Functional neuroimaging of human postural control: A systematic review with meta-analysis

•Functional brain images of postural control were investigated in a meta-analysis.•Widespread cortical and subcortical brain regions are involved in postural control.•The cerebellum is activated consistently across postural control studies. Postural instability is a strong risk factor for falls that...

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Published inNeuroscience and biobehavioral reviews Vol. 115; pp. 351 - 362
Main Authors Dijkstra, Bauke W., Bekkers, Esther M.J., Gilat, Moran, de Rond, Veerle, Hardwick, Robert M., Nieuwboer, Alice
Format Journal Article
LanguageEnglish
Published United States Elsevier Ltd 01.08.2020
Subjects
Online AccessGet full text
ISSN0149-7634
1873-7528
1873-7528
DOI10.1016/j.neubiorev.2020.04.028

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Abstract •Functional brain images of postural control were investigated in a meta-analysis.•Widespread cortical and subcortical brain regions are involved in postural control.•The cerebellum is activated consistently across postural control studies. Postural instability is a strong risk factor for falls that becomes more prominent with aging. To facilitate treatment and prevention of falls in an aging society, a thorough understanding of the neural networks underlying postural control is warranted. Here, we present a systematic review of the functional neuroimaging literature of studies measuring posture-related neural activity in healthy subjects. Study methods were overall heterogeneous. Eleven out of the 14 studies relied on postural simulation in a supine position (e.g. motor imagery). The key nodes of human postural control involved the brainstem, cerebellum, basal ganglia, thalamus and several cortical regions. An activation likelihood estimation meta-analysis revealed that the anterior cerebellum was consistently activated across the wide range of postural tasks. The cerebellum is known to modulate the brainstem nuclei involved in the control of posture. Hence, this systematic review with meta-analysis provides insight into the neural correlates which underpin human postural control and which may serve as a reference for future neural network and region of interest analyses.
AbstractList Postural instability is a strong risk factor for falls that becomes more prominent with aging. To facilitate treatment and prevention of falls in an aging society, a thorough understanding of the neural networks underlying postural control is warranted. Here, we present a systematic review of the functional neuroimaging literature of studies measuring posture-related neural activity in healthy subjects. Study methods were overall heterogeneous. Eleven out of the 14 studies relied on postural simulation in a supine position (e.g. motor imagery). The key nodes of human postural control involved the brainstem, cerebellum, basal ganglia, thalamus and several cortical regions. An activation likelihood estimation meta-analysis revealed that the anterior cerebellum was consistently activated across the wide range of postural tasks. The cerebellum is known to modulate the brainstem nuclei involved in the control of posture. Hence, this systematic review with meta-analysis provides insight into the neural correlates which underpin human postural control and which may serve as a reference for future neural network and region of interest analyses.Postural instability is a strong risk factor for falls that becomes more prominent with aging. To facilitate treatment and prevention of falls in an aging society, a thorough understanding of the neural networks underlying postural control is warranted. Here, we present a systematic review of the functional neuroimaging literature of studies measuring posture-related neural activity in healthy subjects. Study methods were overall heterogeneous. Eleven out of the 14 studies relied on postural simulation in a supine position (e.g. motor imagery). The key nodes of human postural control involved the brainstem, cerebellum, basal ganglia, thalamus and several cortical regions. An activation likelihood estimation meta-analysis revealed that the anterior cerebellum was consistently activated across the wide range of postural tasks. The cerebellum is known to modulate the brainstem nuclei involved in the control of posture. Hence, this systematic review with meta-analysis provides insight into the neural correlates which underpin human postural control and which may serve as a reference for future neural network and region of interest analyses.
•Functional brain images of postural control were investigated in a meta-analysis.•Widespread cortical and subcortical brain regions are involved in postural control.•The cerebellum is activated consistently across postural control studies. Postural instability is a strong risk factor for falls that becomes more prominent with aging. To facilitate treatment and prevention of falls in an aging society, a thorough understanding of the neural networks underlying postural control is warranted. Here, we present a systematic review of the functional neuroimaging literature of studies measuring posture-related neural activity in healthy subjects. Study methods were overall heterogeneous. Eleven out of the 14 studies relied on postural simulation in a supine position (e.g. motor imagery). The key nodes of human postural control involved the brainstem, cerebellum, basal ganglia, thalamus and several cortical regions. An activation likelihood estimation meta-analysis revealed that the anterior cerebellum was consistently activated across the wide range of postural tasks. The cerebellum is known to modulate the brainstem nuclei involved in the control of posture. Hence, this systematic review with meta-analysis provides insight into the neural correlates which underpin human postural control and which may serve as a reference for future neural network and region of interest analyses.
Postural instability is a strong risk factor for falls that becomes more prominent with aging. To facilitate treatment and prevention of falls in an aging society, a thorough understanding of the neural networks underlying postural control is warranted. Here, we present a systematic review of the functional neuroimaging literature of studies measuring posture-related neural activity in healthy subjects. Study methods were overall heterogeneous. Eleven out of the 14 studies relied on postural simulation in a supine position (e.g. motor imagery). The key nodes of human postural control involved the brainstem, cerebellum, basal ganglia, thalamus and several cortical regions. An activation likelihood estimation meta-analysis revealed that the anterior cerebellum was consistently activated across the wide range of postural tasks. The cerebellum is known to modulate the brainstem nuclei involved in the control of posture. Hence, this systematic review with meta-analysis provides insight into the neural correlates which underpin human postural control and which may serve as a reference for future neural network and region of interest analyses.
Author Hardwick, Robert M.
Nieuwboer, Alice
Dijkstra, Bauke W.
Bekkers, Esther M.J.
Gilat, Moran
de Rond, Veerle
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Keywords Meta-Analysis
Postural control
MRI
Functional neuroimaging
Balance
PET
Posture
Language English
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Snippet •Functional brain images of postural control were investigated in a meta-analysis.•Widespread cortical and subcortical brain regions are involved in postural...
Postural instability is a strong risk factor for falls that becomes more prominent with aging. To facilitate treatment and prevention of falls in an aging...
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SubjectTerms Aging
Balance
Basal Ganglia
Functional Neuroimaging
Humans
Meta-Analysis
MRI
PET
Postural Balance
Postural control
Posture
Title Functional neuroimaging of human postural control: A systematic review with meta-analysis
URI https://dx.doi.org/10.1016/j.neubiorev.2020.04.028
https://www.ncbi.nlm.nih.gov/pubmed/32407735
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