title: Cerebral Hemodynamic Responses During Dynamic Posturography: Analysis with a Multichannel Near-Infrared Spectroscopy System.
abstract: To investigate cortical roles in standing balance, cortical hemodynamic activity was recorded from the right hemisphere using near-infrared spectroscopy (NIRS) while subjects underwent the sensory organization test (SOT) protocol that systematically disrupts sensory integration processes (i.e., somatosensory or visual inputs or both). Eleven healthy men underwent the SOT during NIRS recording. Group statistical analyses were performed based on changes in oxygenated hemoglobin concentration in 10 different cortical regions of interest and on a general linear analysis with NIRS statistical parametric mapping. The statistical analyses indicated significant activation in the right frontal operculum (f-Op), right parietal operculum (p-Op), and right superior temporal gyrus (STG), right posterior parietal cortex (PPC), right dorsal and ventral premotor cortex (PMC), and the supplementary motor area (SMA) under various conditions. The activation patterns in response to specific combinations of SOT conditions suggested that (1) f-Op, p-Op, and STG are essential for sensory integration when standing balance is perturbed; (2) the SMA is involved in the execution of volitional action and establishment of new motor programs to maintain postural balance; and (3) the PPC and PMC are involved in the updating and computation of spatial reference frames during instances of sensory conflict between vestibular and visual information.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama , Toyama , Japan.
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Takakura
authors.affiliation: System Emotional Science, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama , Toyama , Japan.
authors.forename: Hisao
authors.initials: H
authors.lastname: Nishijo
authors.affiliation: R&D Department, Medical Systems Division, Shimadzu, Co., Ltd. , Kyoto , Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Ishikawa
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama , Toyama , Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Shojaku
keywords: NIRS; dynamic posturography; posterior parietal cortex; premotor cortex; sensory conflict; spatial reference frames; supplementary motor cortex; vestibular cortices