Developmental implications of idiopathic toe walking

Lisa H. Shulman, D. A. Sala, M. L Y Chu, P. R. McCaul, B. J. Sandler

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

Objective: To determine whether children with persistent toe walking, without suspected developmental problems, and with normal results after neurologic examination, who were seen in an orthopedic clinic demonstrate delays in language development, gross or fine motor skills, visuomotor development, sensory integration function, or evidence of behavioral problems through a comprehensive multidisciplinary evaluation. Study design: A prospective, descriptive study of 13 children (mean age = 3.9 years) referred for idiopathic toe walking. Each child was evaluated by a pediatric neurologist, developmental pediatrician, speech/language pathologist, occupational therapist, and physical therapist. Results: On developmental screening, 7 of 13 children demonstrated delays and 3 were questionably delayed; all 10 had speech/language deficits. Speech/language evaluation showed that 10 of 13 (77%) had receptive or expressive language delays or both. Occupational and physical therapy evaluations found 4 of 12 (33%) had fine motor delays, 4 of 10(40%) had visuomotor delays, and 3 of 11 (27%) had gross motor delays. Conclusions: Idiopathic toe walking was most often associated with speech/language delays, but delays in other areas were also present. We suggest that idiopathic toe walking should, be viewed as a marker for developmental problems and recommend that any child with this condition should be referred for a developmental assessment.

Original languageEnglish (US)
Pages (from-to)541-546
Number of pages6
JournalJournal of Pediatrics
Volume130
Issue number4
DOIs
StatePublished - 1997
Externally publishedYes

Fingerprint

Toes
Walking
Language Development Disorders
Language
Language Development
Motor Skills
Occupational Therapy
Physical Therapists
Neurologic Examination
Orthopedics
Prospective Studies
Pediatrics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Shulman, L. H., Sala, D. A., Chu, M. L. Y., McCaul, P. R., & Sandler, B. J. (1997). Developmental implications of idiopathic toe walking. Journal of Pediatrics, 130(4), 541-546. https://doi.org/10.1016/S0022-3476(97)70236-1

Developmental implications of idiopathic toe walking. / Shulman, Lisa H.; Sala, D. A.; Chu, M. L Y; McCaul, P. R.; Sandler, B. J.

In: Journal of Pediatrics, Vol. 130, No. 4, 1997, p. 541-546.

Research output: Contribution to journalArticle

Shulman, LH, Sala, DA, Chu, MLY, McCaul, PR & Sandler, BJ 1997, 'Developmental implications of idiopathic toe walking', Journal of Pediatrics, vol. 130, no. 4, pp. 541-546. https://doi.org/10.1016/S0022-3476(97)70236-1
Shulman, Lisa H. ; Sala, D. A. ; Chu, M. L Y ; McCaul, P. R. ; Sandler, B. J. / Developmental implications of idiopathic toe walking. In: Journal of Pediatrics. 1997 ; Vol. 130, No. 4. pp. 541-546.
@article{d04b713865dc4dbea7d64921897ec439,
title = "Developmental implications of idiopathic toe walking",
abstract = "Objective: To determine whether children with persistent toe walking, without suspected developmental problems, and with normal results after neurologic examination, who were seen in an orthopedic clinic demonstrate delays in language development, gross or fine motor skills, visuomotor development, sensory integration function, or evidence of behavioral problems through a comprehensive multidisciplinary evaluation. Study design: A prospective, descriptive study of 13 children (mean age = 3.9 years) referred for idiopathic toe walking. Each child was evaluated by a pediatric neurologist, developmental pediatrician, speech/language pathologist, occupational therapist, and physical therapist. Results: On developmental screening, 7 of 13 children demonstrated delays and 3 were questionably delayed; all 10 had speech/language deficits. Speech/language evaluation showed that 10 of 13 (77{\%}) had receptive or expressive language delays or both. Occupational and physical therapy evaluations found 4 of 12 (33{\%}) had fine motor delays, 4 of 10(40{\%}) had visuomotor delays, and 3 of 11 (27{\%}) had gross motor delays. Conclusions: Idiopathic toe walking was most often associated with speech/language delays, but delays in other areas were also present. We suggest that idiopathic toe walking should, be viewed as a marker for developmental problems and recommend that any child with this condition should be referred for a developmental assessment.",
author = "Shulman, {Lisa H.} and Sala, {D. A.} and Chu, {M. L Y} and McCaul, {P. R.} and Sandler, {B. J.}",
year = "1997",
doi = "10.1016/S0022-3476(97)70236-1",
language = "English (US)",
volume = "130",
pages = "541--546",
journal = "Journal of Pediatrics",
issn = "0022-3476",
publisher = "Mosby Inc.",
number = "4",

}

TY - JOUR

T1 - Developmental implications of idiopathic toe walking

AU - Shulman, Lisa H.

AU - Sala, D. A.

AU - Chu, M. L Y

AU - McCaul, P. R.

AU - Sandler, B. J.

PY - 1997

Y1 - 1997

N2 - Objective: To determine whether children with persistent toe walking, without suspected developmental problems, and with normal results after neurologic examination, who were seen in an orthopedic clinic demonstrate delays in language development, gross or fine motor skills, visuomotor development, sensory integration function, or evidence of behavioral problems through a comprehensive multidisciplinary evaluation. Study design: A prospective, descriptive study of 13 children (mean age = 3.9 years) referred for idiopathic toe walking. Each child was evaluated by a pediatric neurologist, developmental pediatrician, speech/language pathologist, occupational therapist, and physical therapist. Results: On developmental screening, 7 of 13 children demonstrated delays and 3 were questionably delayed; all 10 had speech/language deficits. Speech/language evaluation showed that 10 of 13 (77%) had receptive or expressive language delays or both. Occupational and physical therapy evaluations found 4 of 12 (33%) had fine motor delays, 4 of 10(40%) had visuomotor delays, and 3 of 11 (27%) had gross motor delays. Conclusions: Idiopathic toe walking was most often associated with speech/language delays, but delays in other areas were also present. We suggest that idiopathic toe walking should, be viewed as a marker for developmental problems and recommend that any child with this condition should be referred for a developmental assessment.

AB - Objective: To determine whether children with persistent toe walking, without suspected developmental problems, and with normal results after neurologic examination, who were seen in an orthopedic clinic demonstrate delays in language development, gross or fine motor skills, visuomotor development, sensory integration function, or evidence of behavioral problems through a comprehensive multidisciplinary evaluation. Study design: A prospective, descriptive study of 13 children (mean age = 3.9 years) referred for idiopathic toe walking. Each child was evaluated by a pediatric neurologist, developmental pediatrician, speech/language pathologist, occupational therapist, and physical therapist. Results: On developmental screening, 7 of 13 children demonstrated delays and 3 were questionably delayed; all 10 had speech/language deficits. Speech/language evaluation showed that 10 of 13 (77%) had receptive or expressive language delays or both. Occupational and physical therapy evaluations found 4 of 12 (33%) had fine motor delays, 4 of 10(40%) had visuomotor delays, and 3 of 11 (27%) had gross motor delays. Conclusions: Idiopathic toe walking was most often associated with speech/language delays, but delays in other areas were also present. We suggest that idiopathic toe walking should, be viewed as a marker for developmental problems and recommend that any child with this condition should be referred for a developmental assessment.

UR - http://www.scopus.com/inward/record.url?scp=0030729737&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030729737&partnerID=8YFLogxK

U2 - 10.1016/S0022-3476(97)70236-1

DO - 10.1016/S0022-3476(97)70236-1

M3 - Article

VL - 130

SP - 541

EP - 546

JO - Journal of Pediatrics

JF - Journal of Pediatrics

SN - 0022-3476

IS - 4

ER -