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State and Trait Anxiety Alter Postural Control in Healthy Adults
Ashley Zaleski-King1, Nkechi Nwagbara1, Robin Pinto2
1Department of Speech-Language Pathology and Audiology, Towson University, Towson, MD.
Journal of the American Academy of Audiology
|April 27, 2026
Summary
State anxiety significantly impacts postural control in challenging sensory environments. Higher anxiety levels may lead individuals to use different balance strategies, influencing outcomes in vestibular evaluations.
Area of Science:
- Neuroscience
- Human Physiology
Background:
- Anxiety and visual motion sensitivity affect sensory integration and balance control.
- State Trait Anxiety Inventory subscales measure distinct anxiety aspects with potential differential brain mapping and functional implications.
Purpose of the Study:
- To clarify the role of state and trait anxiety in postural control within degraded sensory environments.
- To investigate how state anxiety influences the effects of visual and somatosensory manipulations on balance in healthy adults.
Main Methods:
- Prospective repeated-measures design with 26 healthy adults.
- Postural control measured on variable surfaces and in virtual visual environments.
- Trait anxiety measured pre-test; state anxiety measured during testing using the State Trait Anxiety Inventory.
Main Results:
- Visual condition significantly affected postural control.
- A significant interaction between visual condition and support surface was observed.
- The impact of visual manipulations on balance varied by support surface, even after accounting for state anxiety.
Conclusions:
- Visual manipulation's effect on postural control depends on support surface and state anxiety levels.
- Higher state anxiety may prompt different postural control strategies.
- Anxiety's influence on balance can vary with sensory context and individual traits, potentially altering sensory processing in healthy adults.
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