Foot and ankle characteristics of children with an idiopathic toe-walking gait

Cylie Williams, Paul Tinley, Michael Curtin, Sharon Nielsen

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: Idiopathic toe-walking (ITW) in children has been associated with ankle equinus. Although equinus has been linked to foot deformity in adults, there has been limited investigation of the impact of equinus on structural foot change in children. We used the weightbearing lunge test and the six-item version of the Foot Posture Index (FPI-6) to evaluate the weightbearing foot and ankle measures of children with an ITW gait and to compare these with their age-matched peers. Methods: Sixty 4-to 6-year-old children were grouped into ITW (n 1/4 30) and non-toewalking (n = 30) cohorts using a validated ITW tool. Ankle range of motion was determined with weightbearing lunge tests. The FPI-6 was calculated during weightbearing stance. Results: There was a highly significant difference in the weightbearing lunge test measures between the ITW cohort and the non-toe-walking cohort. The FPI-6 comparison was not significant. The straight-leg lunge test had a statistically significant relationship with the FPI-6 in the ITW cohort. Conclusion: Children with an ITW gait demonstrated reduced flexibility at the ankle joint but similar weightbearing foot posture compared with non-toe-walking children, showing that for children 4 to 8 years old, an ITW gait affects the available ankle dorsiflexion but seems to have a limited effect on weightbearing foot posture as measured by the FPI-6.
Original languageEnglish
Pages (from-to)374-379
Number of pages6
JournalJournal of the American Podiatric Medical Association
Volume103
Issue number5
Publication statusPublished - Sep 2013

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Toes
Gait
Ankle
Walking
Foot
Weight-Bearing
Posture
Foot Deformities
Ankle Joint
Articular Range of Motion
Leg

Cite this

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title = "Foot and ankle characteristics of children with an idiopathic toe-walking gait",
abstract = "Background: Idiopathic toe-walking (ITW) in children has been associated with ankle equinus. Although equinus has been linked to foot deformity in adults, there has been limited investigation of the impact of equinus on structural foot change in children. We used the weightbearing lunge test and the six-item version of the Foot Posture Index (FPI-6) to evaluate the weightbearing foot and ankle measures of children with an ITW gait and to compare these with their age-matched peers. Methods: Sixty 4-to 6-year-old children were grouped into ITW (n 1/4 30) and non-toewalking (n = 30) cohorts using a validated ITW tool. Ankle range of motion was determined with weightbearing lunge tests. The FPI-6 was calculated during weightbearing stance. Results: There was a highly significant difference in the weightbearing lunge test measures between the ITW cohort and the non-toe-walking cohort. The FPI-6 comparison was not significant. The straight-leg lunge test had a statistically significant relationship with the FPI-6 in the ITW cohort. Conclusion: Children with an ITW gait demonstrated reduced flexibility at the ankle joint but similar weightbearing foot posture compared with non-toe-walking children, showing that for children 4 to 8 years old, an ITW gait affects the available ankle dorsiflexion but seems to have a limited effect on weightbearing foot posture as measured by the FPI-6.",
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Foot and ankle characteristics of children with an idiopathic toe-walking gait. / Williams, Cylie; Tinley, Paul; Curtin, Michael; Nielsen, Sharon.

In: Journal of the American Podiatric Medical Association, Vol. 103, No. 5, 09.2013, p. 374-379.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Foot and ankle characteristics of children with an idiopathic toe-walking gait

AU - Williams, Cylie

AU - Tinley, Paul

AU - Curtin, Michael

AU - Nielsen, Sharon

N1 - Imported on 12 Apr 2017 - DigiTool details were: month (773h) = September 2013; Journal title (773t) = Journal of the American Podiatric Medical Association. ISSNs: 8750-7315;

PY - 2013/9

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N2 - Background: Idiopathic toe-walking (ITW) in children has been associated with ankle equinus. Although equinus has been linked to foot deformity in adults, there has been limited investigation of the impact of equinus on structural foot change in children. We used the weightbearing lunge test and the six-item version of the Foot Posture Index (FPI-6) to evaluate the weightbearing foot and ankle measures of children with an ITW gait and to compare these with their age-matched peers. Methods: Sixty 4-to 6-year-old children were grouped into ITW (n 1/4 30) and non-toewalking (n = 30) cohorts using a validated ITW tool. Ankle range of motion was determined with weightbearing lunge tests. The FPI-6 was calculated during weightbearing stance. Results: There was a highly significant difference in the weightbearing lunge test measures between the ITW cohort and the non-toe-walking cohort. The FPI-6 comparison was not significant. The straight-leg lunge test had a statistically significant relationship with the FPI-6 in the ITW cohort. Conclusion: Children with an ITW gait demonstrated reduced flexibility at the ankle joint but similar weightbearing foot posture compared with non-toe-walking children, showing that for children 4 to 8 years old, an ITW gait affects the available ankle dorsiflexion but seems to have a limited effect on weightbearing foot posture as measured by the FPI-6.

AB - Background: Idiopathic toe-walking (ITW) in children has been associated with ankle equinus. Although equinus has been linked to foot deformity in adults, there has been limited investigation of the impact of equinus on structural foot change in children. We used the weightbearing lunge test and the six-item version of the Foot Posture Index (FPI-6) to evaluate the weightbearing foot and ankle measures of children with an ITW gait and to compare these with their age-matched peers. Methods: Sixty 4-to 6-year-old children were grouped into ITW (n 1/4 30) and non-toewalking (n = 30) cohorts using a validated ITW tool. Ankle range of motion was determined with weightbearing lunge tests. The FPI-6 was calculated during weightbearing stance. Results: There was a highly significant difference in the weightbearing lunge test measures between the ITW cohort and the non-toe-walking cohort. The FPI-6 comparison was not significant. The straight-leg lunge test had a statistically significant relationship with the FPI-6 in the ITW cohort. Conclusion: Children with an ITW gait demonstrated reduced flexibility at the ankle joint but similar weightbearing foot posture compared with non-toe-walking children, showing that for children 4 to 8 years old, an ITW gait affects the available ankle dorsiflexion but seems to have a limited effect on weightbearing foot posture as measured by the FPI-6.

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