Orthotic treatment of idiopathic toe walking with a lower leg orthosis with circular subtalar blocking
Open Access
- 7 June 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Musculoskeletal Disorders
- Vol. 22 (1), 1-8
- https://doi.org/10.1186/s12891-021-04327-0
Abstract
There is no universally accepted treatment standard for idiopathic toe walking patients (ITW) in the current literature. None of the established methods provide homogenous satisfying results. In our department we treat ITW patients with lower leg orthoses with a circular foot unit for a total of 16 weeks. In this study we reviewed our database to evaluate the success of our treatment protocol for a 24 months follow up period. Twenty-two patients were included in this study. Age at the beginning of treatment was 7.0 years +/− 2.9 (range 2.5-13.1). Percentage of ITW at the beginning of treatment according to the perception of the parents was 89% +/− 22.2 (range 50-100). Immediately after the treatment with our device, percentage of ITW dropped to 11% +/− 13.2 (range 0-50). After 12 months, 73% of the patients (16/22) walked completely normal or showed ITW less than 10% of the day. After 24 months, 64% of the patients kept a normal gait (14/22). This study provides evidence that the treatment of idiopathic toe walking with lower leg orthoses with a circular foot unit results in satisfying long-term results in two thirds of the patients.Funding Information
- Technische Universität München
This publication has 28 references indexed in Scilit:
- Toxins for Toe-Walking: Should They Be Used?Journal of Bone and Joint Surgery, 2013
- Botulinum Toxin A Does Not Improve the Results of Cast Treatment for Idiopathic Toe-WalkingJournal of Bone and Joint Surgery, 2013
- Is Idiopathic Toe Walking Really Idiopathic? The Motor Skills and Sensory Processing Abilities Associated With Idiopathic Toe Walking GaitJournal of Child Neurology, 2013
- Automated method to distinguish toe walking strides from normal strides in the gait of idiopathic toe walking children from heel accelerometry dataGait & Posture, 2012
- Idiopathic toe walking and sensory processing dysfunctionJournal of Foot and Ankle Research, 2010
- Effects of Motor Control Intervention for Children With Idiopathic Toe WalkingPediatric Physical Therapy, 2010
- Clinical usefulness of botulinum toxin in the lower extremityFoot and Ankle Clinics, 2004
- Idiopathic Toe-Walking: Does Treatment Alter the Natural History?Journal of Pediatric Orthopaedics B, 2000
- Effect of persistent toe walking on ankle equinus. Analysis of 60 idiopathic toe walkersJournal of the American Podiatric Medical Association, 1997
- Performance of Typical Children on the Sensory Profile: An Item AnalysisAmerican Journal of Occupational Therapy, 1994