Review
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World J Orthop. Jun 18, 2012; 3(6): 75-86
Published online Jun 18, 2012. doi: 10.5312/wjo.v3.i6.75
Adaptability of anticipatory postural adjustments associated with voluntary movement
Eric Yiou, Teddy Caderby, Tarek Hussein
Eric Yiou, Tarek Hussein, Laboratory Complexité, Innovation, Activités Motrices et Sportives, Team Risque, Intervention, Mouvement, Equilibre, UFR STAPS, University of Paris-sud, 91440 Orsay Cedex, France
Teddy Caderby, UFR of Human and Environmental Sciences, University of La Réunion, 97430 Le Tampon, Reunion Island, France
Author contributions: Yiou E, Caderby T and Hussein T were all involved in the conception and writing of the manuscript.
Supported by UFR STAPS of the University of Paris 11, France
Correspondence to: Eric Yiou, PhD, Laboratory Complexité, Innovation, Activités Motrices et Sportives, Team Risque, Intervention, Mouvement, Equilibre, UFR STAPS, University of Paris-sud, 91440 Orsay Cedex, France. e.yiou@libertysurf.fr
Telephone: +33-1-69153158 Fax: +33-1-69156222
Received: December 4, 2011
Revised: May 2, 2012
Accepted: June 5, 2012
Published online: June 18, 2012
Abstract

The control of balance is crucial for efficiently performing most of our daily motor tasks, such as those involving goal-directed arm movements or whole body displacement. The purpose of this article is twofold. Firstly, it is to recall how balance can be maintained despite the different sources of postural perturbation arising during voluntary movement. The importance of the so-called “anticipatory postural adjustments” (APA), taken as a “line of defence” against the destabilizing effect induced by a predicted perturbation, is emphasized. Secondly, it is to report the results of recent studies that questioned the adaptability of APA to various constraints imposed on the postural system. The postural constraints envisaged here are classified into biomechanical (postural stability, superimposition of motor tasks), (neuro) physiological (fatigue), temporal (time pressure) and psychological (fear of falling, emotion). Overall, the results of these studies point out the capacity of the central nervous system (CNS) to adapt the spatio-temporal features of APA to each of these constraints. However, it seems that, depending on the constraint, the “priority” of the CNS was focused on postural stability maintenance, on body protection and/or on maintenance of focal movement performance.

Keywords: Anticipatory postural adjustments, Adaptability, Voluntary movement, Balance, Biomechanics, Motor control