The development of balance control in children: comparisons of EMG and kinetic variables and chronological and

L Sundermier1, M Woollacott, N Roncesvalles

  • 1Department of Exercise and Movement Science and Institute of Neuroscience, University of Oregon, Eugene 97403, USA.

Insights

Developmental level, not chronological age, better predicts balance control in children. Improved muscle coordination and strength enhance reactive balance responses, reducing center-of-pressure sway.

Area of Science:

  • Developmental Pediatrics
  • Motor Control
  • Biomechanics

Background:

  • Reactive balance control is crucial for preventing falls in children.
  • Understanding the interplay between muscle activity and body movement is essential for assessing balance development.

Purpose of the Study:

  • To investigate the relationship between electromyographic (EMG) and kinetic variables during reactive balance responses in children.
  • To compare the effectiveness of grouping children by developmental level versus chronological age for analyzing balance control.

Main Methods:

  • Cross-sectional study involving 44 children aged 9 months to 10 years.
  • Electromyographic (EMG) activity of key postural muscles (gastrocnemius, hamstrings, paraspinals, tibialis anterior, quadriceps, abdominals) was measured.
  • Center-of-pressure (COP) adjustments and peak joint torques (ankle, knee, hip) were analyzed during reactive balance tasks on a movable platform.

Main Results:

  • Significant relationships were found between postural muscle activity, lower limb torque, and COP adjustments.
  • Increased and more coordinated postural muscle activity correlated with higher peak torques and faster, shorter COP readjustments.
  • Developmental level grouping revealed more significant differences in balance control compared to chronological age grouping.

Conclusions:

  • Developmental level is a more effective predictor of balance improvement than chronological age in children.
  • Specific muscles (gastrocnemius, hamstrings, paraspinals) play key roles in the balance synergy for correcting forward sway.
  • Improved muscle synergy and strength are critical for efficient reactive balance recovery.

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