eMedicine Specialties > Orthopedic Surgery > Foot & Ankle
Toe Walking: Follow-up
Updated: Jan 22, 2009
Outcome and Prognosis
Patients with idiopathic toe walking who have spontaneously discontinued toe walking or who, following operative or nonoperative treatment, remain down on their heels for more than 1 year can be considered cured. Late recurrence is unlikely, and there should be no adverse late effects from any treatment employed.
The prognosis for patients with spasticity or paralytic muscle disease is less predictable. These patients deserve follow-up indefinitely, as recurrence remains a risk.
Future and Controversies
Some controversies exist regarding the use of gait analysis in diagnosis (see Other Tests).
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Follow-up: Toe Walking |
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References
Neptune RR, Burnfield JM, Mulroy SJ. The neuromuscular demands of toe walking: a forward dynamics simulation analysis. J Biomech. 2007;40(6):1293-300. [Medline].
Sasaki K, Neptune RR, Burnfield JM, et al. Muscle compensatory mechanisms during able-bodied toe walking. Gait Posture. Jul 9 2007;[Medline].
Westberry DE, Davids JR, Davis RB, de Morais Filho MC. Idiopathic toe walking: a kinematic and kinetic profile. J Pediatr Orthop. Apr-May 2008;28(3):352-8. [Medline].
Armand S, Watelain E, Mercier M, et al. Identification and classification of toe-walkers based on ankle kinematics, using a data-mining method. Gait Posture. Feb 2006;23(2):240-8. [Medline].
Katz MM, Mubarak SJ. Hereditary tendo Achillis contractures. J Pediatr Orthop. Nov 1984;4(6):711-4. [Medline].
Fox A, Deakin S, Pettigrew G, Paton R. Serial casting in the treatment of idiopathic toe-walkers and review of the literature. Acta Orthop Belg. Dec 2006;72(6):722-30. [Medline].
Hall JE, Salter RB, Bhalla SK. Congenital short tendo calcaneus. J Bone Joint Surg Br. Nov 1967;49(4):695-7. [Medline]. [Full Text].
McMulkin ML, Baird GO, Caskey PM, Ferguson RL. Comprehensive outcomes of surgically treated idiopathic toe walkers. J Pediatr Orthop. Sep-Oct 2006;26(5):606-11. [Medline].
Hemo Y, Macdessi SJ, Pierce RA, et al. Outcome of patients after Achilles tendon lengthening for treatment of idiopathic toe walking. J Pediatr Orthop. May-Jun 2006;26(3):336-40. [Medline].
Green NE. The orthopaedic management of the ankle, foot, and knee in patients with cerebral palsy. Instr Course Lect. 1987;36:253-65. [Medline].
Rosenthal RK. The use of orthotics in foot and ankle problems in cerebral palsy. Foot Ankle. Jan-Feb 1984;4(4):195-200. [Medline].
Williams EA, Read L, Ellis A, et al. The management of equinus deformity in Duchenne muscular dystrophy. J Bone Joint Surg Br. Aug 1984;66(4):546-50. [Medline]. [Full Text].
Further Reading
Keywords
equinus contracture, idiopathic toe walking, habitual toe walking, congenital short Achilles tendon, muscle spasticity, paralytic muscle disorder, jumper's gait, neuromuscular disease, cerebral palsy, paralytic muscle disease, Duchenne muscular dystrophy
Follow-up: Toe Walking