Long term gait outcomes of surgically treated idiopathic toe walkers

McMulkin, Mark L.; Gordon, Andi B.; Tompkins, Bryan; Caskey, Paul M.; Baird, Glen O.

doi:10.1016/j.gaitpost.2015.12.013

Cited by 25 publications

(29 citation statements)

References 20 publications

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“…Eastwood et al showed that only 22% of surgically treated patients (Baker type of aponeurotic lengthening of the Achilles tendon; 10/46) showed a normal gait after 7.9 years (range 2-22). McMulkin et al 2016 showed that after surgical lengthening of the gastrocnemius/soleus muscle after ve years six out of eight patients had a normalized gait pattern [2].…”

Section: Discussionmentioning

confidence: 99%

“…Males are slightly predominant [1]. Structural changes might develop if the habit persists for an extended period of time [2][3][4][5]. Furthermore, the walking pattern might become socially stigmatizing for older children.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, motor control interventions and auditory feedback methods are optional 9]. Results of these methods vary broadly and are often dissatisfying, leaving a signi cant proportion of "non-responders" up to 88% after twelve months [2,6,8,10,11].…”

Section: Introductionmentioning

confidence: 99%

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Orthotic Treatment of Idiopathic Toe Walking with A Circular Lower Leg Orthosis

Bauer¹,

Hapfelmeier²,

Prodinger³

et al. 2020

Preprint

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Background: There is no universally accepted treatment standard for idiopathic toe walking patients (ITW) in the current literature. None of the established methods provide homogenous satisfying results. In our department we treat ITW patients with lower leg orthoses with a circular foot unit for a total of 16 weeks. In this study we reviewed our database to evaluate the success of our treatment protocol for 24 months. Results: 22 patients were included in the study. Age at the beginning of treatment was 7.0 years +/-2.9 (range 2.5-13.1). Percentage of ITW at the beginning of treatment according to the perception of the parents was 89% +/-22.2 (range 50-100). Immediately after the treatment with our device, percentage of ITW dropped to 11% +/-13.2 (range 0-50). After 12 months, 73% of the patients (16/22) walked completely normal or showed ITW less than 10% of the day. After 24 months, 64% of the patients kept a normal gait (14/22). Conclusion: This study provides evidence that the treatment of idiopathic toe walking with lower leg orthoses with a circular foot unit results in satisfying long-term results in two thirds of the patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Orthotic Treatment of Idiopathic Toe Walking with A Circular Lower Leg Orthosis

Bauer¹,

Hapfelmeier²,

Prodinger³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Furthermore, motor control interventions and auditory feedback methods are optional [ 12 ]. Results of these methods vary broadly and are often dissatisfying, leaving a significant proportion of “non-responders” up to 88% after 12 months [ 2 , 7 – 9 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…If toe walking persists for an extended period of time, structural changes might develop [2][3][4][5]. Furthermore, the walking pattern might become socially stigmatizing for older children.…”

Section: Introductionmentioning

confidence: 99%

Orthotic treatment of idiopathic toe walking with a lower leg orthosis with circular subtalar blocking

Berger

Bauer

Hapfelmeier

et al. 2021

BMC Musculoskelet Disord

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Background There is no universally accepted treatment standard for idiopathic toe walking patients (ITW) in the current literature. None of the established methods provide homogenous satisfying results. In our department we treat ITW patients with lower leg orthoses with a circular foot unit for a total of 16 weeks. In this study we reviewed our database to evaluate the success of our treatment protocol for a 24 months follow up period. Results Twenty-two patients were included in this study. Age at the beginning of treatment was 7.0 years +/− 2.9 (range 2.5-13.1). Percentage of ITW at the beginning of treatment according to the perception of the parents was 89% +/− 22.2 (range 50-100). Immediately after the treatment with our device, percentage of ITW dropped to 11% +/− 13.2 (range 0-50). After 12 months, 73% of the patients (16/22) walked completely normal or showed ITW less than 10% of the day. After 24 months, 64% of the patients kept a normal gait (14/22). Conclusion This study provides evidence that the treatment of idiopathic toe walking with lower leg orthoses with a circular foot unit results in satisfying long-term results in two thirds of the patients.

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