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Updated: Dec 13, 2025

Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
Published on: September 18, 2020
Contribution of the dorsolateral prefrontal cortex activation, ankle muscle activities, and coactivation during
Nobuko Fujita1, Sho Kunimune2, Shuichi Okada3
1Division of Physical Therapy, Department of Rehabilitation, Faculty of Health Sciences, Naragakuen University: 3-15-1 Nakatomigaoka, Nara-shi, Nara 631-8524, Japan.
Abstract:
[Purpose] To examine the influence of dorsolateral prefrontal cortex (DLPFC) activation, ankle muscle activities, and coactivation on postural steadiness during dual-tasks. [Participants and Methods] A total of 14 participants (8 males, 6 females) were included. The participants stood straight on the force plate, and performed 3 different tasks: 1) a quiet standing (single-task), 2) a repetition of a number (dual-task 1: DT1), and 3) a serial subtraction (dual-task 2: DT2). We divided the participants into 2 groups (S and L group) according to whether their center of pressure paths in the dual-tasks were shorter or longer than those in the single-task. The EMG activity of the gastrocnemius lateralis and tibialis anterior were measured; the oxygenated hemoglobin (oxy-Hb) level in the DLPFC were measured using fNIRS. [Results] The results revealed that oxy-Hb in the left DLPFC increased significantly in all participants during DT2 compared to a single-task. Further, we found that the S group exhibited a higher rate of tibialis anterior activity and ankle muscle coactivation than the L group during DT2. [Conclusion] We concluded that the increase of the DLPFC activation varied with the dual-tasks; moreover, younger individuals modulate their standing posture using different strategies for posture steadiness during posture-calculating task.

