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Age-related differences in interlimb coordination during typical gait: An observational study.

Pieter Meyns1, Patricia Van de Walle2, Kaat Desloovere3

  • 1REVAL Rehabilitation Research, Faculty of Rehabilitation Sciences, Hasselt University, Agoralaan Building A - B-3590 Diepenbeek, Diepenbeek, Belgium.

Gait & Posture
|July 25, 2020
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Summary

Interlimb coordination, or how arms and legs move together during walking, changes significantly with age. This study reveals distinct developmental patterns in coordination from early childhood through adulthood.

Keywords:
Arm swingDevelopmentMaturationRelative phaseVariability

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Area of Science:

  • Developmental biomechanics
  • Gait analysis
  • Motor control

Background:

  • Arm movements during gait change with age, particularly after 3 years.
  • It remains unclear if interlimb coordination, a gait quality measure, follows similar age-related patterns.

Purpose of the Study:

  • To investigate age-related differences in interlimb coordination during gait in typically developing children and adults.

Main Methods:

  • 98 typically developing participants were grouped by age (2.9-35.2 years).
  • Three-dimensional total-body gait analysis was performed at self-selected walking speeds.
  • Mean continuous relative phase (MRP) and its variability (sdMRP) were calculated for limb pairs to assess interlimb coordination.

Main Results:

  • Coordination shifted towards anti-phase for arm-arm, left arm-left leg, and right arm-right leg pairs with increasing age.
  • Coordination shifted towards in-phase for left arm-right leg and right arm-left leg pairs with increasing age.
  • Variability in interlimb coordination (sdMRP) decreased across all limb pairs with age.

Conclusions:

  • Interlimb coordination during gait demonstrates distinct developmental trajectories, with some patterns maturing earlier than others.
  • Coordination between the arms matures later, showing differences into adulthood.
  • These findings establish an age-related framework for normative interlimb coordination, aiding in the identification of neuromotor disorders in children.