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dc.contributor.authorMolina-Garcia, Pablo-
dc.contributor.authorMolina-Molina, Alejandro-
dc.contributor.authorSmeets, Annemie-
dc.contributor.authorMigueles, Jairo H.-
dc.contributor.authorOrtega, Francisco B.-
dc.contributor.authorVanrenterghem, Jos-
dc.identifier.citationMolina-Garcia, P., Molina-Molina, A., Smeets, A., Migueles, J. H., Ortega, F.B., Vanrenterghem, j. Effects of integrative neuromuscular training on the gait biomechanics of children with overweight and obesity. Scand J Med Sci Sports. 2022;32:1119–1130.
dc.description.abstractObjective: To analyze whether 13 weeks of integrative neuromuscular training can benefit spatiotemporal and kinematic parameters of gait in children with overweight/obesity. Methods: 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. Results: 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. Conclusions: 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.en_US
dc.format.extent12 p.en_US
dc.relationPlan Propio de Investigacion; SAMID III network; European Regional Development Fund; EXERNET Research Network on Exercise and Health in Special Populations; Spanish Ministry of Economy and Competitiveness; European Union's Horizon 2020en_US
dc.rightsAtribución 4.0 Internacional*
dc.subjectExercise therapyen_US
dc.subjectGait analysisen_US
dc.subjectMusculoskeletal painen_US
dc.subjectPediatric obesityen_US
dc.titleEffects of integrative neuromuscular training on the gait biomechanics of children with overweight and obesityen_US
dc.typejournal articlees_ES
dc.rights.accessRightsopen accesses_ES
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