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.

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