Abstract
Introduction.Transient toe walking is a common benign condition in young children. Nevertheless, it leads to parents concern and becomes a frequent reason for visits to orthopaedists.
 Aim:apreliminary assessment of the effectiveness of squeakers shoes for optimizing of gait in children with transient idiopathic toe walking.
 Material and methods.A prospective study of 24 children (mean age: 21.4 months) which are under surveillance in outpatient clinics for toe walking as the main complaint. Children supplied free of charge with squeakers shoes. Parents filled questionnaires 1 month after the usage of these shoes.
 Results.Positive changes in gait (normalization or improvements) were reported in the majority (22 from 24) children. More than half of parents noticed normal gait in regular shoes and one third barefoot. No deterioration has been observed.
 Discussion.We conducted a preliminary study assessing the effectiveness of modified shoes (squeakers) in children with transient idiopathic toe walking. Most of the parents reported improvements in walking. As a potential mechanism, we suggest positive biofeedback with the recruiting of the sensory (audial) pathway.
 Conclusion.Based on our study we can recommend squeakers for children with transient idiopathic toe walking demonstrating delayed spontaneous improvement.
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