Threat assessment and locomotion: clinical applications of an integrated model of anxiety and postural control.

摘要: Interactions between anxiety and vestibular symptoms have been described since the late 1800s. Typically, they conceptualized as bidirectional effects of one condition on other (i.e., disorders a cause symptoms). Over past 30 years, however, steady progression neurophysiological investigations gait stance under conditions postural threat, neuroanatomical studies connections threat assessment pathways in brain, clinical research anxiety-related has offered building blocks more integrated model. In this newer concept, is an integral component spatial perception, control, locomotion health disease. It not imposed system from outside or simply reactive to dysfunction, but inherently necessary part every aspect mobility. article, authors review evidence that supports model then use it examine common neurotologic which processes play important roles-fear falling, primary secondary patients with symptoms, chronic subjective dizziness.