EMG patterns in immature walkers

One-year olds show generally prolonged muscle firing, so that anatagonistic muscle groups often cocontract. This immature firing pattern may be the kinetic correlate of the lack of proximal stability that children demonstrate in their early years. A more mature pattern is present by 4 years.

The young child's EMG firing pattern is most "primitive" in the plantar flexors, whose activity is radically prolonged in many studies of children. Plantar flexor activity is important to the ankle strategy, and to knee stability in stance. Therefore, poor ankle control leads to generally shorter single limb stance time and generally impaired balance.

Sutherland and others have hypothesized that lack of myelination and slowness of both motor impulses and sensory feedback is responsible for prolongation of muscle activity in children. They point out that CNS myelination occurs in the following sequence:

  1. roots before spinal cord tracts
  2. cervical anterior roots (motor nerves)
  3. cervical posterior roots (sensory nerves)
  4. lumbar anterior roots (motor nerves)
  5. lumbar posterior roots (sensory nerves)

They further emphasize that this process is complete at about twelve months, the time when most children begin to walk independently.


Last updated 6-22-98 ©Dave Thompson PT
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