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Related Experiment Video

Updated: May 15, 2026

Experimental Methods to Study Human Postural Control
08:12

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Published on: September 11, 2019

Inadequate interaction between open- and closed-loop postural control in phobic postural vertigo.

M Wuehr1, C Pradhan, S Novozhilov

  • 1Department of Neurology, University of Munich, Marchioninistrasse 15, 81377 Munich, Germany. mail@maxw.de

Journal of Neurology
|December 25, 2012
PubMed
Summary
This summary is machine-generated.

Phobic postural vertigo (PPV) involves altered postural control mechanisms. Patients with PPV exhibit disturbed open-loop control and impaired sensory feedback, impacting balance performance.

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Area of Science:

  • Neuroscience
  • Biomechanics
  • Vestibular System

Background:

  • Phobic postural vertigo (PPV) presents with subjective dizziness and postural imbalance.
  • Altered postural control strategies are implicated in PPV's disturbed postural performance.
  • Understanding these mechanisms is crucial for improved diagnostics and therapeutics.

Purpose of the Study:

  • To investigate the characteristics and interactions of open- and closed-loop postural control processes in PPV using stabilogram diffusion analysis (SDA).

Main Methods:

  • SDA and center of pressure (CoP) amplitude measures were used to analyze spatio-temporal CoP displacements.
  • Data were collected from 20 PPV patients and 20 age-matched healthy controls on a stabilometer platform under eyes-open and eyes-closed conditions.

Main Results:

  • Open-loop control mechanisms in PPV showed significantly higher diffusion activity (p < 0.001).
  • The interaction between open- and closed-loop processes was altered, with a lowered sensory feedback threshold (p = 0.010).
  • These alterations resemble those in healthy individuals under more challenging balance conditions (e.g., eyes-closed stance).

Conclusions:

  • Subjective imbalance in PPV is linked to distinct changes in the coordination of open- and closed-loop postural control mechanisms.
  • PPV patients demonstrate inadequate sensory feedback utilization during quiet stance, impairing postural performance.
  • These findings suggest increased anti-gravity muscle activity and co-contraction due to heightened conscious effort in maintaining stability.