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Updated: Sep 10, 2025

Evaluating the Function of the Foot Core System in the Elderly
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Toe Walking Tool.

Eleni Skarmoutsou1, Theofani Bania2, Eleni Potamiti3

  • 1*First EPAL of Peristeri, Athens, Greece.

Journal of the American Podiatric Medical Association
|August 27, 2025
PubMed
Summary
This summary is machine-generated.

A new Greek version of the Toe Walking Tool is now available for assessing children with idiopathic toe walking. This validated tool demonstrates high reliability for clinical use in Greece.

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Area of Science:

  • Pediatric physiotherapy
  • Clinical assessment tools
  • Child development

Background:

  • Idiopathic toe walking requires expert evaluation.
  • A validated tool for assessing toe walking is needed in Greece.
  • The Toe Walking Tool aids in identifying children needing further investigation.

Purpose of the Study:

  • To translate and cross-culturally adapt the Toe Walking Tool into Greek.
  • To establish the reliability and clinical applicability of the Greek version.

Main Methods:

  • The Toe Walking Tool was translated by five pediatric physiotherapists.
  • 15 children with toe walking were video-recorded performing the tool's tasks.
  • Seven pediatric physiotherapists evaluated the children using video recordings and parent history.
  • Data were analyzed using Fleiss κ, percentage agreement, and χ2 tests.

Main Results:

  • The Greek Toe Walking Tool is clinically applicable and user-friendly.
  • Substantial intrarater reliability was found (Fleiss κ = 0.73).
  • High interrater agreement (86%-100%) and no significant statistical differences between raters were observed.

Conclusions:

  • The Greek version of the Toe Walking Tool shows adequate interrater reliability.
  • This validated tool can be used to identify Greek children who may need further assessment for toe walking.