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Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder
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The Toe Walking Tool: a novel method for assessing idiopathic toe walking children.

Cylie M Williams1, Paul Tinley, Michael Curtin

  • 1Southern Health, Cardinia Casey Community Health Service, 140-155 Sladen St., Locked Bag 2500, Cranbourne, VIC 3977, Australia. cylie.williams@southernhealth.org.au

Gait & Posture
|August 10, 2010
PubMed
Summary

The Toe Walking Tool is a valid and reliable questionnaire for identifying idiopathic toe walking (ITW) in children. It helps distinguish ITW from other medical causes, guiding referrals for specialist assessment.

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Area of Science:

  • Pediatrics
  • Gait Analysis
  • Clinical Assessment Tools

Background:

  • Idiopathic toe walking (ITW) diagnosis relies on excluding medical conditions.
  • A novel online questionnaire, the Toe Walking Tool, was created to identify children with ITW.

Purpose of the Study:

  • To develop and validate a questionnaire for identifying idiopathic toe walking.
  • To differentiate ITW from toe walking secondary to medical conditions.

Main Methods:

  • A Delphi panel process refined the questionnaire's questions.
  • 10 allied health professionals assessed 12 children using the Toe Walking Tool.
  • Inter-rater reliability was assessed using a kappa statistic.

Main Results:

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  • Clinicians found the Toe Walking Tool appropriate and effective.
  • The tool demonstrated validity by correctly excluding children with medical causes of toe walking.
  • High inter-rater reliability was achieved with a Fleiss Kappa of 0.928.

    • Conclusions:

    • The Toe Walking Tool is a valid and reliable assessment method for ITW in primary care settings.
    • This tool aids clinicians in determining the need for specialist referral for pediatric toe walking.