RT Journal Article
T1 Effects of integrative neuromuscular training on the gait biomechanics of children with overweight and obesity.
A1 Molina-Garcia, Pablo
A1 Molina-Molina, Alejandro
A1 Smeets, Annemie
A1 Migueles, Jairo H
A1 Ortega, Francisco B
A1 Vanrenterghem, Jos
K1 exercise therapy
K1 flatfoot
K1 gait analysis
K1 musculoskeletal pain
K1 pediatric obesity
AB To analyze whether 13 weeks of integrative neuromuscular training can benefit spatiotemporal and kinematic parameters of gait in children with overweight/obesity. This is a non-randomized controlled trial. Fifty children (10.77 ± 1.24 years, 31 girls) with overweight/obesity were allocated to an exercise group (EG) (n = 25) that carried out a 13-week exercise program based on fundamental movement skills, strength activities and aerobic training, and a control group (CG) (n = 25) that followed their normal lifestyle. Spatiotemporal (i.e., cadence, stance and support times, step length, and stride width) and kinematic (i.e., hip, pelvis, knee, and ankle angles) parameters were evaluated under laboratory conditions through a 3D analysis. ANCOVA was used to test raw and z-score differences between the EG and CG at post-exercise, adjusting for pre-exercise values. The EG maintained their baseline stance and single-limb support times while the CG increased them during walking (groups' difference: 3.1 and 1.9 centiseconds). The EG maintained baseline maximum foot abduction angle during the stance phase whereas the CG showed an increase (groups' difference: 3.9º). Additional analyses on kinematic profiles demonstrated that the EG walked with similar pelvic tilt and ankle abduction angles at post-exercise, while the CG increased the pelvic anterior tilt in the whole stance phase (mean groups' difference: 7.7º) and the ankle abduction angles in early- and mid-stance phases (mean groups' difference: 4.6º). No changes were observed in the rest of spatiotemporal and kinematic parameters. The integrative neuromuscular training stopped the progression of some biomechanical alterations during walking in children with overweight/obesity. These findings could contribute to preventing common movement-derived musculoskeletal disorders in this population, as well as preserving an optimal mechanical efficiency during walking.
PB Wiley-Blackwell Publishing Ltd.
YR 2022
FD 2022-04-10
LK http://hdl.handle.net/10668/20016
UL http://hdl.handle.net/10668/20016
LA en
NO Molina-Garcia P, Molina-Molina A, Smeets A, Migueles JH, Ortega FB, Vanrenterghem J. Effects of integrative neuromuscular training on the gait biomechanics of children with overweight and obesity. Scand J Med Sci Sports. 2022 Jul;32(7):1119-1130.
NO This study was funded by the Spanish Ministry of Economy and Competitiveness/FEDER (DEP2013-47540, DEP2016-79512-R, RYC-2011-09011). PM-G is supported by a grant from European Union’s Horizon 2020 research and innovation program (No 667302). JHM is supported by the Spanish Ministry of Education, Culture, and Sport (FPU15/02645). Additional support was obtained from the University of Granada, Plan Propio de Investigación 2016, Excellence actions: Units of Excellence, Unit of Excellence on Exercise and Health (UCEES); the SAMID III network, RETICS, funded by the PN I+D+I 2017-2021 (Spain), ISCIII- Sub-Directorate General for Research Assessment and Promotion, the European Regional Development Fund (ERDF) (Ref. RD16/0022) and the EXERNET Research Network on Exercise and Health in Special Populations (DEP2005-00046/ACTI).
DS RISalud
RD Apr 19, 2025