Sagittal Joint Kinematics, Moments, and Powers Are Predominantly Characterized by Speed of Progression, Not Age, in Normal Children

Twenty-six healthy 7-year-old children were enrolled in a 5-year longitudinal study to examine the importance of age and speed in the characterization of sagittal joint angles, moments, and powers. In 740 gait trials, children walking at self-selected speeds were examined on the basis of age and normalized speed [speed/(height ×g)1/2]. The kinematics and kinetics in these children were characterized predominantly by normalized speed of progression and not age. The clinical relevance of these findings is that normalized speed of walking, rather than age, should be considered when comparing normal with pathologic gait.

[1]  T P Andriacchi,et al.  Walking speed as a basis for normal and abnormal gait measurements. , 1977, Journal of biomechanics.

[2]  T. Andriacchi,et al.  Changes in the gait patterns of growing children. , 1981, The Journal of bone and joint surgery. American volume.

[3]  R. Norlin,et al.  Development of Gait in the Normal Child , 1981, Journal of pediatric orthopedics.

[4]  R. Rose-Jacobs,et al.  Development of gait at slow, free, and fast speeds in 3- and 5-year-old children. , 1983, Physical therapy.

[5]  S R Menkveld,et al.  Analysis of Gait Patterns in Normal School‐Aged Children , 1988, Journal of pediatric orthopedics.

[6]  I. McKinley The Development of Mature Walking , 1989 .

[7]  R. B. Davis,et al.  A gait analysis data collection and reduction technique , 1991 .

[8]  S. Õunpuu,et al.  Three-dimensional lower extremity joint kinetics in normal pediatric gait. , 1991, Journal of pediatric orthopedics.

[9]  Richard A. Brand,et al.  The biomechanics and motor control of human gait: Normal, elderly, and pathological , 1992 .

[10]  Wave Pattern of Ground Reaction Force of Growing Children , 1992, Journal of pediatric orthopedics.

[11]  J. Engsberg,et al.  Normative ground reaction force data for able-bodied and below-knee-amputee children during walking. , 1993, Journal of pediatric orthopedics.

[12]  CHANGES OF SAGITTAL‐PLANE ANKLE MOTION AND GROUND REACTION FORCE (FORE‐AFT SHEAR) IN NORMAL CHILDREN AGED FOUR TO 10 YEAR , 1993, Developmental medicine and child neurology.

[13]  A. Hof Scaling gait data to body size , 1996 .

[14]  D. Oeffinger,et al.  Pediatric kinetics: Age related changes in able-bodied populations , 1997 .

[15]  Alistair Lawson,et al.  Can transverse plane rotations be estimated from video tape gait analysis , 1997 .

[16]  G. Gorton,et al.  Repeatability of the walking patterns of normal children , 1997 .

[17]  Marker attachment in gait analysis: On skin or lycra? , 1997 .

[18]  B. Stansfield,et al.  Gait is predominantly characterised by speed of progression, not age, in 5 to 12 year old normal children , 1999 .