Related Experiment Video
Updated: Jun 7, 2025

Author Spotlight: Developing Low-Tech Balance Assessment Methods for Broad-Spectrum Healthcare Applications
Published on: September 1, 2023
Exploring the relationship between cardiac awareness and balance
Gerardo Salvato1,2,3, Claudio Bertolotti4,5,6, Manuela Sellitto7,4,5
1Department of Brain and Behavioral Sciences, University of Pavia, Via Bassi 21, Pavia, 27100, Italy. gerardo.salvato@unipv.it.
Higher cardiac awareness, the perception of heart signals, correlated with better postural control, especially on unstable surfaces with eyes closed. This suggests internal body signals may enhance balance.
Area of Science:
- Neuroscience
- Physiology
- Biomechanics
Background:
- Postural balance relies on integrating multiple physiological signals.
- Cardiac awareness (interoception) is increasingly recognized for its role in bodily regulation.
- Previous research indirectly suggested a link between autonomic signals and balance.
Purpose of the Study:
- To investigate the relationship between cardiac awareness and postural control.
- To determine if interoception influences the ability to maintain balance.
- To explore this link under varying sensory and postural demands.
Main Methods:
- Seventy healthy individuals participated in a within-subject design.
- Postural control was assessed using a robotic medical device measuring sway and oscillations.
- Cardiac awareness was quantified using the heartbeat counting task.
Main Results:
- In challenging conditions (unstable platform, eyes closed), higher cardiac awareness was linked to significantly reduced sway area.
- Participants with greater cardiac awareness exhibited less platform and trunk oscillation.
- These results indicate a direct correlation between interoception and postural stability.
Conclusions:
- Interoception, or the perception of internal bodily signals, may play a crucial role in maintaining postural balance.
- Enhanced cardiac awareness could contribute to improved postural control, particularly in situations demanding greater sensory integration.
- This study highlights a potential mechanism where sensing internal physiological states supports motor control.
Related Concept Videos
Imbalances in Cardiac Output
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
Equilibrium and Balance
Major Somatic Sensory Pathways
Mechanism of Cardiac Arrhythmias
Decreased pulse rate
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
Neural Regulation of Blood Pressure
Baroreceptor Reflex
Baroreceptors, located in the carotid sinuses and aortic arch, detect changes in blood pressure. When blood pressure rises, these stretch-sensitive receptors...

