Reliability of gait parameters in children under two years of age

Abstract

The walking movement of children of school age and adults can be regarded as very consistent. However, few studies have reported reliability of gait parameters in very young children that may be used as normative data forthe clinical assessment of gait. In the present study, nine normal children of ages 10 to 21 mo. were assessed cross-sectionally, using three-dimensional video analysis and digitization to assess within-day reliability of gait kinematics. Between-subject differences in gait kinematics were also examined. In addition, one child was assessed at the onset of independent walking and at monthly intervals thereafter to assess changes in gait kinematics during the first 8 mo. of autonomous walking. The case study allowed the acquisition of pilot data for longitudinal studies of this age group. 10 kinematics variables regarded as indicators of efficient walking were measured, and reliability was assessed using one-way analysis of variance and coefficient of variation. The study showed that all children produced reliable within-day results; however, the gait of each child was unique. In the case study, the between-month differences in gait kinematics were significant. The findings may be of clinical interest for pediatricians and child neurologists given the lack of normative data for this age group.