Reference data for performances on the standardized walking obstacle course in children developing typically

Karen M Kott1, Sharon Held2, Mary Rose Franjoine2

  • 1Old Dominion University, School of Physical Therapy and Athletic Training, 3118 Health Sciences Building, Norfolk, VA 23529, United States.

Gait & Posture
|August 10, 2016
PubMed

Insights

This study establishes reference data for the Standardized Walking Obstacle Course (SWOC) to screen child ambulation. Height is a key factor for interpreting SWOC performance in typically developing children.

Area of Science:

  • Pediatric physical therapy
  • Child development research
  • Biomechanical analysis of gait

Background:

  • Assessing ambulation in children is crucial for identifying developmental delays.
  • Standardized tools are needed to objectively measure walking performance in pediatric populations.
  • The Standardized Walking Obstacle Course (SWOC) offers a method to evaluate gait under various conditions.

Purpose of the Study:

  • To establish reference performance groups on the Standardized Walking Obstacle Course (SWOC).
  • To create a screening pathway for ambulation in typically developing children.
  • To provide clinicians with normative data for pediatric gait assessment.

Main Methods:

  • The Standardized Walking Obstacle Course (SWOC) assessed ambulation in three conditions: walking (W), walk with tray (WT), and walk wearing sunglasses (WG).
  • 355 children completed two trials per condition, measuring time, steps, stumbles, and steps off path.
  • Data analysis focused on establishing reliable reference values considering trial consistency and participant characteristics.

Main Results:

  • Average performance data from two trials were used due to high correlation between trials.
  • Gender was not a significant factor in SWOC performance.
  • Height was a significant predictor of performance across all conditions, leading to reference data based on height groups.

Conclusions:

  • Reference values for the SWOC, stratified by height, can aid clinicians in screening for ambulation limitations.
  • Individual height provides a more consistent basis for comparison than age alone.
  • The SWOC serves as a valuable tool for assessing and monitoring pediatric ambulation skills.
Abstract

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