An optimal level of variability enables us to interact adaptively and safely to a continuously changing environment, where often our movements must be adjusted in a matter of milliseconds. A large body of research exists that demonstrates natural variability in healthy movement such as gait and posture (along with variability in other, healthy biological signals e.g. heart rate), and a loss of this variability in sports injury, as well as in a variety of neurodegenerative and physiological disorders. In this seminar I submit that this field of research is now in pressing need of an innovative “next step” that goes beyond the many descriptive studies that characterize levels of variability in various populations. We need to devise novel therapies and technologies that will harness the existing knowledge on biological variability and create new possibilities for those in need to improve performance and/or restore their decreased physical abilities. I also propose that the nature of the specific physiological limitations present in the neuromuscular apparatus may be less important in the physiological complexity framework than the control mechanisms adopted by the affected individual in the coordination of the available degrees of freedom. The theoretical underpinnings of this framework suggest that interventions and technologies designed to restore healthy system dynamics may optimize functional improvements in affected individuals. I submit that interventions based on the restoration of optimal variability and movement complexity could potentially be applied across a range of dysfunctions as it addresses the adaptability and coordination of available degrees of freedom, regardless of the internal constraints of the individual (1-6).
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2. Stergiou N, Decker LM. (2011). Human movement variability, nonlinear dynamics, and pathology: Is there a connection? Human Movement Science. Oct;30(5):869-88.
3. Stergiou N, Harbourne R, Cavanaugh J. (2006). Optimal Movement Variability: A New Theoretical Perspective for Neurologic Physical Therapy. Journal of Neurologic Physical Therapy. Sep;30(3):120-129.
4. Cavanaugh JT, Guskiewicz KM, Stergiou N. (2005). A nonlinear dynamic approach for evaluating postural control: New directions for the management of sport-related cerebral concussion. Sports Medicine. 35(11):935-950.
5. Harbourne RT, Stergiou N. (2009). Movement Variability and the Use of Nonlinear Tools: Principles to Guide Physical Therapy Practice. Physical Therapy. Mar;89(3):267-282.
6. Harrison SJ, Stergiou N. (2015). Complex Adaptive Behavior and Dexterous Action. Nonlinear Dynamics, Psychology, and Life Sciences. 19(4):345-94.
DISCLOSURE STATEMENT
This work was supported by the Center for Research in Human Movement Variability of the University of Nebraska at Omaha and the NIH (P20GM109090, R01NS114282, and R15AG063106).