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IncobotulinumtoxinA Injection for Treating Children with Idiopathic Toe Walking: A Retrospective Efficacy and Safety Study.
Toxins (Basel)
November 2022
Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37100 Verona, Italy.
There is no gold-standard treatment for idiopathic toe walking (ITW). Some previous evidence suggested that botulinum neurotoxin-A injection might improve ITW. This is a single-center retrospective study on children with ITW treated with incobotulinumtoxinA injection in the gastrocnemius medialis/lateralis muscles.
View Article and Find Full Text PDFThe Management of Toe Walking in Children with Autism Spectrum Disorder: .
Children (Basel)
September 2022
Orthopedic and Trauma Unit, Department of Neuroscience, Pediatric Hospital "Giovanni XXIII", 70126 Bari, Italy.
Background: Toe walking is associated with autism spectrum disorders (ASD). Correction of this “behavior” is a health challenge. The toe walker is affected by the contact refusal with the outside world: touching the ground as little as possible, trying to avoid any contact.
View Article and Find Full Text PDF[Pain and Achilles tendon shortening in patients with idiopathic toe walking].
Rev Neurol
November 2021
Universidad Autónoma de Madrid, 29049 Madrid, España.
Introduction: Idiopathic toe walking (ITW) is a heterogeneous disorder, which is associated with muscle shortening in lower limbs, pain and neurodevelopmental disorders. We try to study the frequency of clinical features in patients with ITW.
Patients And Methods: Out of 100 patients evaluated with toe walking in a pediatric rehabilitation clinic, 77 (24,7% women) patients were diagnosed with ITW by means of TWT questionnaire.
Quantification and Monitoring of the Effect of Botulinum Toxin A on Paretic Calf Muscles of Children With Cerebral Palsy With MRI: A Preliminary Study.
Front Neurol
April 2021
Department of Radiology, Division of Neuroradiology, University Hospital of Basel, Basel, Switzerland.
Muscles from patients with cerebral palsy (CP) are often spastic and form contractures that limit the range of motion. Injections of botulinum toxin A (BTX) into the calf muscles are an important treatment for functional equinus; however, improvement in gait function is not always achieved. BTX is also used to test muscle weakening for risk evaluation of muscle lengthening surgery.
View Article and Find Full Text PDFInterventions for idiopathic toe walking.
Cochrane Database Syst Rev
October 2019
Child and Family Team, Monash Health, 140-154 Sladen St, Cranbourne, Victoria, Australia, 3977.
Background: Idiopathic toe walking (ITW) is an exclusionary diagnosis given to healthy children who persist in walking on their toes after they should typically have achieved a heel-toe gait. The literature discusses conservative and surgical interventions using a variety of treatment modalities. Young children and children without a limitation in ankle dorsiflexion (the upwards movement of the foot towards the shin of the leg) are commonly treated with conservative interventions.
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