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Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
Published on: January 12, 2019
[Developmental and locomotor disorders in children]
1UMR 6149, CNRS, centre Saint-Charles, groupe DPA, pôle 3C, université de Provence, Case B, 3, place Victor-Hugo, 13331 Marseille cedex 03, France. christine.assaiante@univ-provence.fr
Insights
Gait and balance disorders are common in children from one year of age. This study analyzes locomotor strategies in typical and pathological development to propose interventions for childhood gait and balance issues.
Area of Science:
- Neurology
- Developmental Pediatrics
- Biomechanics
Context:
- Gait and balance disorders frequently present in pediatric neurology from one year of age.
- Bipedal locomotion requires significant maturation of balance control systems throughout childhood ontogenesis.
- Understanding typical gait development is crucial for identifying pathological deviations.
Purpose:
- To analyze gait parameters and locomotor strategies in children.
- To investigate the maturation of locomotor balance during ontogenesis.
- To propose interventions for childhood gait and balance disorders.
Summary:
- Gait parameters are largely established within the first year of independent walking in children.
- Locomotor balance maturation is a lengthy process extending over several years.
- A repertoire of locomotor strategies in typical and pathological development has been identified through gait analysis.
Impact:
- Provides insights into the developmental trajectory of gait and balance in children.
- Establishes a foundation for understanding and diagnosing pediatric gait and balance abnormalities.
- Offers potential therapeutic strategies for addressing gait and balance disorders in childhood.
Abstract:
From one year of age, gait and balance disorders are frequent complaints in neurology. During the first year following the acquisition of independent walking, most of the gait, such as transition from digitigrade to plantigrade locomotion, parameters are well-established in children. Nevertheless, bipedal locomotion means solving a large number of balance problems. Locomotor balance needs many years to mature in the course of ontogenesis. From various gait analysis, it was possible to establish a repertoire of locomotor strategies used in typical and pathological development. The last part of this paper is devoted to the possible responses that can be proposed for gait and balance disorders occurring during childhood.
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