Symmetry of Gait in Underweight, Normal and Overweight Children and Adolescents

Abnormal excess or lack of body mass can influence gait patterns, but in some cases such differences are subtle and not easy to detect, even with quantitative techniques for movement analysis. In these situations, the study of trunk accelerations may represent an effective way to detecting gait anom...

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Main Authors: Veronica Cimolin, Nicola Cau, Alessandro Sartorio, Paolo Capodaglio, Manuela Galli, Gabriella Tringali, Bruno Leban, Micaela Porta, Massimiliano Pau
Format: Article
Language:English
Published: MDPI AG 2019-05-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/19/9/2054
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author Veronica Cimolin
Nicola Cau
Alessandro Sartorio
Paolo Capodaglio
Manuela Galli
Gabriella Tringali
Bruno Leban
Micaela Porta
Massimiliano Pau
author_facet Veronica Cimolin
Nicola Cau
Alessandro Sartorio
Paolo Capodaglio
Manuela Galli
Gabriella Tringali
Bruno Leban
Micaela Porta
Massimiliano Pau
author_sort Veronica Cimolin
collection DOAJ
description Abnormal excess or lack of body mass can influence gait patterns, but in some cases such differences are subtle and not easy to detect, even with quantitative techniques for movement analysis. In these situations, the study of trunk accelerations may represent an effective way to detecting gait anomalies in terms of symmetry through the calculation of Harmonic Ratio (HR), a parameter obtained by processing trunk accelerations in the frequency domain. In the present study we used this technique to assess the existence of differences in HR during gait in a cohort of 75 healthy children and early adolescents (aged 7−14 years) stratified into 3 equally-sized age and gender-matched groups (Underweight: UW; Normal Weight: NW; Overweight: OW). The accelerometric signal, acquired using a single wearable inertial sensor, was processed to calculate stride length, speed, cadence and HR in antero-posterior, vertical and medio-lateral directions. No differences in spatio-temporal parameters were found among groups, while the HR in the medio-lateral direction was found significantly lower in UW children, while OW exhibited the highest values. On the basis of the results obtained, HR appears capable of discriminating gait symmetry in children with different body mass even when conventional gait parameters are unchanged.
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spelling doaj.art-5e0df60408a541aea05756efe695f4cc2022-12-22T04:24:18ZengMDPI AGSensors1424-82202019-05-01199205410.3390/s19092054s19092054Symmetry of Gait in Underweight, Normal and Overweight Children and AdolescentsVeronica Cimolin0Nicola Cau1Alessandro Sartorio2Paolo Capodaglio3Manuela Galli4Gabriella Tringali5Bruno Leban6Micaela Porta7Massimiliano Pau8Department of Electronics, Information and Bioengineering, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano, ItalyOrthopaedic Rehabilitation Unit and Clinical Lab for Gait Analysis and Posture, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Str. L Cadorna 90, 28824 Piancavallo (VB), ItalyIstituto Auxologico Italiano, IRCCS, Experimental Laboratory for Auxo-endocrinological Research, Str. L Cadorna 90, 28824 Piancavallo (VB), ItalyOrthopaedic Rehabilitation Unit and Clinical Lab for Gait Analysis and Posture, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Str. L Cadorna 90, 28824 Piancavallo (VB), ItalyDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano, ItalyIstituto Auxologico Italiano, IRCCS, Experimental Laboratory for Auxo-endocrinological Research, Str. L Cadorna 90, 28824 Piancavallo (VB), ItalyDepartment of Mechanical, Chemical and Materials Engineering, University of Cagliari, Piazza d’Armi, 09123 Cagliari, ItalyDepartment of Mechanical, Chemical and Materials Engineering, University of Cagliari, Piazza d’Armi, 09123 Cagliari, ItalyDepartment of Mechanical, Chemical and Materials Engineering, University of Cagliari, Piazza d’Armi, 09123 Cagliari, ItalyAbnormal excess or lack of body mass can influence gait patterns, but in some cases such differences are subtle and not easy to detect, even with quantitative techniques for movement analysis. In these situations, the study of trunk accelerations may represent an effective way to detecting gait anomalies in terms of symmetry through the calculation of Harmonic Ratio (HR), a parameter obtained by processing trunk accelerations in the frequency domain. In the present study we used this technique to assess the existence of differences in HR during gait in a cohort of 75 healthy children and early adolescents (aged 7−14 years) stratified into 3 equally-sized age and gender-matched groups (Underweight: UW; Normal Weight: NW; Overweight: OW). The accelerometric signal, acquired using a single wearable inertial sensor, was processed to calculate stride length, speed, cadence and HR in antero-posterior, vertical and medio-lateral directions. No differences in spatio-temporal parameters were found among groups, while the HR in the medio-lateral direction was found significantly lower in UW children, while OW exhibited the highest values. On the basis of the results obtained, HR appears capable of discriminating gait symmetry in children with different body mass even when conventional gait parameters are unchanged.https://www.mdpi.com/1424-8220/19/9/2054gaitaccelerometerspatial-temporal parameterslow disabilityharmonic ratioobesity
spellingShingle Veronica Cimolin
Nicola Cau
Alessandro Sartorio
Paolo Capodaglio
Manuela Galli
Gabriella Tringali
Bruno Leban
Micaela Porta
Massimiliano Pau
Symmetry of Gait in Underweight, Normal and Overweight Children and Adolescents
Sensors
gait
accelerometer
spatial-temporal parameters
low disability
harmonic ratio
obesity
title Symmetry of Gait in Underweight, Normal and Overweight Children and Adolescents
title_full Symmetry of Gait in Underweight, Normal and Overweight Children and Adolescents
title_fullStr Symmetry of Gait in Underweight, Normal and Overweight Children and Adolescents
title_full_unstemmed Symmetry of Gait in Underweight, Normal and Overweight Children and Adolescents
title_short Symmetry of Gait in Underweight, Normal and Overweight Children and Adolescents
title_sort symmetry of gait in underweight normal and overweight children and adolescents
topic gait
accelerometer
spatial-temporal parameters
low disability
harmonic ratio
obesity
url https://www.mdpi.com/1424-8220/19/9/2054
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