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      Human Postural Control

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          Abstract

          From ancient Greece to nowadays, research on posture control was guided and shaped by many concepts. Equilibrium control is often considered part of postural control. However, two different levels have become increasingly apparent in the postural control system, one level sets a distribution of tonic muscle activity (“posture”) and the other is assigned to compensate for internal or external perturbations (“equilibrium”). While the two levels are inherently interrelated, both neurophysiological and functional considerations point toward distinct neuromuscular underpinnings. Disturbances of muscle tone may in turn affect movement performance. The unique structure, specialization and properties of skeletal muscles should also be taken into account for understanding important peripheral contributors to postural regulation. Here, we will consider the neuromechanical basis of habitual posture and various concepts that were rather influential in many experimental studies and mathematical models of human posture control.

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            Structural changes in muscle during contraction; interference microscopy of living muscle fibres.

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              Postural control system.

              J Massion (1994)
              The postural control system has two main functions: first, to build up posture against gravity and ensure that balance is maintained; and second, to fix the orientation and position of the segments that serve as a reference frame for perception and action with respect to the external world. This dual function of postural control is based on four components: reference values, such as orientation of body segments and position of the center of gravity (an internal representation of the body or postural body scheme); multisensory inputs regulating orientation and stabilization of body segments; and flexible postural reactions or anticipations for balance recovery after disturbance, or postural stabilization during voluntary movement. The recent data related to the organization of this system will be discussed in normal subjects (during ontogenesis), the elderly and in patients with relevant deficits.
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                Author and article information

                Contributors
                Journal
                Front Neurosci
                Front Neurosci
                Front. Neurosci.
                Frontiers in Neuroscience
                Frontiers Media S.A.
                1662-4548
                1662-453X
                20 March 2018
                2018
                : 12
                : 171
                Affiliations
                [1] 1Laboratory of Neuromotor Physiology, IRCCS Fondazione Santa Lucia , Rome, Italy
                [2] 2Biomedical Engineering Department, Oregon Health and Science University , Portland, OR, United States
                Author notes

                Edited by: Chrystalina A. Antoniades, University of Oxford, United Kingdom

                Reviewed by: Sandro Mussa-Ivaldi, Northwestern University, United States; Tjeerd W. Boonstra, University of New South Wales, Australia; Jean-René Cazalets, Centre National de la Recherche Scientifique (CNRS), France

                *Correspondence: Yury Ivanenko y.ivanenko@ 123456hsantalucia.it

                This article was submitted to Neuroprosthetics, a section of the journal Frontiers in Neuroscience

                Article
                10.3389/fnins.2018.00171
                5869197
                29615859
                d6b810eb-1bb4-4e46-a709-c481bc1eb17a
                Copyright © 2018 Ivanenko and Gurfinkel.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 09 August 2017
                : 05 March 2018
                Page count
                Figures: 1, Tables: 0, Equations: 0, References: 112, Pages: 9, Words: 8108
                Categories
                Neuroscience
                Review

                Neurosciences
                posture control,equilibrium,muscle tone,postural reflexes,multisensory interactions,postural body scheme

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