The Toe Walking Tool was proven reliable with a Fleiss Kappa=0.9028; z=29.6091; p=<0.001.Study Two determined that children with an ITW gait have a lower vibration perception threshold (p=.001), poorer overall performance on the BOT-2 (p=<.001), and minimal difference in performance on the SIPT (p>.05) compared to their peers. Sensory profile scores found in the ITW cohort presented with more probable differences in sensory seeking (p<.001) and low registration (p=.003) quadrant scores than peers. Parents discussed that footwear assisted with gait change and heighted emotional states increased the toe walking. Conclusion: The Toe Walking Tool was proven to be a valid and comprehensive method to assess children who toe walk. This tool assisted in the appropriate referral of children who may have a medical reason for their gait pattern and allowed healthy toe walking children to enter the ITW study. Children who have an ITW gait differ from their peers in motor tasks and some sensory outputs. The identification of these differences can assist health practitioners to understand the challenges of treatment and provide a holistic approach. Idiopathic toe walking gait is defined as a gait style adopted when no medical reason can be found. While this research does not give a causative factor for children adopting a toe walking gait, it provides a number of theories as to why this gait cannot be idiopathic in nature.
|Qualification||Doctor of Philosophy|
|Award date||05 Mar 2012|
|Place of Publication||Australia|
|Publication status||Published - 2012|