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Differences in ankle range of motion between pre-walking and walking infants
Sarah Wong1, Louise Ada, Jane Butler
1Kandang Kerbau Hospital, Singapore.
Insights
Passive ankle dorsiflexion range decreases significantly as infants transition from pre-walking to new-walking stages. This finding is crucial for understanding motor development and assessing infants with disabilities.
Area of Science:
- Developmental Pediatrics
- Biomechanics
- Motor Control
Background:
- Passive ankle dorsiflexion range naturally decreases from approximately 60 degrees in neonates to 20 degrees in adults.
- This reduction is associated with maturation and motor development, but its specific relation to early motor milestones requires further investigation.
Purpose of the Study:
- To investigate the relationship between the reduction in passive ankle dorsiflexion and motor development in infants.
- To compare passive ankle dorsiflexion in infants who are pre-walking versus those who are newly walking.
Main Methods:
- Collected ankle angle and force data during passive ankle dorsiflexion.
- Studied two groups of infants: 14 pre-walkers and 12 new-walkers.
Main Results:
- Passive ankle dorsiflexion decreased by an average of 6.6 degrees.
- Mean ankle dorsiflexion was 45 degrees in pre-walkers and 38 degrees in new-walkers.
Conclusions:
- A normative decrease in passive ankle dorsiflexion occurs between the pre-walking and new-walking stages.
- This data can guide the assessment and monitoring of ankle function in infants, particularly those with disabilities.
Abstract:
The magnitude of passive ankle dorsiflexion decreases from about 60 degrees in the neonatal period to about 20 degrees in adulthood. In order to examine the relation between this reduction and motor development, the magnitude of passive ankle dorsiflexion was compared between infants who were not yet standing and those who were newly walking. Ankle angle and force data during passive ankle dorsiflexion were collected from 14 pre-walkers and 12 new-walkers. Ankle dorsiflexion decreased by 6.6 degrees from a mean of 45 degrees in the pre-walkers to a mean of 38 degrees in the new-walkers. This normative data provides guidelines for the assessment and monitoring of ankle function in the disabled infant.
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