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Rickets: a cause of delayed walking in toddlers
Anil Agarwal1, Divesh Gulati, Suman Rath
1Department of Pediatric Orthopedics, CNBC, Delhi, India. rachna_anila@yahoo.co.in
Indian Journal of Pediatrics
|April 7, 2009
Summary
Nutritional rickets is a common cause of delayed walking in children. Prompt treatment leads to significant improvement, with most children walking within 2 to 5 months.
Area of Science:
- Pediatrics
- Nutritional Science
- Orthopedics
Background:
- Delayed walking in children can be a symptom of underlying medical conditions.
- Rickets, a condition affecting bone mineralization, is a significant cause of motor developmental delays.
Purpose of the Study:
- To investigate the prevalence and diagnostic approach for rickets in children presenting with delayed walking.
- To evaluate the treatment response and recovery time for walking ability in children diagnosed with nutritional rickets.
Main Methods:
- A cohort of children over 1 year old with complaints of not being able to walk were evaluated.
- Diagnosis involved a combination of clinical history, physical examination, serum biochemistry, and radiological imaging.
- Treatment efficacy was assessed by clinical, biochemical, and radiological improvements, as well as the return of walking ability.
Main Results:
- Nutritional rickets was diagnosed in 60% (25 out of 42) of children with delayed walking.
- All diagnosed patients showed radiological and biochemical improvement within 3 weeks of treatment.
- Seventeen patients achieved the ability to walk within 3 months of treatment, with complete radiological healing averaging 5 months.
Conclusions:
- Nutritional rickets is a primary cause of non-walking in pediatric patients.
- Appropriate treatment for rickets results in a high rate of recovery of walking ability.
- The majority of children with rickets-related delayed walking can be expected to walk within 2 to 5 months of treatment.
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