Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
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Analysis of Obstacle Gait Using Spatio-Temporal and Foot Pressure Variables in Children with Autism

자폐성 장애 아동의 시공간 및 압력분포 변인을 통한 장애물보행 분석

  • Kim, Mi-Young (Inha Research Institute for Medical Sciences, Medical School, Inha University) ;
  • Choi, Bum-Kwon (Department of Adapted Physical Education, Korea National Sport University) ;
  • Lim, Bee-Oh (Department of Physical Education, College of Education of Chungang University)
  • 김미영 (인하대학교 의과대학 의과학연구소) ;
  • 최범권 (한국체육대학교 특수체육교육학과) ;
  • 임비오 (중앙대학교 사범대학 체육교육학과)
  • Received : 2011.10.31
  • Accepted : 2011.12.19
  • Published : 2011.12.31
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Abstract

The purpose of this study was to analyze of obstacle gait using spatio-temporal and foot pressure variables in children with autism. Fifteen children with autism and fifteen age-matched controls participated in the study. Spatio-temporal and foot pressure variables was investigated using GAITRite pressure sensor system. Each footprint was divided into 12 equal trapezoids and after that the hindfoot, midfoot and forefoot analysis was developed. Independent t-test was applied to compare the gait variables between the groups. The results showed that the autism group were significantly decreased in velocity, cadence, cycle and swing time compared to the control group. The autism group were significantly increased in step width and toe out angle compared to the control group. The autism group were significantly increased at midfoot and forefoot of lateral part of footprint and forefoot of medial part of footprint in the peak time compared to the control group. The autism group were significantly increased at midfoot and hindfoot in $P^*t$, at midfoot in active area, and at hindfoot in peak pressure compared to the control group. In conclusion, the children with autism showed abnormal obstacle gait characteristics due to muscle hypotonia, muscle rigidity, akinesia, bradykinesia and postural control impairments.

Keywords

References

  1. American Psychiatric Association(1994). Diagnostic and Statistical Manual of Mental Disorders, 4th Edition. American Psychiatric Press, Washington, DC.
  2. Austin, G. P., Garrett G. E., & Bohannon R. W.(1999). Kinematic analysis of obstacle clearance during locomotion. Gait & Posture, 10, 109-120. https://doi.org/10.1016/S0966-6362(99)00022-3
  3. Blanke, D. J., & Hageman, P. A.(1989). Comparison of gait of young men and elderly men. Physical Therapy, 69(2), 144-148. https://doi.org/10.1093/ptj/69.2.144
  4. Calhoun, M., Longworth, M., & Chester, V. L.(2011). Gait patterns in children with autism. Clinical Biomechanics, 26(2), 200-206. https://doi.org/10.1016/j.clinbiomech.2010.09.013
  5. Chen, H., Ashton-Miller, J. A., Alexander, N. B., & Schultz, A. B.(1991). Stepping over obstacles: gait patterns of healthy young and old adults. Journal of Gerontology, 46(6), M196-203. https://doi.org/10.1093/geronj/46.6.M196
  6. Chesnin, K. J., Selby-Silverstein, L., & Besser, M. P.(2000). Comparison of an in-shoe pressure measurement device to a force plate: Concurrent validity of center of pressure measurements. Gait & Posture, 12(2), 128-133. https://doi.org/10.1016/S0966-6362(00)00071-0
  7. Chung, C. S., Yoon, T. J., Yoo, Y. J., & Choi, C. S.(2004). Analysis of Kinematics and EMG on stepping over obstacles in elderly persons. The Korean Journal of Physical Education, 43(5), 423-436.
  8. Damasio, A. R., & Maurer, R. G.(1978). A neurological model for childhood autism. Archives of Neurology, 35, 777-786. https://doi.org/10.1001/archneur.1978.00500360001001
  9. Han, J. T., Lee, M. H., & Kim, K.(2008). The Study of Plantar Foot Pressure Distribution during Obstacle Crossing with Different Height in Normal Young Adults. Korean Journal of Sport Biomechanics, 18(2), 1-9.
  10. Han, T. R., Paik, N. J., & Im, M. S.(1999). Quantification of the path of center of pressure(COP) using an F-scan in-shoe transducer. Gait & Posture, 10(3), 248-254. https://doi.org/10.1016/S0966-6362(99)00040-5
  11. Kim, M. Y., & Lim, B. O.(2008). The Effects of Obstacle Height on the Stepping Over Gait in Parkinson's Patients. Korean Journal of Sport Biomechanics, 18(2), 11-17.
  12. Kim, S. B., & Yoo, Y. J.(2009). The Characteristics of Obstacle Gaits in Female Elders after 12 Weeks of an Aquatic Exercise Program. Korean Journal of Sport Biomechanics, 19(3), 539-547. https://doi.org/10.5103/KJSB.2009.19.3.539
  13. Kohen-Raz, R., Volkmar, F. R., & Cohen, D. J.(1992). Postural control in children with autism. Journal of Autism and Developmental Disorders, 22(3), 419-432. https://doi.org/10.1007/BF01048244
  14. Mak, M. K. Y., Levin, O., Mizrahi, J., & Hui-Chan, C. W. Y.(2003). Joint torques during sit-to-stand in health subjects and people with parkinson's disease. Clinical Biomechanics, 18, 197-206. https://doi.org/10.1016/S0268-0033(02)00191-2
  15. McDonough, A. L., Batavia, M., Chen, F. C., Kwon, S., & Ziai J.(2001). The validity and reliability of the GAITRite system's measurements: A preliminary evaluation. Archives of Physical Medicine and Rehabilitation, 82(3), 419-425. https://doi.org/10.1053/apmr.2001.19778
  16. Lee, S. H., & Park, E. H.(2006). Special Children's Education. Seoul : Hakjisa.
  17. Lim, B. O.(2005). The Difference between Level Walking and Stepping over Gait in Children with Down Syndrome. Korean Journal of Sport Science, 16(4), 51-59.
  18. Lim, B. O., & Kim, M. Y.(2007). Lower Extremity Muscle Activity on the Obstacle Gait in Older Parkinson Diseases. Korean Journal of Sport Biomechanics, 17(4), 141-148. https://doi.org/10.5103/KJSB.2007.17.4.141
  19. McFadyenK, B. J., & Prince, F.(2002). Avoidance and accommodation of surface height changes by healthy, community-dwelling, young, and elderly men. Journal of Gerontology. Series A, Biological Sciences Medical Sciences, 57(4), B166-174. https://doi.org/10.1093/gerona/57.4.B166
  20. Provost, B., Lopez, B. R., & Heimerl, S.(2007). A comparison of motor delays in young children: autism spectrum disorder, developmental delay, and developmental concerns. Journal of Autism and Developmental Disorders, 37(2), 321-328. https://doi.org/10.1007/s10803-006-0170-6
  21. Rinehart, N. J., Tonge, B. J., Bradshaw, J. L., Iansek, R., Enticott, P. G., & McGinley, J.(2006a). Gait function in high-functioning autism and Asperger's disorder. Child & Adolescent Psychiatry, 15(5), 256-264. https://doi.org/10.1007/s00787-006-0530-y
  22. Shumway-Cook, A., & Woollacott, M. H.(1985). Dynamics of postural control in the children with Down syndrome. Physical Therapy, 65, 1315-1332. https://doi.org/10.1093/ptj/65.9.1315
  23. Titianova, E. B., Mateev, P. S., & Tarkka, I. M.(2004). Footprint analysis of gait using a pressure sensor system. Journal of Electromyography and Kinesiology, 14, 275-281. https://doi.org/10.1016/S1050-6411(03)00077-4
  24. Vernazza-Martin, S., Martin, N., Vernazza, A., Lepellec-Muller, A., Rufo, M., & Massion, J.(2005). Goal directed locomotion and balance control in autistic children. Journal of Autism & Developmental Disorders, 35(1), 91-102. https://doi.org/10.1007/s10803-004-1037-3
  25. Vilensky, J. A., Damasio, A. R., Maurer, R. G.(1981). Gait disturbances in patients with autistic behavior: a study. Archives of Neurology, 38(10), 646-649. https://doi.org/10.1001/archneur.1981.00510100074013
  26. Yoon, S. H.(2007). The effects of a 24-week walking exercise on obstacle negotiation in older women. The Korean Journal of Physical Education, 46(4), 485-493.

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