PTOtherInternational journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation2019

Three-dimensional path of the body centre of mass during walking in children: an index of neural maturation.

Chiara Malloggi, Viviana Rota, Luigi Catino and 5 others

PMID 30882528

WHAT IT FOUND

In healthy children 5–13, the body's centre of mass path while walking got shorter and less side-to-side relative to height as age increased, and changed shape with speed.

These treadmill norms are preliminary, not a validated clinical test.

Key findings

01The side-to-side width and total length of the body centre of mass path during walking became smaller relative to height as children got older.

02At higher walking speeds, the path became more bent and upward concave when viewed from the front.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The sample was small: 22 children and six adults, so other sources of variability could not be examined. Participants were healthy children aged 5–13 and adults aged 23–48, so it does not describe children with gait or balance disorders. The age range stopped at 13, so it does not map the full path of walking development. Treadmill walking differs from overground walking: at the same speed, step length was 7–10% shorter, and children aged 6–7 had wider steps. The study proposed the centre of mass path as a possible index; it did not test whether it predicts falls or changes with treatment.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not use this as a validated clinical test or say it proves neural maturation. It analyzed 22 healthy children and six adults on a treadmill and only proposed the centre of mass path as a possible index.

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The study

Participants
22 healthy children (12 boys and 10 girls) aged 5–13 years and six healthy adults (3 men and 3 women) aged 23–48 years
Certainty of evidence
Low

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Cite

Chiara Malloggi, Viviana Rota, Luigi Catino, et al. Three-dimensional path of the body centre of mass during walking in children: an index of neural maturation. International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation. 2019.

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