Effect of Trunk Solution® on hemodynamics in the supplementary motor area during walking

• Published in: Journal of Physical Therapy Science 2023, Vol.35(7), pp.502-506
• Main Authors: Yozu, Arito, Katsuhira, Junji, Oka, Hiroyuki, Matsudaira, Ko
• Format: Article
• Language: English
• Subjects: Hemodynamics; Original; Supplementary motor area (SMA); Truncal upright posture control; Trunk orthosis
• ISSN: 0915-5287; 2187-5626
• DOI: 10.1589/jpts.35.502

[Purpose] Humans keep their trunks vertical while walking. This defining characteristic is known as upright bipedalism. Research on the neural control of locomotion indicates that not only subcortical structures, but also the cerebral cortex, especially the supplementary motor area (SMA), is involved in locomotion. A previous study suggested that SMA may contribute to truncal upright posture-control during walking. Trunk Solution® (TS) is a trunk orthosis designed to support the trunk in decreasing the low back load. We hypothesized that the trunk orthosis might reduce the burden of truncal control on the SMA. The objective of this study was, therefore, to determine the effect of trunk orthosis on the SMA during walking. [Participants and Methods] Thirteen healthy participants were enrolled in the study. We measured the hemodynamics of the SMA during walking with functional near-infrared spectroscopy (fNIRS). The participants performed two gait tasks on a treadmill: (A) independent gait (usual gait) and (B) supported gait while wearing the TS. [Results] During (A) independent gait, the hemodynamics of the SMA exhibited no significant changes. During (B) gait with truncal support, the SMA hemodynamics decreased significantly. [Conclusion] TS may reduce the burden of truncal control on the SMA during walking.