoron, individuals are often in a state of
flux, which allows them to transfer smoothly from relatively stable to
relatively unstable conditions (change from stance to flight phase during
running). Without some degree of instability, it would be impossible to move;
however, without some degree of stability, it would be impossible to maintain
equilibrium or to remain upright. Hence, a degree of stable instability or
relative instability is aptly described by the term ‘metastability’. Thus, the state of
relatively stable or metastable equilibrium is defined as the state in which a
system remains for a long period of time, and any slight disturbance causing
the system to deviate from the metastable state does not result in the system
passing into another state. As soon as the external disturbance is removed, the
system will return into the initial metastable state (Tschoegl, 2000). A
sufficiently strong disturbance, however, will put the system out of the
metastable state, and the system will pass into a new state of stable
equilibrium (Tschoegl, 2000). Metastability and its application to human movement:
For the individual, minor challenges of balance can be easily compensated
for by conscious and unconscious motor control mechanisms. The mover will
perceive his state of motion to be stable while his state of equilibrium is
in fact metastable. For large challenges of balance, the mover may perceive
his state of motion to be unstable while periodically approaching unstable
states of equilibrium. Again, running is a good example of human locomotor
metastability as the individual moves from a relative stable state (stance
phase) by a muscular disturbance or perturbation (push-off phase) to achieve
a new state of equilibrium (subsequent stance-phase). With locomotion, there
are constant fluctuations in CoM relative to the BoS, which demand metastable
control (Figure 1). While
metastability is considered to be a core feature of dynamic systems (den
Hollander, 2009), the metastability concept should be applied to the issue of
balance performance as well since the human body can be envisioned as a dynamic
system with its response behavior following internal (breathing) and external
(tackling during ball games) perturbations. Therefore, an athlete training on a
commonly described ‘instability’ device (wobble board) would compensate for
small to moderate disturbances to maintain a metastable state of equilibrium.
Only a large disturbance will force the individual’s CoM projection to pass
beyond the boundaries of the BoS such that the individual will leave the
metastable state of equilibrium and eventually drop from the device. In conclusion and in accordance with Kibele et al. (2014),
we recommend to use the term ‘metastability’ in the fields of biomechanics
and exercise science/physiology to adequately describe responses to human
movement behavior. |