Dynamic changes of brain networks during standing balance control under visual conflict.

Stance balance control requires a very accurate tuning and combination of visual, vestibular, and proprioceptive inputs, and conflict among these sensory systems may induce posture instability and even falls. Although there are many human mechanics and psychophysical studies for this phenomenon, the effects of sensory conflict on brain networks and its underlying neural mechanisms are still unclear. Here, we combined a rotating platform and a virtual reality (VR) headset to control the participants' physical and visual motion states, presenting them with incongruous (sensory conflict) or congruous (normal control) physical-visual stimuli. Further, to investigate the effects of sensory conflict on stance stability and brain networks, we recorded and calculated the effective connectivity of source-level electroencephalogram (EEG) and the average velocity of the plantar center of pressure (COP) in healthy subjects (18 subjects: 10 males, 8 females). First, our results showed that sensory conflict did have a detrimental effect on stance posture control [sensor F(1, 17) = 13.34, P = 0.0019], but this effect decreases over time [window*sensor F(2, 34) = 6.72, P = 0.0035]. Humans show a marked adaptation to sensory conflict. In addition, we found that human adaptation to the sensory conflict was associated with changes in the cortical network. At the stimulus onset, congruent and incongruent stimuli had similar effects on brain networks. In both cases, there was a significant increase in information interaction centered on the frontal cortices (p < 0.05). Then, after a time window, synchronized with the restoration of stance stability under conflict, the connectivity of large brain regions, including posterior parietal, visual, somatosensory, and motor cortices, was generally lower in sensory conflict than in controls (p < 0.05). But the influence of the superior temporal lobe on other cortices was significantly increased. Overall, we speculate that a posterior parietal-centered cortical network may play a key role in integrating congruous sensory information. Furthermore, the dissociation of this network may reflect a flexible multisensory interaction strategy that is critical for human posture balance control in complex and changing environments. In addition, the superior temporal lobe may play a key role in processing conflicting sensory information.