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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2016, Number 1

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Rev Mex Ortop Ped 2016; 18 (1)

Idiopathic toe walking classification

Pomarino D, Ramírez LJ, Agüero ME, Pomarino A

Language: Spanish
References: 23
Page: 26-30
PDF size: 398.51 Kb.


ABSTRACT

A toe walking pattern is a common gait variation in children. During this gait variant there is a toe-toe pattern and the toes are receiving the full support of the body, although they are able to support the heel on the ground upon request. A child can walk on the toes due to neurological reasons; however, the causes of the idiopathic toe walking gait pattern are still unknown. Therefore, an adequate evaluation and diagnosis are necessary in order to find the right therapeutic treatment. Idiopathic toe walking is usually diagnosed after ruling out any orthopedic or neurological condition. Currently it is hard to find literature that describe the clinical characteristics or the clinic signs of this pathological condition, therefore a differential diagnosis is hard to obtain. Objective: This main idea of this study is to present a classification that is useful in obtaining an appropriate differential diagnosis and thus helping to distinguish idiopathic toe walking from other medical conditions. Materials and methods: This is a descriptive and observational study. In order to classify this condition, we analyzed structural, functional and physical characteristics. Results: The classification will guide the health care practitioners to obtain an adequate diagnosis according with the physiological characteristics. The results show that there are three types of toe walkers with a common gait pattern, however with differences on the physiological signs. Discussion: The right diagnosis for children with idiopathic toe walking is important at the moment to choose an adequate therapy. According to our classification it is possible, to find specific characteristics and different clinical signs whit-in children with idiopathic toe walking. Understanding these clinical sign will help us to find a differential diagnostic for children with this idiopathic condition.


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