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Postural Control – Definition, Causes & Training

Postural control is the ability of the body to maintain a stable and upright position. It is essential for movement, balance, and overall physical health.

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Things worth knowing about "Postural control"

Postural control is the ability of the body to maintain a stable and upright position. It is essential for movement, balance, and overall physical health.

What is Postural Control?

Postural control refers to the ability of the human body to maintain a stable position in space – both at rest and during movement. It involves a complex interaction of neuromuscular, sensory, and biomechanical systems working together seamlessly.

Good postural control is essential for performing everyday activities such as walking, standing, and reaching, as well as for preventing falls and injuries.

Physiological Foundations

Postural control depends on several bodily systems working in coordination:

Vestibular system: The balance organ in the inner ear provides information about the position and movement of the head.
Visual system: The eyes help determine the position of the body in space.
Proprioception: Sensors in muscles, tendons, and joints relay information about body position and movement to the central nervous system.
Central nervous system: The brain and spinal cord process all incoming information and coordinate muscular responses.
Muscular system: The trunk and limb muscles execute stabilizing movements in response to signals from the nervous system.

Importance for Health

Intact postural control is important for:

Preventing back pain and joint problems
Fall prevention, especially in older adults
Athletic performance and physical fitness
Rehabilitation after injuries or neurological conditions
Maintaining ergonomic posture at work and in daily life

Disorders of Postural Control

Postural control can be impaired by a variety of causes:

Neurological conditions: e.g., Parkinson's disease, multiple sclerosis, stroke
Musculoskeletal problems: Muscle weakness, joint instability, chronic back pain
Balance disorders: e.g., inner ear conditions such as Ménière's disease or benign paroxysmal positional vertigo
Age-related changes: Loss of muscle mass, slowed reflexes, declining vision
Physical inactivity: Lack of movement leads to weakening of stabilizing muscles

Diagnosis

Postural control is assessed through various clinical tests and measurement methods:

Balance tests: e.g., Berg Balance Scale, Romberg test, Timed Up and Go test (TUG)
Posturography: Computer-assisted measurement of balance regulation using a force platform
Gait analysis: Assessment of walking pattern and balance during ambulation
Clinical examination: Neurological and orthopedic assessment by trained healthcare professionals

Treatment and Training

Improving postural control is a central goal in physiotherapy, sports medicine, and rehabilitation. Appropriate interventions include:

Physiotherapy and Exercise

Balance training on unstable surfaces (e.g., balance board, wobble board)
Core muscle strengthening to stabilize the trunk
Proprioceptive training to enhance body awareness
Functional training using movement patterns relevant to daily life

Sports with Postural Benefits

Yoga and Pilates for body awareness and deep muscle activation
Tai chi, particularly effective in older adults for fall prevention
Swimming for comprehensive muscle strengthening

Technological Aids

Biofeedback systems providing visual feedback about body position
Exoskeletons and assistive devices in neurological rehabilitation

Postural Control in Everyday Life

In professional settings and during prolonged sitting or standing, conscious awareness of body posture is especially important. Ergonomic workstations, regular movement breaks, and targeted exercise can help prevent poor posture and its consequences, such as back pain and muscle tension.

References

Shumway-Cook A, Woollacott MH. Motor Control: Translating Research into Clinical Practice. 5th edition. Wolters Kluwer, 2017.
Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age and Ageing. 2006;35(Suppl 2):ii7–ii11. PubMed PMID: 16926210.
World Health Organization (WHO). Step safely: strategies for preventing and managing falls across the life-course. Geneva: WHO, 2021.

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