Effects of Non-Restrictive Sensory Insoles in Treatment of Idiopathic Toe Walking: A Single Case, Longitudinal Follow-Up Study

2021 ◽  
Author(s):  
Leila Rahnama ◽  
Mark Geil
Keyword(s):  
Single Case ◽  
Follow Up Study ◽  
Idiopathic Toe Walking ◽  
Toe Walking

scholarly journals Orthotic treatment of idiopathic toe walking with a lower leg orthosis with circular subtalar blocking

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
N. Berger ◽  
M. Bauer ◽  
A. Hapfelmeier ◽  
M. Salzmann ◽  
P. M. Prodinger
Keyword(s):  
Treatment Protocol ◽  
Lower Leg ◽  
Long Term Results ◽  
Treatment Standard ◽  
Normal Gait ◽  
Idiopathic Toe Walking ◽  
Toe Walking ◽  
Orthotic Treatment

Abstract Background There is no universally accepted treatment standard for idiopathic toe walking patients (ITW) in the current literature. None of the established methods provide homogenous satisfying results. In our department we treat ITW patients with lower leg orthoses with a circular foot unit for a total of 16 weeks. In this study we reviewed our database to evaluate the success of our treatment protocol for a 24 months follow up period. Results Twenty-two patients were included in this study. Age at the beginning of treatment was 7.0 years +/− 2.9 (range 2.5-13.1). Percentage of ITW at the beginning of treatment according to the perception of the parents was 89% +/− 22.2 (range 50-100). Immediately after the treatment with our device, percentage of ITW dropped to 11% +/− 13.2 (range 0-50). After 12 months, 73% of the patients (16/22) walked completely normal or showed ITW less than 10% of the day. After 24 months, 64% of the patients kept a normal gait (14/22). Conclusion This study provides evidence that the treatment of idiopathic toe walking with lower leg orthoses with a circular foot unit results in satisfying long-term results in two thirds of the patients.

Outcome of Intensive Language Treatment in Aphasia

1989 ◽  
Vol 54 (3) ◽  
pp. 471-479 ◽  
Author(s):  
Klaus Poeck ◽  
Walter Huber ◽  
Klaus Willmes
Keyword(s):  
Spontaneous Recovery ◽  
Standardized Test ◽  
Single Case ◽  
Case Analysis ◽  
Similar Rate ◽  
Test Battery ◽  
German Language ◽  
Follow Up Study ◽  
Rate Of Improvement

Sixty-eight aphasic inpatients received intensive language treatment (9 hr per week over a period of 6–8 weeks). Outcome was assessed by means of the Aachen Aphasia Test (AAT), a standardized test battery for the German language. For patients with duration of aphasia up to 12 months, amount of improvement was corrected by the expected rate of spontaneous recovery as determined by a previous multicenter follow-up study. About two thirds of the patients showed significant improvement in AAT performance according to psychometric single case analysis procedures. A similar rate of improvement was found for individuals with chronic aphasia beyond the stage of spontaneous recovery.

scholarly journals Serial ankle casts for patients with idiopathic toe walking: effects on functional gait parameters

2019 ◽  
Vol 13 (2) ◽  
pp. 147-154 ◽  
Author(s):  
F. Thielemann ◽  
G. Rockstroh ◽  
J. Mehrholz ◽  
C. Druschel
Keyword(s):  
Gait Analysis ◽  
Ankle Dorsiflexion ◽  
Control Group ◽  
Plantar Flexors ◽  
Serial Casting ◽  
Gait Parameters ◽  
Idiopathic Toe Walking ◽  
Functional Gait ◽  
Toe Walking

Purpose The aim of the present study was to investigate the functional effects on gait parameters of serial ankle casts for patients with idiopathic toe walking (ITW), in comparison with an unremarkable control group. Methods A prospective trial with a pre-test–post-test control group design included ten patients with ITW and ten healthy matched children. Children with ITW underwent serial casting to stretch the plantar flexors, with two 14-day periods with walking plaster casts set at the maximum available ankle dorsiflexion. Both groups were assessed clinically and using a functional gait analysis before and after serial casting, as well as at a six-month follow-up visit. Results The normalized plantar heel force increased from 5% pre-interventionally to 79% at the follow-up. The upper ankle-joint angle and the base angle also demonstrated significant changes. Normalized compound action potentials of the medial heads of the gastrocnemius were reduced by 70%. None of these parameters demonstrated any significant differences at the follow-up examination in comparison with the healthy control group. Variations in the displacement of the knee joint on the sagittal plane and of the center of gravity in the transverse plane did not show any significant differences in comparison with the control group. Conclusion The reduction of muscle tone and lengthening of the ankle plantar flexors led to persistent increased active ankle dorsiflexion with significant long-term improvement of functional kinematic parameters. No significant difference in the gait analysis was found between the ITW group and healthy children six months after treatment. Level of Evidence Level II - Therapeutic

Idiopathic toe walking—A follow-up survey of gait analysis assessment

2019 ◽  
Vol 68 ◽  
pp. 300-304 ◽  
Author(s):  
Rory O’Sullivan ◽  
Khalid Munir ◽  
Louise Keating
Keyword(s):  
Gait Analysis ◽  
Idiopathic Toe Walking ◽  
Toe Walking

scholarly journals Idiopathic toe-walking in childhood

2020 ◽  
Vol 15 (1) ◽  
pp. 8-17
Author(s):  
S. A. Malmberg
Keyword(s):  
Spontaneous Regression ◽  
Evidence Based ◽  
Spastic Paraplegia ◽  
Botulinum Toxin Therapy ◽  
Age Dependent ◽  
Idiopathic Toe Walking ◽  
Therapeutic Measures ◽  
Electromyographic Analysis ◽  
Toe Walking

Background. Idiopathic toe walking (ITW) in childhood is a benign age-dependent disorder of the normal walking formula.Objective: neurological, catamnestic and electromyographic analysis of patients with ITW.Materials and methods. The study group consisted of 59 patients aged 1 year 4 months to 15 years (mean age is 6.10 ± 3.54 years) with a predominance of males (76 %) and the onset of violations in the age of 4 years in 83 % of cases, a normal history and the absence of signs of organic neurological deficiency.Results and conclusions. As a result of differential diagnosis cerebral palsy, spastic paraplegia, peripheral neuropathy, myopathy and other diseases as possible causes of ITW were excluded. A high proportion of comorbid disorders of the neurotic spectrum in patients with ITW was determined, so tranquilizing and anxiolytic therapy was indicated in half of the patients. Electromyography doesn’t revealed pathology of peripheral neuromotor apparatus. Follow-up monitoring for 2–6 years, showed complete spontaneous regression of violations of the pattern of the walk at 84.8 % of the patients of 7–8 years of life. The formation of contractures of the ankle joint in 5 patients required operative correction. The issues of therapeutic tactics (gypsuming, orthosis of feet, botulinum toxin therapy, physiotherapy) were discussed. The absence of evidence-based effect of therapeutic measures is confirmed.

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