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Developmental implications of idiopathic toe walking

L H Shulman1, D A Sala, M L Chu

  • 1Center for Neuromuscular and Developmental Disorders, Hospital for Joint Diseases, New York, NY 10003, USA.

The Journal of Pediatrics
|April 1, 1997
PubMed
Summary
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Children with idiopathic toe walking often show speech and language delays. This condition may indicate broader developmental issues, warranting a full assessment.

Area of Science:

  • Pediatric Orthopedics
  • Developmental Pediatrics
  • Speech-Language Pathology

Background:

  • Persistent toe walking in children, without apparent neurological issues, is often evaluated in orthopedic clinics.
  • The underlying developmental implications of idiopathic toe walking require comprehensive assessment.

Purpose of the Study:

  • To investigate potential developmental delays in children with persistent toe walking.
  • To assess language, motor, visuomotor, sensory integration, and behavioral development in this cohort.

Main Methods:

  • A prospective study involving 13 children with idiopathic toe walking (mean age 3.9 years).
  • Multidisciplinary evaluations included pediatric neurology, developmental pediatrics, speech/language pathology, occupational therapy, and physical therapy.

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Main Results:

  • Developmental screening revealed delays in 7/13 children and questionable delays in 3/13.
  • Speech and language deficits were identified in 10/13 children (77%).
  • Motor and visuomotor delays were noted in 27-40% of participants.

Conclusions:

  • Idiopathic toe walking is frequently associated with speech/language delays.
  • The condition may serve as an indicator for broader developmental challenges.
  • Referral for developmental assessment is recommended for children with idiopathic toe walking.