Three-Dimensional Motion Analysis Room, Aichi Prefectural Mikawa Aoitori Medical and Rehabilitation Center for Developmental Disabilities, 9-3 Koyaba Kouryuji Cho, Okazaki, 444-0002, Japan.
Department of Integrated Health Sciences, Graduate School of Medicine, Nagoya University, Nagoya, Japan.
Sci Rep. 2022 May 12;12(1):7822. doi: 10.1038/s41598-022-11906-1.
We aimed to develop gait standards for gait parameters in school-aged Japanese children and assess age-related differences in gait patterns and parameters. Children aged 6-12 years (n = 424) were recruited from two elementary schools. An instrumented three-dimensional gait analysis system was used to record each child's gait kinematics, kinetics, and spatiotemporal parameters. Participants were subdivided into three age groups (Group A, 6-8 years; Group B, 9-10 years; and Group C, 11-12 years). LMS Chartmaker, version 2.54, was used to create a developmental chart for the gait pattern. The non-normalized step and stride lengths were significantly longer, and the cadence was lower in older children; however, the opposite outcome occurred when analyzing normalized data. Ankle moment differed significantly by age, and the maximum ankle moment was higher in older children than that in younger children. Furthermore, the hip and knee flexion angles during gait and the normalized spatiotemporal parameters of Japanese children aged 6-12 years differed by age and from those of children from other countries. The centile chart of the gait pattern is a useful tool for clinicians to assess developmental changes in the gait pattern and detect gait abnormalities in children.
本研究旨在制定日本学龄儿童步态参数的标准,并评估步态模式和参数随年龄的变化。从两所小学招募了 6-12 岁的儿童(n=424)。使用仪器化三维步态分析系统记录每个儿童的步态运动学、动力学和时空参数。参与者分为三个年龄组(A 组,6-8 岁;B 组,9-10 岁;C 组,11-12 岁)。使用 LMS Chartmaker 版本 2.54 为步态模式创建了一个发育图表。非标准化的步长和步幅更长,且在较大儿童中步频更低;然而,当分析归一化数据时,结果则相反。踝关节力矩随年龄而显著不同,且较大儿童的最大踝关节力矩高于较小儿童。此外,在步态期间髋关节和膝关节的屈曲角度以及日本 6-12 岁儿童的归一化时空参数因年龄而异,与来自其他国家的儿童不同。步态模式百分位图表是临床医生评估步态模式发育变化和检测儿童步态异常的有用工具。