Assessment & Research

Effects of overweight and obese body mass on motor planning and motor skills during obstacle crossing in children.

Gill et al. (2014) · Research in developmental disabilities 2014
★ The Verdict

Obese children hike the hip and hit the ground harder when stepping over objects, so adjust gait drills and equipment height.

✓ Read this if BCBAs who coach motor skills, run school fitness programs, or consult on PE inclusion plans.
✗ Skip if Clinicians working only with verbal behavior or feeding issues.

01Research in Context

01

What this study did

Cicchetti et al. (2014) watched overweight and normal-weight children step over an obstacle. They used cameras and force plates to see how each child moved and where pressure hit the ground.

The study compared joint angles and ground-reaction forces between the two groups. All kids were neurotypical and walked at the same speed.

02

What they found

Obese children lifted their hip outward more and hit the ground with different force patterns. These changes show their bodies plan the step in a special way.

The heavier kids cleared the obstacle, but they used a safety strategy that could tire them faster.

03

How this fits with other research

Van Hanegem et al. (2014) ran a 10-session obstacle course with adults who have intellectual disabilities. After training, falls dropped 82%. Their work shows obstacle practice helps, while V et al. show the built-in movement is already different.

Wilson et al. (2024) found autistic toddlers walk slower and that slow pace links to lower motor and language scores. Both studies use gait data to flag later skills, but V et al. focus on weight, not diagnosis.

Aragona et al. (1975) used token boards and parent contracts to trim weight in obese children. Their paper tackles the same population, yet looks at pounds lost, not how those pounds change walking.

04

Why it matters

If you run gait training or sports groups, expect heavier kids to lift the hip higher and land harder. Build in extra rest, lower obstacles first, and praise any smooth step pattern. Share these findings with PE teachers so they do not mistake the wide hip lift for clumsiness.

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→ Action — try this Monday

Lower the first obstacle by two inches and give heavier kids a 30-second rest between trials to keep form safe.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
22
Population
neurotypical
Finding
mixed

03Original abstract

Little is known about how obesity relates to motor planning and skills during functional tasks. We collected 3-D kinematics and kinetics as normal weight (n=10) and overweight/obese (n=12) children walked on flat ground and as they crossed low, medium, and high obstacles. We investigated if motor planning and motor skill impairments were evident during obstacle crossing. Baseline conditions showed no group differences (all ps>.05). Increased toe clearance was found on low obstacles (p=.01) for the overweight/obese group and on high obstacles (p=.01) for the normal weight group. With the crossing leg, the overweight/obese group had larger hip abduction angles (p=.01) and medial ground reaction forces (p=.006) on high obstacles and high anterior ground reaction forces on low obstacles (p=.001). With the trailing leg, overweight/obese children had higher vertical ground reaction forces on high obstacles (p=.005) and higher knee angles (p=.01) and anterior acceleration in the center of mass (p=.01) on low obstacles. These findings suggest that differences in motor planning and skills in overweight/obese children may be more apparent during functional activities.

Research in developmental disabilities, 2014 · doi:10.1016/j.ridd.2013.10.024