Dynamic pedobarographic classification of idiopathic toe-walkers for therapeutical indication

Autor: Martín-Casas, Patricia, Meneses-Monroy, Alfonso, Ballestero-Pérez, Ruth, Beneit-Montesinos, Juan Vicente, Atín-Arratibel, Maria Angeles, Portellano-Pérez, José Antonio
Zdroj: Clínica y Salud; March 2017, Vol. 28 Issue: 1 p17-24, 8p
Abstrakt: Idiopathic toe-walkers (ITWs) pedobarographic analysis has not been described yet nor its possible relationship with orthopedical and developmental characteristics. The objective of this research is to develop a dynamic pedobarographic classification of ITWs to propose a specific therapeutical approach. Through an observational study, 56 ITWs aged 3-6 years were classified by their initial foot contact; differences between idiopatic toe-walking (ITW) types and with respect to 40 control children were calculated by means of ANOVA and Student t-tests. The results show that the three ITW types displayed different step models for pressure and impulse distribution and also for temporal development (p<.05). They also showed different orthopedic and developmental characteristics (p<.05). As a whole, they demonstrated different severity levels, which suggest different therapeutical indications. This study confirms the convenience of a specific orthopedic, developmental, and gait assessment in ITW to clarify therapeutical indication.
Databáze: Supplemental Index