Treatment for idiopathic toe walking: A systematic review of the literature

Kuijk, Annette A. van; Kosters, Ralf; Vugts, Martin; Geurts, Alexander C. H.

doi:10.2340/16501977-1881

Cited by 58 publications

(69 citation statements)

References 34 publications

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“…A comprehensive list of commonly used treatment options was developed from peer‐reviewed and grey literature through a Google search using the search terms idiopathic, toe, walk*, and treat* to guide the survey tool development. The level of evidence to support each of the reported treatment options was developed and cross checked with the most recent systematic review at the time of development (van Kuijk, Kosters, Vugts, & Geurts, ). Treatment option levels of evidence were assigned by application of the National Health and Medical Research Council levels of evidence for practice guidelines (NHMRC, ) by two authors (V. P. and K. G.) through a blinded Delphi panel of other survey authors.…”

Section: Methodsmentioning

confidence: 99%

Exploring health professionals' understanding of evidence‐based treatment for idiopathic toe walking

Williams

Gray

Davies

et al. 2020

Child

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Background Idiopathic toe walking (ITW) is an exclusionary diagnosis resulting in a child walking on the balls of their feet. Preferred treatment options may be due to the severity of the toe or the health professional preference There are limited guidelines supporting consistent treatment recommendations for this condition. This research aimed to understand agreement between health professionals' knowledge of evidence for common treatment strategies for ITW and if health professionals supported these strategies being used in clinical practice. Methods An international online survey was opened to registered health professionals who treat children with ITW between July 2017 and March 2018. The survey had two components: (a) demographic variables and variables relating to knowledge of evidence about ITW treatments and (b) support for common treatment strategies. Additional data on strategy use, referrals, and preference were collected. Kappa statistics described intra‐rater agreement between evidence knowledge and support. Multivariable regression analyses identified factors associated with the 10 most commonly preferred treatments. Results There were 908 international responses. Kappa agreement for paired correct responses determined a fair agreement for evidence support knowledge for four strategies including watch and wait (Kappa = 0.24), stretching (Kappa = 0.30), sensory integration strategies (Kappa = 0.40), and motor control strategies (Kappa = 0.24) and moderate responses for 13 others. No strategies had greater than moderate agreement between correct knowledge of evidence and strategy support. Profession, location, number of children seen in practice, and not correctly identifying the evidence factored into many of the most commonly used strategies for ITW (p < .05). Conclusions The results from this study, which confirm a variety of interventions, are utilized in the management of ITW around the world. Furthermore, there remains a disconnection between paediatric health professionals' understanding of the evidence of common treatment strategies of ITW and a consensus for the treatment of this condition.

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Section: Methodsmentioning

confidence: 99%

Exploring health professionals' understanding of evidence‐based treatment for idiopathic toe walking

Williams

Gray

Davies

et al. 2020

Child

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“…Consiste en la colocación de una bota de yeso que comienza en los dedos y se extiende hasta el área subpatelar 37,38 . Se coloca en ambos miembros inferiores durante al menos dos semanas, pudiendo realizar cada cambio de yeso una o dos veces por semana 37,38 .…”

Section: Yesos Seriadosunclassified

“…Se coloca en ambos miembros inferiores durante al menos dos semanas, pudiendo realizar cada cambio de yeso una o dos veces por semana 37,38 . Dependiendo del caso, podría utilizarse este tratamiento con yesos seriados entre siete y doce semanas 37,38 . Varios estudios constataron que la eficacia de este tratamiento respecto al aumento de flexión dorsal de tobillo, fue de entre 3,1° y 4,7° 3,5,16,18,22 .…”

Section: Yesos Seriadosunclassified

“…En los siguientes estudios quirúrgicos, se expone como en general los niños muestran una mayor deformidad en equino estructural en comparación con los niños de estudios conservadores mencionados anteriormente 38 . Kogan y colaboradores 1 realizaron casos seriados retrospectivos con una muestra de 15 pacientes, siendo todos los niños intervenidos mayores de 2 años 1 .…”

Section: Estudios Revisadosunclassified

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Marcha en equino idiopática infantil: revisión sistemática

González¹

2017

Rev. Int. Cienc. Podol.

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Recibido: 1 de febrero de 2015 / Aceptado: 1 enero de 2016 Resumen. La marcha en equino idiopática infantil se caracteriza por el apoyo único de la zona de antepié durante la marcha. Se trata de una patología desarrollada a partir de los 2 años de edad en niños sin ningún tipo de alteración neurológica u ortopédica. Esta revisión consiste en la comparación de estudios que incluyen diferentes tipos de tratamiento mediante yesos seriados, terapia física, toxina botulínica tipo-A o quirúrgicos; con el fin de esclarecer cuál de ellos ofrece mayor efectividad. Se realizaron búsquedas de artículos científicos sobre la marcha en equino idiopática infantil y sobre su tratamiento en las bases de datos Medline, CINAHL, Pubmed, Web of Science y Cochrane Library. Se seleccionaron dos revisiones sistemáticas que cumplían con los criterios de inclusión. Analizando los resultados obtenidos con cada tipo de tratamiento se concluye que no existe uno con mayor efectividad que otro, debido a la imposibilidad de encontrar diferencias significativas entre ellos. Aunque la normalización de la marcha no se produjo en la mayoría de los casos, la cinética y la cinemática de la marcha mejoraron en todos los grupos de tratamiento. También se observó un aumento en el rango de flexión dorsal de tobillo, pero sólo se conservaría a largo plazo en aquellos grupos de pacientes tratados quirúrgicamente. El número de complicaciones que se presentan después del tratamiento conservador y del quirúrgico fue mínimo. En conclusión no se puede determinar qué tratamiento proporciona mayor efectividad haciendo necesario promover la realización de más estudios. Palabras clave: Marcha en equino; Marcha en equino idiopática infantil; Tratamiento para la marcha en equino idiopática infantil.[en] Idiophatic toe walkers: sistematic review Abstract. The idiopathic toe walking march is characterized by the sole support of the forefoot area during the march. It is a disease developed in children from 2 years-age without any neurological or orthopedic impairment. This revision consists in the comparison of multiple studies including different treatments, such as serial casting, physical therapy, botulinum toxin type A or surgical solutions. The aim is to clarify which of the treatments would be most efficient. The study performed searches of scientific articles on the march in infantile idiopathic toe walking and its treatment in Medline, CINAHL, PubMed, Web of Science and Cochrane Library data base. Two systematic reviews that met the inclusion criteria were selected. After having analysed all results of the different treatments the conclusion is, that there is no difference in effectiveness between them, mainly due to no important difference of treatment. Although there has been no major improvement walking in any of the treatment, the kinetics and the kinematic has improved with all treatments. An increase in the ankle dorsiflexion range of motion was also observed, but only it will be longterm retained in those groups of surgically treated patients. The num...

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Interventions for idiopathic toe walking

Caserta

Pacey

Fahey

et al. 2019

Cochrane Database of Systematic Reviews

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of findings for the main comparison. Botulinum toxin plus conservative treatment versus conservative treatment only Casting + botulinum toxin A (BTX) compared with casting only for idiopathic toe walking (ITW) Population: children with ITW gait Settings: outpatient Intervention: casting + BTX Comparison: casting only Illustrative comparative risks* (95% CI) Assumed risk 1 Corresponding risk Outcomes Casting only Casting + BTX Cochrane Library Trusted evidence. Informed decisions. Better health.

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Treatment for idiopathic toe walking: A systematic review of the literature

Cited by 58 publications

References 34 publications

Exploring health professionals' understanding of evidence‐based treatment for idiopathic toe walking

Exploring health professionals' understanding of evidence‐based treatment for idiopathic toe walking

Marcha en equino idiopática infantil: revisión sistemática

Interventions for idiopathic toe walking

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