The toe walking tool

a novel method for assessing idiopathic toe walking children

Cylie Williams, Paul Tinley, Michael Curtin

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Background: The diagnosis of idiopathic toe walking (ITW) is achieved by the exclusion of all medical causes associated with toe walking. In order to identify children with this gait type, an online Toe Walking Tool questionnaire was developed that utilized questions to identify healthy idiopathic toe walkers and excluded those who toe walk as a result of a medical condition. Method: A Delphi panel process was conducted to establish the relevance and validity of the questions. A group of 10 allied health professionals assessed 12 children utilizing the Toe Walking Tool. A kappa was calculated to determine reliability. Results: Clinicians agreed the questionnaire was an appropriate and effective assessment tool. The tool proved valid in that no child tested who toe walked as a result of a medical condition was able to progress through the testing process. Testing group of practitioners had a Fleiss Kappa agreement of 0.928. Conclusion: The Toe Walking Tool is a valid and reliable method of assessing children who present to the general allied health clinician with toe walking. This tool can assist with the decision of when to refer a child for further specialist investigation of their toe walking
Original languageEnglish
Pages (from-to)508-511
Number of pages4
JournalGait and Posture
Volume32
Issue number4
DOIs
Publication statusPublished - Oct 2010

Fingerprint

Toes
Walking
Walkers
Allied Health Personnel
Gait
Health

Cite this

@article{bed4a28743ee4eab9cef72dc8482b935,
title = "The toe walking tool: a novel method for assessing idiopathic toe walking children",
abstract = "Background: The diagnosis of idiopathic toe walking (ITW) is achieved by the exclusion of all medical causes associated with toe walking. In order to identify children with this gait type, an online Toe Walking Tool questionnaire was developed that utilized questions to identify healthy idiopathic toe walkers and excluded those who toe walk as a result of a medical condition. Method: A Delphi panel process was conducted to establish the relevance and validity of the questions. A group of 10 allied health professionals assessed 12 children utilizing the Toe Walking Tool. A kappa was calculated to determine reliability. Results: Clinicians agreed the questionnaire was an appropriate and effective assessment tool. The tool proved valid in that no child tested who toe walked as a result of a medical condition was able to progress through the testing process. Testing group of practitioners had a Fleiss Kappa agreement of 0.928. Conclusion: The Toe Walking Tool is a valid and reliable method of assessing children who present to the general allied health clinician with toe walking. This tool can assist with the decision of when to refer a child for further specialist investigation of their toe walking",
keywords = "Gait, Idiopathic toe walking, Pediatrics",
author = "Cylie Williams and Paul Tinley and Michael Curtin",
note = "Imported on 12 Apr 2017 - DigiTool details were: month (773h) = Oct 2010; Journal title (773t) = Gait and Posture. ISSNs: 0966-6362;",
year = "2010",
month = "10",
doi = "10.1016/j.gaitpost.2010.07.011",
language = "English",
volume = "32",
pages = "508--511",
journal = "Gait and Posture",
issn = "0966-6362",
publisher = "Elsevier",
number = "4",

}

The toe walking tool : a novel method for assessing idiopathic toe walking children. / Williams, Cylie; Tinley, Paul; Curtin, Michael.

In: Gait and Posture, Vol. 32, No. 4, 10.2010, p. 508-511.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The toe walking tool

T2 - a novel method for assessing idiopathic toe walking children

AU - Williams, Cylie

AU - Tinley, Paul

AU - Curtin, Michael

N1 - Imported on 12 Apr 2017 - DigiTool details were: month (773h) = Oct 2010; Journal title (773t) = Gait and Posture. ISSNs: 0966-6362;

PY - 2010/10

Y1 - 2010/10

N2 - Background: The diagnosis of idiopathic toe walking (ITW) is achieved by the exclusion of all medical causes associated with toe walking. In order to identify children with this gait type, an online Toe Walking Tool questionnaire was developed that utilized questions to identify healthy idiopathic toe walkers and excluded those who toe walk as a result of a medical condition. Method: A Delphi panel process was conducted to establish the relevance and validity of the questions. A group of 10 allied health professionals assessed 12 children utilizing the Toe Walking Tool. A kappa was calculated to determine reliability. Results: Clinicians agreed the questionnaire was an appropriate and effective assessment tool. The tool proved valid in that no child tested who toe walked as a result of a medical condition was able to progress through the testing process. Testing group of practitioners had a Fleiss Kappa agreement of 0.928. Conclusion: The Toe Walking Tool is a valid and reliable method of assessing children who present to the general allied health clinician with toe walking. This tool can assist with the decision of when to refer a child for further specialist investigation of their toe walking

AB - Background: The diagnosis of idiopathic toe walking (ITW) is achieved by the exclusion of all medical causes associated with toe walking. In order to identify children with this gait type, an online Toe Walking Tool questionnaire was developed that utilized questions to identify healthy idiopathic toe walkers and excluded those who toe walk as a result of a medical condition. Method: A Delphi panel process was conducted to establish the relevance and validity of the questions. A group of 10 allied health professionals assessed 12 children utilizing the Toe Walking Tool. A kappa was calculated to determine reliability. Results: Clinicians agreed the questionnaire was an appropriate and effective assessment tool. The tool proved valid in that no child tested who toe walked as a result of a medical condition was able to progress through the testing process. Testing group of practitioners had a Fleiss Kappa agreement of 0.928. Conclusion: The Toe Walking Tool is a valid and reliable method of assessing children who present to the general allied health clinician with toe walking. This tool can assist with the decision of when to refer a child for further specialist investigation of their toe walking

KW - Gait

KW - Idiopathic toe walking

KW - Pediatrics

U2 - 10.1016/j.gaitpost.2010.07.011

DO - 10.1016/j.gaitpost.2010.07.011

M3 - Article

VL - 32

SP - 508

EP - 511

JO - Gait and Posture

JF - Gait and Posture

SN - 0966-6362

IS - 4

ER -