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Balancing on the Edge: Review and Computational Framework on the Dynamics of Fear of Falling and Fear of Heights in Postural Control
- Spartakov, Ruslan;
- Kshirsagar, Alap;
- Mühl, Dominik;
- Schween, Raphael;
- Endres, Dominik M;
- Bremmer, Frank;
- Melzig, Christiane A.;
- Peters, Jan
Abstract
This review explores the complex relationship between Fear of Falling (FoF) and Fear of Heights (FoH), and their impact on human postural control. FoF encompasses a spectrum of psychological and physiological responses that dynamically influence postural control, while FoH involves perceptual distortions and heightened physiological arousal in response to elevated environments. Through a comprehensive literature review, we examine the research methods and findings of studies on FoF and FoH. We further propose that Optimal Feedback Control (OFC) theory is a suitable framework to understand the computational aspects of how these fears modify postural control. We aim to provide a nuanced understanding of FoF and FoH, not only as psychological phenomena but as complex, dynamic interactions of cognitive, physiological, and motor processes influencing an individual's interaction with their environment.