Soft soled footwear has limited impact on toddler gait
Open Access
- 10 May 2021
- journal article
- research article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 16 (5), e0251175
- https://doi.org/10.1371/journal.pone.0251175
Abstract
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 (dd = 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.Funding Information
- Bobux Pty Ltd
- Bobux Pty Ltd
This publication has 24 references indexed in Scilit:
- Effect of children's shoes on gait: a systematic review and meta‐analysisJournal of Foot and Ankle Research, 2011
- Basic gait and symmetry measures for primary school-aged children and young adults whilst walking barefoot and with shoesGait & Posture, 2009
- Evidence of Early Strategies in Learning to WalkInfancy, 2009
- Anatomical evidence for the antiquity of human footwear: Tianyuan and SunghirJournal of Archaeological Science, 2008
- Foot motion in children shoes—A comparison of barefoot walking with shod walking in conventional and flexible shoesGait & Posture, 2008
- A new anatomically based protocol for gait analysis in childrenGait & Posture, 2007
- Development of Independent Walking in ToddlersExercise and Sport Sciences Reviews, 2007
- A normative sample of temporal and spatial gait parameters in children using the GAITRite® electronic walkwayGait & Posture, 2007
- WHO Motor Development Study: Windows of achievement for six gross motor development milestonesActa Paediatrica, 2006
- Repeatability of an optimised lower body modelGait & Posture, 2004