• This record comes from PubMed

How do novice and improver walkers move in their home environments? An open-sourced infant's gait video analysis

. 2019 ; 14 (6) : e0218665. [epub] 20190620

Language English Country United States Media electronic-ecollection

Document type Journal Article, Research Support, Non-U.S. Gov't

OBJECTIVE: Natural independent walking mostly occurs during infant´s everyday explorations of their home environment. Gait characteristics of infant walkers at different developmental stages exist in literature, however, data has been only collected in laboratory environments, which may reduce gait variability, therefore mask differences between developmental stages of natural gait. The aim of the study was to provide the first data set of temporal and functional gait characteristics of novice and improver infant walkers in familiar environment conditions in their home. We hypothesised that familiar environment conditions may effectively demonstrate natural gait characteristics and real differences in gait variables differing between 2 groups of developing infant walkers. METHODS: In a cross-sectional design; we used open-source videos of infants in their home environments: twenty videos of 10 novice (5 girls, 5 boys, 7-12 months) and 10 improver (4 girls, 6 boys, 8-13 months) walkers were chosen from an open-source website. 2-D video gait analysis was undertaken for these parameters: falls frequency, frequency of stops, gait cadence, and time of stance phase, swing phase, and double support. Between groups comparison for novice versus improver was investigated by Mann-Whitney U tests (p ≤ 0.05) with determination of effect size of Pearson r correlation. RESULTS: Statistically significant differences between groups with large effect sizes were found for these parameters: falls frequency (p = 0.01, r = 0.56); cadence (p = 0.01, r = 0.57); stance phase duration of right leg (p < 0.01, r = 0.63); stance phase duration of left leg (p = 0.01, r = 0.56); and double support phase duration (p < 0.01, r = 0.69). Novices scored higher in comparison with improver walkers in all the parameters except cadence. CONCLUSIONS: This study presents the first data set of functional and temporal gait parameters of novice and improver infant walkers in their home environments. As an addition to recent research, novice infants walk with lower cadence and higher falls frequency, stance phase time and double support in their familiar environments. With increasing experiences, infant´s cadence increases while the other parameters decrease.

See more in PubMed

De Ste Croix M, Korff T. Paediatric biomechanics and motor control: theory and application. 2012.

Forssberg H. Ontogeny of human locomotor control I. Infant stepping, supported locomotion and transition to independent locomotion. Exp Brain Res. 1985;57: 480–493. PubMed

Lacquaniti F, Ivanenko YP, Zago M. Kinematic control of walking. Arch Ital Biol. 2002;140: 263–272. PubMed

Bril B, Brenière Y. Postural requirements and progression velocity in young walkers. J Mot Behav. 1992;24: 105–116. 10.1080/00222895.1992.9941606 PubMed DOI

Ivanenko YP, Dominici N, Lacquaniti F. Development of independent walking in toddlers. Exerc Sport Sci Rev. 2007;35: 67–73. 10.1249/JES.0b013e31803eafa8 PubMed DOI

Cheron G, Bouillot E, Dan B, Bengoetxea A, Draye JP, Lacquaniti F. Development of a kinematic coordination pattern in toddler locomotion: Planar covariation. Exp Brain Res. 2001;137: 455–466. PubMed

Sundermier L, Woollacott M, Roncesvalles N, Jensen J. The development of balance control in children: comparisons of EMG and kinetic variables and chronological and developmental groupings. Exp Brain Res. 2001;136: 340–350. PubMed

Bisi MC, Stagni R. Evaluation of toddler different strategies during the first six-months of independent walking: A longitudinal study. Gait Posture. 2015;41: 574–579. 10.1016/j.gaitpost.2014.11.017 PubMed DOI

Hallemans A, D’Aout K, De Clercq D, Aerts P. Pressure distribution patterns the feet of new walkers the first two months of independent walking. Foot Ankle Int. 2003;24: 444–453. 10.1177/107110070302400513 PubMed DOI

Hallemans A, Clercq D De, Aerts P. Changes in 3D joint dynamics during the first 5 months after the onset of independent walking: A longitudinal follow-up study. Gait Posture. 2006;24: 270–279. 10.1016/j.gaitpost.2005.10.003 PubMed DOI

Dominici N, Ivanenko YP, Cappellini G, Zampagni ML, Lacquaniti F. Kinematic strategies in newly walking toddlers stepping over different support surfaces. J Neurophysiol. 2010;103: 1673–1684. 10.1152/jn.00945.2009 PubMed DOI

Ledebt A. Changes in arm posture during the early acquisition of walking. Infant Behav Dev. 2000;23: 79–89.

Adolph KE, Cole WG, Komati M, Garciaguirre JS, Badaly D, Lingeman JM, et al. How do you learn to walk? Thousands of steps and dozens of falls per day. Psychol Sci. 2012;23: 1387–1394. 10.1177/0956797612446346 PubMed DOI PMC

Cole WG, Robinson SR, Adolph KE. Bouts of steps: The organization of infant exploration. Dev Psychobiol. 2016;58: 341–354. 10.1002/dev.21374 PubMed DOI PMC

Bosch K, Gerß J, Rosenbaum D. Development of healthy children’s feet-Nine-year results of a longitudinal investigation of plantar loading patterns. Gait Posture. 2010;32: 564–571. 10.1016/j.gaitpost.2010.08.003 PubMed DOI

Bertsch C, Unger H, Winkelmann W, Rosenbaum D. Evaluation of early walking patterns from plantar pressure distribution measurements. First year results of 42 children. Gait Posture. 2004;19: 235–242. 10.1016/S0966-6362(03)00064-X PubMed DOI

Figueiredo PRP, Silva PLP, Avelar BS, Chagas PSC, Oliveira LCP, Mancini MC. Assessment of gait in toddlers with normal motor development and in hemiplegic children with mild motor impairment: A validity study. Brazilian J Phys Ther. 2013;17: 359–366. PubMed

Gardiner J, Gunarathne N, Howard D, Kenney L. Crowd-sourced amputee gait data: A feasibility study using YouTube videos of unilateral trans-femoral gait. PLoS One. 2016;11: 1–10. PubMed PMC

Adolph KE, Vereijken B, Shrout PE. What changes in infant walking and why. Child Dev. 2003;74: 475–497. PubMed

Fritz CO, Morris PE, Richler JJ. Effect size estimates: Current use, calculations, and interpretation. J Exp Psychol Gen. 2012;141: 2–18. 10.1037/a0024338 PubMed DOI

Cohen J. Quantitative methods in psychology power primer. Psychol Bull. 1992;112: 155–159. PubMed

Owen E. Normal gait kinematics and kinetics In: Rahlin M, editor. Physical therapy for children with cerebral palsy: an evidence-based approach. SLACK Incorporated; 2016.

Looper J, Chandler LS. How do toddlers increase their gait velocity? Gait Posture. 2013;37: 631–633. 10.1016/j.gaitpost.2012.09.009 PubMed DOI

Bisi MC, Stagni R. Evaluation of toddler different strategies during the first six-months of independent walking: A longitudinal study. Gait Posture. 2015;41: 574–579. 10.1016/j.gaitpost.2014.11.017 PubMed DOI

Ivanenko YP. Kinematics in newly walking toddlers does not depend upon postural stability. J Neurophysiol. 2005;94: 754–763. 10.1152/jn.00088.2004 PubMed DOI

Sutherland D. The development of mature gait. Gait Posture. 1997;6: 163–170.

Clark JE, Phillips SJ. A longitudinal study of intralimb coordination in the first year of independent walking: A dynamical systems analysis. Child Dev. 1993;64: 1143–1157. PubMed

Find record

Citation metrics

Loading data ...

Archiving options

Loading data ...