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Published on: July 5, 2014
Persistent toe walking in autism
William J Barrow1, Margie Jaworski, Pasquale J Accardo
1Virginia Commonwealth University, Richmond, Virginia 32320, USA.
Insights
Persistent toe walking is more common in children with autistic spectrum disorder. This finding highlights potential orthopedic complications in managing autism and related language disorders.
Area of Science:
- Developmental Pediatrics
- Orthopedics
- Neurodevelopmental Disorders
Background:
- Persistent toe walking is a common gait abnormality in children.
- Autistic spectrum disorder (ASD) and Asperger syndrome are neurodevelopmental conditions.
- The relationship between toe walking and specific neurodevelopmental disorders requires further investigation.
Purpose of the Study:
- To determine the prevalence of persistent toe walking and tight heel cords in ambulatory children.
- To investigate the association between toe walking and autistic spectrum disorder, including Asperger syndrome.
- To explore potential orthopedic complications in children with these conditions.
Main Methods:
- Retrospective review of medical records from 954 ambulatory children.
- Data collection on persistent toe walking and tight heel cords.
- Comparison of prevalence rates between children with ASD, Asperger syndrome, and the general pediatric population.
Main Results:
- Prevalence of persistent toe walking was 20.1% and tight heel cords was 12.0% in children with autistic spectrum disorder.
- Lower incidence rates (10.0% toe walking, 3.0% tight heel cords) were observed in children with Asperger syndrome.
- These findings confirm a higher incidence of toe walking in children with autism and language disorders.
Conclusions:
- Persistent toe walking and tight heel cords are more prevalent in children with autistic spectrum disorder.
- The findings suggest a potential link between neurodevelopmental disorders and orthopedic issues.
- Early identification and management of orthopedic deformities may be crucial for long-term care of these patients.
Abstract:
The records of 954 ambulatory children presenting for initial evaluation to a university developmental pediatrician were reviewed for the prevalence of persistent toe walking and associated tight heel cords. The incidence of persistent toe walking (20.1%) and tight heel cords (12.0%) were found to be higher in 324 children with an autistic spectrum disorder but lower (10.0%/3.0%) in 30 children with Asperger syndrome. These results confirm the previously reported high incidence of toe walking in children with autism and with language disorders and also raise the possibility of a secondary orthopedic deformity that can complicate long-term management of these patients.
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