Developmental changes in straight gait in childhood

BACKGROUND: Understanding typical gait development is critical in developing suitable physical therapy methods for gait disorders. This study investigated the developmental changes and controlling mechanisms of straight gait. METHODS: We conducted an experimental procedure among 90 participants, including 76 typically developing children and 14 healthy adults. The children were divided according to age into 3–4, 5–6, 7–8, and 9-10-year age groups. We created two indices to quantify straight gait using the extrapolated center of mass (XCOM; goal index, XCOM(G) and actual progress index, XCOM(P)), which were calculated and compared between the groups. Stepwise multiple regression was used to examine the effects of each gait variable on XCOM(G) and XCOM(P). To eliminate the effects of multicollinearity, correlation coefficients were calculated for all gait variables. RESULTS: Both XCOM(G) and XCOM(P) decreased gradually with age and were significantly larger in the 3–4 and 5–6 year groups than in the adult group. Multiple regression analysis showed that step velocity, step width, and the coefficiente of variation (CV) of the step width had independent coefficients of variation for the XCOM(G), and the symmetry index of step time, step width, and the CV of the step width had independent CV for the XCOM(P). These variables were selected as significant variables. The results showed that meandering gait was more pronounced at younger ages. Furthermore, straight gait observed in adulthood was achieved by the age of 7. CONCLUSION: Pace (step velocity) and stability (step width and CV of step width) may contribute to XCOM(G), which assesses the ability to proceed in the direction of the target. Stability and symmetry may contribute to XCOM(P), which assesses the ability to walk straight in one’s own direction of progress. Physical therapists could apply these indices in children to assess their ability to walk straight.