BMN for Clinicians; what is it?

Further Examples:

Example 3

Two different subjects, who are both standing upright, have been asked to place their hands upon the side of their waist and sit down slowly.


Subject A Subject B

This subject demonstrates a well co-ordinated and very smooth movement from standing into sitting. The movement goes as follows:

The head tilts interiorly so that the face is directed obliquely downwards. At the same time the hands are placed on the waist and the right foot slides posteriorly so that the right knee bends very slightly. This carries the body weight posteriorly to fall between the two feet and increases the anteroposterior dimension of the supporting base – thus preparing the subject to be able to control the balance during the next stage of the movement.

The subject then lowers the pelvis onto the stool very slowly to a count of four evenly spaced intervals. As this occurs, the pelvis rolls forward over the hip joints and the left lower limb takes up a right angle at the knee whilst the right lower limb is more acutely flexed and the foot is posterior to the knee, but anterior to the coronal plane of the body.

Finally, the right foot slides forward to lie immediately under the right knee and so makes the knee adopt a right angle. At the same time the pelvis rolls posteriorly to become upright over the hip joints and so creates a right angle between the pelvis and thigh. Concurrently, the head regains the normal upright posture. The hands are still on the lateral aspect of the waist and the whole action has occurred completely smoothly.

This subject demonstrates poor control of the movement and associated balance reactions. The movement is as follows: The head tilts forwards in the same way as Subject A and the hands are placed on the lateral aspect of the waist. However, there is no adjustment of the feet to make the anteroposterior dimension of the base more suitable and the knees remain straight with the weight passing evenly between the feet which are both immediately under the body and in alignment with its coronal plane.

The subject then remains poised like this for three evenly spaced intervals and then suddenly drops the pelvis onto the stool, virtually collapsing at the knees and hips. The ‘landing’ is noisy and sudden, no balance adjustment of the trunk occurs and the body does not incline anteriorly at the hips.

Finally, the head is tilted posteriorly on the trunk momentarily before being adjusted to the normal upright posture. The final posture is identical to that of Subject A, but the method of attaining it is much more hazardous and traumatic.

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