Soft soled footwear has limited impact on toddler gait.

The development of walking in young toddlers is an important motor milestone. Walking patterns can differ widely amongst toddlers, and are characterised by unique biomechanical strategies. This makes comparisons between newly walking toddler's and older children's walking difficult. Little...

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Autores principales:	Cylie Williams, Jessica Kolic, Wen Wu, Kade Paterson
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/68f7f6668dd94471be0b3c588ee06e03
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spelling	oai:doaj.org-article:68f7f6668dd94471be0b3c588ee06e032021-12-02T20:11:25ZSoft soled footwear has limited impact on toddler gait.1932-620310.1371/journal.pone.0251175https://doaj.org/article/68f7f6668dd94471be0b3c588ee06e032021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251175https://doaj.org/toc/1932-6203The development of walking in young toddlers is an important motor milestone. Walking patterns can differ widely amongst toddlers, and are characterised by unique biomechanical strategies. This makes comparisons between newly walking toddler's and older children's walking difficult. Little is currently understood regarding the effects of footwear on the gait in newly walking toddlers. A quasi-experimental pre-post study design was used to assess whether spatiotemporal parameters of gait, and in-shoe foot and lower limb kinematics, differed when walking barefoot and in soft-soled footwear in newly walking toddlers. There were 18 toddlers recruited, with 14 undergoing testing. The GAITRite system collected spatial and temporal data. The Vicon camera system collected kinematic data. The testing conditions included barefoot and footwear. Footwear tested was a commercially available soft soled shoe (Bobux XPLORER). Data was extracted directly from the GAITRite system and analysed. Walking in footwear did not change spatial or temporal data, however there were small but significant decreases in hip adduction/abduction range of motion (mean difference (MD) = 1.79°, 95% CI = -3.51 to -0.07, p = 0.04), knee flexion (MD = -7.63°, 95% CI = 2.70 to 12.55, p = 0.01), and knee flexion/extension range of movement (MD = 6.25°, 95% CI = -10.49 to -2.01, p = 0.01), and an increase in subtalar joint eversion (MD = 2.85°, 95% CI = 5.29 to -0.41, p = 0.03). Effect sizes were small for hip and ankle range, peak knee extension, and subtalar joint ranges (d<0.49), medium for knee flexion/extension range (d = 0.75) and large for peak knee flexion (d = 0.87). The magnitude of kinematic changes with soft-soled footwear were small thus the clinical importance of these findings is uncertain. Future longitudinal studies are needed to develop recommendations regarding footwear for newly walking toddlers.Cylie WilliamsJessica KolicWen WuKade PatersonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251175 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Cylie Williams Jessica Kolic Wen Wu Kade Paterson Soft soled footwear has limited impact on toddler gait.
description	The development of walking in young toddlers is an important motor milestone. Walking patterns can differ widely amongst toddlers, and are characterised by unique biomechanical strategies. This makes comparisons between newly walking toddler's and older children's walking difficult. Little is currently understood regarding the effects of footwear on the gait in newly walking toddlers. A quasi-experimental pre-post study design was used to assess whether spatiotemporal parameters of gait, and in-shoe foot and lower limb kinematics, differed when walking barefoot and in soft-soled footwear in newly walking toddlers. There were 18 toddlers recruited, with 14 undergoing testing. The GAITRite system collected spatial and temporal data. The Vicon camera system collected kinematic data. The testing conditions included barefoot and footwear. Footwear tested was a commercially available soft soled shoe (Bobux XPLORER). Data was extracted directly from the GAITRite system and analysed. Walking in footwear did not change spatial or temporal data, however there were small but significant decreases in hip adduction/abduction range of motion (mean difference (MD) = 1.79°, 95% CI = -3.51 to -0.07, p = 0.04), knee flexion (MD = -7.63°, 95% CI = 2.70 to 12.55, p = 0.01), and knee flexion/extension range of movement (MD = 6.25°, 95% CI = -10.49 to -2.01, p = 0.01), and an increase in subtalar joint eversion (MD = 2.85°, 95% CI = 5.29 to -0.41, p = 0.03). Effect sizes were small for hip and ankle range, peak knee extension, and subtalar joint ranges (d<0.49), medium for knee flexion/extension range (d = 0.75) and large for peak knee flexion (d = 0.87). The magnitude of kinematic changes with soft-soled footwear were small thus the clinical importance of these findings is uncertain. Future longitudinal studies are needed to develop recommendations regarding footwear for newly walking toddlers.
format	article
author	Cylie Williams Jessica Kolic Wen Wu Kade Paterson
author_facet	Cylie Williams Jessica Kolic Wen Wu Kade Paterson
author_sort	Cylie Williams
title	Soft soled footwear has limited impact on toddler gait.
title_short	Soft soled footwear has limited impact on toddler gait.
title_full	Soft soled footwear has limited impact on toddler gait.
title_fullStr	Soft soled footwear has limited impact on toddler gait.
title_full_unstemmed	Soft soled footwear has limited impact on toddler gait.
title_sort	soft soled footwear has limited impact on toddler gait.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/68f7f6668dd94471be0b3c588ee06e03
work_keys_str_mv	AT cyliewilliams softsoledfootwearhaslimitedimpactontoddlergait AT jessicakolic softsoledfootwearhaslimitedimpactontoddlergait AT wenwu softsoledfootwearhaslimitedimpactontoddlergait AT kadepaterson softsoledfootwearhaslimitedimpactontoddlergait
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Soft soled footwear has limited impact on toddler gait.

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