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  • Neurology International is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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31 December 2015

The Influence of Fear of Falling on Orthostatic Postural Control: A Systematic Review

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1
University Center Serra dos Órgãos, Teresópolis
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Science of Rehabilitation, Centro Universitário Augusto Motta, Rio de Janeiro
3
Integrated Health of Women and Children, Fluminense Federal University, Niterói
4
Public Health, Fundação Oswaldo Cruz, Rio de Janeiro

Abstract

Posture is a complex sensory-motor behavior that can be influenced by the fear of falling (FoF) during environmental changes. The aim of this paper is to investigate the influence of FoF on orthostatic postural control in healthy individuals by a systematic review. Thirteen articles were selected. Some other articles (31 references) were used to contextualize and discuss the topic. Studies in the environment made changes on the environment, in which participants were positioned in high hydraulic platforms at different heights, showed a decrease in the center of pressure in the anteroposterior oscillation where the platform was higher. This change in postural control strategy and the FoF are correlated. It can modulate the activity of the muscle spindle (H-reflex) and probably induce postural freezing phenomenon (anticipated postural anxiety). We can conclude that further studies are needed to understand the physiological mechanisms involved in FoF and its relation to changes in postural control strategy.

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