Evaluation of Postural Control in Children With Idiopathic Toe Walking

Idiopathic toe walking (ITW) is a term used to describe the condition in which children walk with a toe-toe gait pattern in the absence of any known cause. When the literature is examined, it is reported that a possible neuromechanism of idiopathic toe walking is related to postural disorder and a deterioration of sensory information coming from the proprioceptive, vestibular, visual and / or tactile systems. The most important function of the posture is to maintain the balance during the initiation and continuation of the movement. Postural control regulates maintaining the balance and keeping the center of gravity within the body's stability limits. It includes resistance to gravity forces and mechanical support during movement. Postural control is an integral part of achieving targeted action. Although there are few studies showing the possible relationship, no studies have been found to evaluate postural control by computerized posturography in these children. In this study, we aimed to evaluate postural control in children with idiopathic toe walking using computerized dynamic posturography (Biodex Balance System).

Inclusion criteria

• Having the diagnosis of idiopathic toe walking
• No contact with the heel in the initial contact phase of the gait
• Presence of bilateral toe walking gait
• Normal neurological and orthopedic examination results
• Achievement of independent walking before 18 months
• Absence of pervasive developmental disorder or autism

Exclusion criteria

• A history of BoNT-A or surgery in the last 6 months
• Presence of leg length discrepancy