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.