Abstract
Background: Previous evidence suggests that postural control processing may be more related to spatial working memory (SWM) than to nonspatial working memory (NWM). Methodological discrepancies between spatial and nonspatial cognitive tasks have made direct comparisons between the two systems difficult. Methods: To explore the neural mechanisms of SWM and NWM relative to that of postural control, participants were subjected a cognitive-posture dual-task paradigm, consisting of a 3-back letter working memory (WM) task, using physically identical stimuli with spatial and nonspatial components memorized in different sessions, and a standing balance task with a tandem stance. Additionally, there were two control sessions: a single-postural control session wherein participants pressed mouse buttons at random while standing; and a single-cognitive task control session wherein subjects completed a WM task while seated. The subjects underwent functional near-infrared spectral imaging (fNIRS) during task performance, wherein oxygenated hemoglobin concentration ([HbO]) was measured in frontal and parietal regions. Results: Postural control reduced discernment in the SWM task significantly, but did not affect NWM task performance. fNIRS showed that postural control had a significant tendency to decrease the [HbO] in the frontal-parietal network of the left hemisphere when participants completed the SWM task. No posture-associated differences in [HbO] were observed in NWM-related areas during NWM task performance. Behavioral and fNIRS data demonstrated that postural control had a selective interaction with SWM. Specifically, postural control reduced SWM discrimination and SWM-related brain activity (frontal-parietal network), but not NWM discrimination or NWM-related brain activity. Furthermore, the multiple linear regression analysis showed that SWM, but not NWM, was an important predictor of postural control. These results suggest that postural control may share more cognitive resources with SWM than with NWM.