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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2019-05-01
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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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