Abstract

Background It is understood that toe walking involves the absence or limitation of heel strike in the contact phase of the gait cycle. When there is no medical cause of the gait pattern, a diagnosis of idiopathic toe walking (ITW) is made. Although there has been limited research into the pathophysiology of ITW, there has been an increasing number of references proposing that this gait pattern may be linked to sensory processing dysfunction (SPD). The purpose of this study was to investigate and profile 30 children with an ITW gait compared to 30 peers with a typical gait, using both qualitative and quantitative data. Methods Participants were assessed using the: (i) Bruininks-Oseretsky Test of Motor Proficiency (BOT-2), (ii) The Sensory Profile, (iii) Sensory Integration and Praxis test (SIPT), (iv) Vibration Perception Threshold (VPT) and (v) interview with parents about social factors of toe walking.

Highlights

  • It is understood that toe walking involves the absence or limitation of heel strike in the contact phase of the gait cycle

  • Is idiopathic toe walking a symptom of sensory processing dysfunction?

  • When there is no medical cause of the gait pattern, a diagnosis of idiopathic toe walking (ITW) is made

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Summary

Introduction

It is understood that toe walking involves the absence or limitation of heel strike in the contact phase of the gait cycle. When there is no medical cause of the gait pattern, a diagnosis of idiopathic toe walking (ITW) is made. There has been limited research into the pathophysiology of ITW, there has been an increasing number of references proposing that this gait pattern may be linked to sensory processing dysfunction (SPD). The purpose of this study was to investigate and profile 30 children with an ITW gait compared to 30 peers with a typical gait, using both qualitative and quantitative data

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