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Article

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

by
Nélio Silva de Souza
1,2,*,
Ana Carolina Gomes Martins
1,3,
Dângelo J.A. Alexandre
4,
Marco Orsini
2,5,
Victor Hugo do Vale Bastos
2,6,7,
Marco Antônio A. Leite
8,9,
Silmar Teixeira
10,11,12,
Bruna Velasques
12,13,
Pedro Ribeiro
12,13,
Juliana Bittencourt
12,
André Palma da Cunha Matta
6 and
Pedro Moreira Filho
6
1
University Center Serra dos Órgãos, Teresópolis
2
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
5
Severino Sombra University Center, Medicine Department, Vassouras, Rio de Janeiro
6
Department of Neurology, Antônio Pedro University Hospital, Fluminense Federal University, Niterói
7
Biomedical Sciences stricto sensu, Federal University of Piauí
8
Fluminense Federal University Medical School, Niterói
9
Movement Disorders Unit, Antônio Pedro University Hospital, Fluminense Federal University, Niterói
10
Brain Mapping and Plasticity Laboratory
11
Brain Mapping and Functionality Laboratory, Federal University of Piauí, Parnaíba
12
Brain Mapping and Sensory Motor Integration, Institute of Psychiatry of Federal University of Rio de Janeiro
13
Institute of Applied Neuroscience, Rio de Janeiro, Brazil
*
Author to whom correspondence should be addressed.
Neurol. Int. 2015, 7(3), 6057; https://doi.org/10.4081/ni.2015.6057
Submission received: 5 June 2015 / Revised: 2 August 2015 / Accepted: 12 November 2015 / Published: 31 December 2015

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.
Keywords: fear of falling; postural control fear of falling; postural control

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MDPI and ACS Style

de Souza, N.S.; Martins, A.C.G.; Alexandre, D.J.A.; Orsini, M.; Bastos, V.H.d.V.; Leite, M.A.A.; Teixeira, S.; Velasques, B.; Ribeiro, P.; Bittencourt, J.; et al. The Influence of Fear of Falling on Orthostatic Postural Control: A Systematic Review. Neurol. Int. 2015, 7, 6057. https://doi.org/10.4081/ni.2015.6057

AMA Style

de Souza NS, Martins ACG, Alexandre DJA, Orsini M, Bastos VHdV, Leite MAA, Teixeira S, Velasques B, Ribeiro P, Bittencourt J, et al. The Influence of Fear of Falling on Orthostatic Postural Control: A Systematic Review. Neurology International. 2015; 7(3):6057. https://doi.org/10.4081/ni.2015.6057

Chicago/Turabian Style

de Souza, Nélio Silva, Ana Carolina Gomes Martins, Dângelo J.A. Alexandre, Marco Orsini, Victor Hugo do Vale Bastos, Marco Antônio A. Leite, Silmar Teixeira, Bruna Velasques, Pedro Ribeiro, Juliana Bittencourt, and et al. 2015. "The Influence of Fear of Falling on Orthostatic Postural Control: A Systematic Review" Neurology International 7, no. 3: 6057. https://doi.org/10.4081/ni.2015.6057

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