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Published on: June 1, 2015
Lower limb inter-joint coordination patterns are associated with walking experience in toddlers according to limb and
Thiago Ribeiro Teles Santos1, Liria Akie Okai-Nóbrega2, Priscila Albuquerque Araújo1
1Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
Insights
Toddlers develop distinct lower limb roles for balance and propulsion during walking. More walking experience refines coordination, especially in the regulatory limb, improving gait stability and control.
Area of Science:
- Developmental biomechanics
- Gait acquisition in toddlers
- Motor control and learning
Background:
- Early walking (gait acquisition) involves complex inter-joint coordination.
- Toddlers exhibit asymmetrical lower limb function, with regulatory and impulse roles.
- The impact of walking experience on these coordination patterns is not fully understood.
Purpose of the Study:
- To investigate the association between inter-joint coordination patterns and walking experience in toddlers.
- To examine the relationship between coordination variability and walking experience based on lower limb function and stance periods.
Main Methods:
- Study included typically developing toddlers (n=22; 17.27 ± 3.13 months) divided into low (LWE) and greater (GWE) walking experience groups.
- Lower limbs were classified as regulatory or impulse limbs and analyzed during stance onset (SO), mid-stance (MS), and late stance (LS).
- Hip-ankle, knee-ankle, and hip-knee coupling angles (CA) and variability (CAV) were assessed.
Main Results:
- Significant associations between inter-joint coordination patterns and walking experience groups were found, varying by stance period and limb function.
- Coordination variability (CAV) was negatively associated with walking experience in the regulatory limb for hip-ankle (MS), knee-ankle (SO), and hip-knee (LS).
- Differences in distal joint coordination, particularly the ankle at stance onset, were observed between groups.
Conclusions:
- Toddlers develop distinct functional roles for their lower limbs (regulatory vs. impulse) to manage balance and propulsion during early walking.
- Increased walking experience is linked to refined inter-joint coordination, especially in the regulatory limb, suggesting a learning effect.
- These findings highlight the dynamic adaptation of gait coordination strategies with developing walking proficiency.
Abstract:
Walking experience is crucial for inter-joint coordination during gait acquisition. Toddlers show asymmetrical lower limb function during early locomotion for transferring body weight (regulatory limb) and steering the direction of walking (impulse limb). This study aimed to investigate the association between coordination patterns and walking experience, and between coordination variability and walking experience according to healthy toddlers' lower limb function and stance periods. Typically developing toddlers (n = 22; 17.27 ± 3.13 months) were distributed into two groups: up to (LWE) and greater than (GWE) three months of walking experience. The lower limbs were classified as regulatory or impulse limb and analyzed during the onset (SO), mid (MS), and late (LS) stance intervals. Hip-ankle, knee-ankle, and hip-knee coupling angle (CA) and its variability (CAV) were assessed. A relationship was found between inter-joint coordination pattern and groups, which was distinct according to stance period and lower limb function: (a) hip-ankle CA: at SO for both limbs, MS for the regulatory limb, and LS for the impulse limb; (b) knee-ankle CA: at SO for both limbs and MS for the regulatory limb; (c) hip-knee CA: at SO for both limbs, at MS for the regulatory limb, and LS for the impulse limb. These findings were linked to differences observed in distal joints between groups, mainly at the ankle during stance onset. The CAV was negatively associated with walking experience only in the regulatory limb in the following variables: hip-ankle at MS, knee-ankle at SO, and hip-knee at LS. Findings showed different functional roles of the lower limbs in dealing with the demands of balance and propulsion during early walking.
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