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Relationship between static balance and gait parameters in preschool children
Institution:1. Kitasato University School of Allied Health Sciences, Sagamihara, Japan;2. Department of Rehabilitation, Kitasato University Hospital, Sagamihara, Japan;3. Komazawa Women''s Junior College, Tokyo, Japan;1. Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milano, Italy;2. Dipartimento di Meccanica, Politecnico di Milano, Milano, Italy;3. Exercise Physiology and Physical Assessment Laboratory, Serra Gaúcha University Center, Caxias do Sul, Brazil;4. Integrated Colleges of Taquara (FACCAT), Taquara, Brazil;1. Faculty of Rehabilitation, Kansai Medical University, 18-89 Uyama Higashimachi, Hirakata, Osaka 573-1136, Japan;2. Human Health Sciences, Graduate School of Medicine, Kyoto University, 53 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan;3. Fukui General Clinic, 1-42-1 Nittazuka, Fukui-shi,Fukui 910-0067, Japan;1. Graduate School of Human Health Sciences, Tokyo Metropolitan University, 7-2-10 Higashi-Ogu, Arakawa-ku, Tokyo 116-8551, Japan;2. Faculty of Healthcare Sciences, Chiba Prefectural University of Health Sciences, 2-10-1 645-1 Nitona-cho, Chuo-ku, Chiba 261-0014, Japan;3. Adachi Medical Center, Tokyo Women''s Medical University, 4-33-1 Kouhoku, Adachi-ku, Tokyo 123–8558, Japan;1. Ziauddin University, 128/2 14th Street off Khayaban e Muhafiz Phase 6 Defence Housing Authority Karachi, Pakistan;2. Shaheed Mohtarma Benazir Bhutto Medical College Liyari, Parsa citi, Garden East, Karachi, Pakistan;3. Dow University of Health Sciences, Bridge View Apartment, Frere Town, Clifton Block 8, Karachi 75600, Pakistan;1. Department of Kinesiology, University of Massachusetts, Amherst, MA, USA;2. Department of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical School, Worcester, MA, USA;1. Department of Orthopaedic Surgery, Duke University School of Medicine, DUMC 104002, Durham, NC, 27710, USA;2. Department of Allied Health Sciences, University of North Carolina at Chapel Hill, CB# 7135, Bondurant Hall 3022, Chapel Hill, NC 27599, USA;3. Department of Physical Therapy, MGH Institute of Health Professions, 36 1st Avenue, Boston, MA 02129, USA
Abstract:BackgroundPostural sway while standing reflects the degree of sensory integration function. The relationship between static balance and gait parameters in preschool children is essential for understanding which component of gait function is linked to the sensory integration function.Research questionWe aimed to clarify the relationship between static balance and gait in children, aged 2–6 years, with typical developmentMethodsA total of 105 children (48 girls, 57 boys) participated in this study. Static balance parameters were computed using positions at the center of pressure (COP) while standing (COP length, velocity, and sway area). Spatiotemporal parameters during gait were analyzed for stride length, step width, stance time, cadence, coefficient of variation (CV) of step length, and CV of stance time as gait variability. Pearson correlation coefficients were estimated to explore the relationship between age and static balance or gait parameters. Partial correlation analysis controlling for age was also performed to examine the relationship between static balance and gait parameters.ResultsA moderate association between age and static balance parameters and between age and gait parameters was found. Partial correlation analysis revealed that the variability parameters of gait were associated with the static balance parameters. No relationship was found between both spatial and temporal gait parameters and static balance parameters.SignificanceAmong the gait parameters that are considered to develop in early childhood, gait variability was associated with COP sway while standing, whereas stride length with increasing age was independent of any static balance parameters. Of the spatial, temporal, and variability parameters of gait, only gait variability maybe associated with the development of sensory integration function.
Keywords:Balance  Stabilometry  Spatiotemporal parameters  Gait variability  Pediatric
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