Gait patterns in children with Developmental Coordination Disorder

Previous research has shown that adults with Developmental Coordination Disorder (DCD) show increased variability of foot placement measures and movement of the centre of mass (CoM) while walking. The current study considered the gait patterns of young and older children with DCD. Fourteen young children with DCD (7–12 years), 15 older children with DCD (12–17 years) and 29 age- and gender-matched typically developing children took part. Children were asked to walk up and down a flat 10-m-long pathway for 1 min, while the movement of their feet and trunk was recorded using motion analysis. The gait pattern of children with DCD was characterised by wider steps, elevated variability in the time spent in double support and stride time and greater medio-lateral velocity and acceleration compared to their peers. An elevated variability in medio-lateral acceleration was also seen in the young but not the older children with DCD. In addition, the young children showed a greater variability in velocity and acceleration in all three directions compared to the older children. The data suggest that the high incidence of trips and falls seen in children with DCD may be due to differences in the control of the CoM.

[1]  A. Kuo,et al.  Direction-dependent control of balance during walking and standing. , 2009, Journal of neurophysiology.

[2]  A. Gentile,et al.  Form and Variability During Sit-to-Stand Transitions: Children Versus Adults , 2004, Journal of motor behavior.

[3]  V. Hatzitaki,et al.  Perceptual-Motor Contributions to Static and Dynamic Balance Control in Children , 2002, Journal of motor behavior.

[4]  Sungjin Hong,et al.  A Review of New Analytic Techniques for Quantifying Symmetry in Locomotion , 2010, Symmetry.

[5]  D. De Clercq,et al.  Visual contribution to walking in children with Developmental Coordination Disorder. , 2006, Child: care, health and development.

[6]  Shuichi Obuchi,et al.  Relationship with Dynamic Balance Function During Standing and Walking , 2003, American journal of physical medicine & rehabilitation.

[7]  M. Levin,et al.  The development of coordination for reach-to-grasp movements in children , 2002, Experimental Brain Research.

[8]  E. Hill,et al.  Adaptation and Extension of the European Recommendations (EACD) on Developmental Coordination Disorder (DCD) for the UK context , 2015, Physical & occupational therapy in pediatrics.

[9]  A. Kuo,et al.  Active control of lateral balance in human walking. , 2000, Journal of biomechanics.

[10]  S. Studenski,et al.  Too much or too little step width variability is associated with a fall history in older persons who walk at or near normal gait speed , 2005, Journal of NeuroEngineering and Rehabilitation.

[11]  D. Thorpe,et al.  A normative sample of temporal and spatial gait parameters in children using the GAITRite electronic walkway. , 2007, Gait & posture.

[12]  G. Courtine,et al.  Stance- and locomotion-dependent processing of vibration-induced proprioceptive inflow from multiple muscles in humans. , 2007, Journal of neurophysiology.

[13]  Jeffrey M. Hausdorff,et al.  Maturation of gait dynamics: stride-to-stride variability and its temporal organization in children. , 1999, Journal of applied physiology.

[14]  Fong-Chin Su,et al.  The dynamic balance of the children with cerebral palsy and typical developing during gait Part II: Instantaneous velocity and acceleration of COM and COP and their relationship. , 2009, Gait & posture.

[15]  K. Wilmut,et al.  Grip selection for sequential movements in children and adults with and without Developmental Coordination Disorder. , 2014, Human movement science.

[16]  D. Dewey,et al.  Reliability and validity of a parent questionnaire on childhood motor skills. , 2000, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[17]  Jenn-Yeu Chen,et al.  Standing balance of children with developmental coordination disorder under altered sensory conditions. , 2007, Human movement science.

[18]  Benno M. Nigg,et al.  Gait characteristics as a function of age and gender , 1994 .

[19]  Chia-Liang Tsai,et al.  Static balance in children with developmental coordination disorder. , 2008, Human movement science.

[20]  Kate Wilmut,et al.  Level walking in adults with and without Developmental Coordination Disorder: An analysis of movement variability. , 2015, Human movement science.

[21]  D. De Clercq,et al.  Balance problems during obstacle crossing in children with Developmental Coordination Disorder. , 2010, Gait & posture.

[22]  R. Olshen,et al.  The development of mature gait. , 1980, The Journal of bone and joint surgery. American volume.

[23]  S. Rosenblum,et al.  The development and standardization of the Adult Developmental Co-ordination Disorders/Dyspraxia Checklist (ADC). , 2010, Research in developmental disabilities.

[24]  B. Bloem,et al.  The clinical utility of posturography , 2008, Clinical Neurophysiology.

[25]  B. E. Maki,et al.  Gait Changes in Older Adults: Predictors of Falls or Indicators of Fear? , 1997, Journal of the American Geriatrics Society.

[26]  A. Patla,et al.  Age-related changes in gait for multi-surface terrain. , 2008, Gait & posture.

[27]  D. Larkin,et al.  Children's co-ordination and developmental movement difficulty , 2003 .

[28]  M. Tingley,et al.  Gait Pattern Classification of Children with Developmental Coordination Disorder. , 2002, Adapted physical activity quarterly : APAQ.

[29]  J. Golding,et al.  Prevalence of Developmental Coordination Disorder Using the DSM-IV at 7 Years of Age: A UK Population–Based Study , 2009, Pediatrics.

[30]  Jorunn L Helbostad,et al.  Interstride trunk acceleration variability but not step width variability can differentiate between fit and frail older adults. , 2005, Gait & posture.

[31]  A. Barnett,et al.  Reaching to throw compared to reaching to place: a comparison across individuals with and without Developmental Coordination Disorder. , 2013, Research in developmental disabilities.

[32]  J. Starkes,et al.  Non-linear development of postural control and strategy use in young children: a longitudinal study , 2001, Experimental Brain Research.

[33]  Jenn-Yeu Chen,et al.  The effects of a motor and a cognitive concurrent task on walking in children with developmental coordination disorder. , 2009, Gait & posture.

[34]  C. Gillberg,et al.  Why Bother About Clumsiness? The Implications of Having Developmental Coordination Disorder (DCD) , 2003, Neural plasticity.

[35]  Ciara M O'Connor,et al.  Automatic detection of gait events using kinematic data. , 2007, Gait & posture.

[36]  S. Henderson,et al.  Clumsiness in Children‐Do they Grow out Of It? A 10‐Year Follow‐Up Study , 1991, Developmental medicine and child neurology.

[37]  R. Woledge,et al.  The variable component of lateral body sway during walking in young and older humans. , 2005, The journals of gerontology. Series A, Biological sciences and medical sciences.

[38]  R. Fitzpatrick,et al.  Age-related differences in walking stability. , 2003, Age and ageing.

[39]  D. De Clercq,et al.  Differences in gait between children with and without developmental coordination disorder. , 2006, Motor control.

[40]  R. Goodman.  The Strengths and Difficulties Questionnaire: a research note. , 1997, Journal of child psychology and psychiatry, and allied disciplines.

[41]  Jesse Spencer-Smith,et al.  Differences in gait complexity and variability between children with and without developmental coordination disorder. , 2009, Gait & posture.