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Related Experiment Videos

[Idiopathic toe walker child. Diagnosis and spontaneous evolution].

G Taussig1, E Delouvée

  • 1Service de rééducation orthopédique et traumatologique, hôpital national de Saint-Maurice, 14, rue du Val dOsne, 94410, Saint-Maurice, France

Annales De Readaptation Et De Medecine Physique : Revue Scientifique De La Societe Francaise De Reeducation Fonctionnelle De Readaptation Et De Medecine Physique
|October 6, 2001
PubMed
Summary

Idiopathic toe walking often resolves spontaneously by age 8, especially when ankle dorsiflexion exceeds 10 degrees. Persistent cases with limited dorsiflexion may require intervention.

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Area of Science:

  • Pediatrics
  • Orthopedics
  • Neurology

Background:

  • Idiopathic toe walking is a common gait abnormality in children.
  • Understanding its natural history and predictors of resolution is crucial for clinical management.

Purpose of the Study:

  • To analyze clinical and etiological aspects of idiopathic toe walking.
  • To determine the natural evolution without treatment and optimal age for correction.

Main Methods:

  • Retrospective analysis of 69 children admitted between 1973 and 1998.
  • Review of 41 children during growth, with only 6 receiving treatment.
  • Assessment of ankle dorsiflexion (knee extended and flexed) and family history.

Main Results:

Related Experiment Videos

  • Toe walking most common at 12-18 months; initial examination between 1-4 years.
  • Normal neurological examination in 46/69 children; no neurological impairment identified.
  • Spontaneous correction occurred in 32 cases (3-8 years) with >10 degrees ankle dorsiflexion (knee extended).
  • Persistent toe walking (>10 years) observed in 4 cases with <10 degrees dorsiflexion (knee extended).

    • Conclusions:

    • Idiopathic toe walkers with >10 degrees ankle dorsiflexion (knee extended) often resolve spontaneously.
    • Cases with triceps contracture and <10 degrees dorsiflexion may require interventions like triceps lengthening.