case 28: idiopathic toe walingk

Question 1

what is oligohydramnios

Answer 1

abnormally low amount of amniotic fluid surrounding the developing fetus

Question 2

what is idiopathic toe walking

Answer 2

toe walking that persists after 2 year of age without a known neurological or medical diagnosis

Question 3

what are teh general PT POC/goasl for ITW

Answer 3

improve active and passive DF ROM
increase heel stroke at initial contact

Question 4

what PT interventions are done are idiopathic toe walking

Answer 4

stretching of tight LE mm groups
use of orthoses and serial casting

Question 5

what precautions during PT for a kid with idiopathic toe walking

Answer 5

pain or spasms related to overstretching the ankle PF

Question 6

what are the PT complications for a idiopathic toe walker

Answer 6

secondary skin complications related to serial casting

Question 7

what is toe walking

Answer 7

weight acceptant and WB on the forefoot throughout the stance phase of gait

Question 8

what is often used to address ROM deficits and improve gait in children who toe walk

Answer 8

serial casting

Question 9

t/f: children with idiopathic toe walking may have delays in language kills or language disorders

Answer 9

true

Question 10

what kind of examinations finding is most suggestive of a non idiopathic origin for toe walking behaviors

Answer 10

presence of spasticity in teh gastroc

Question 11

a 15 y/o bot is referred for a pt exam due to concerns related to his intermittent toe walking . other than the occasional toe walking pattern the exam does not reveal any significant findings. what is the most appropriate PT recommendation

Answer 11

monitor bc toe walking prior to the age of 2 is a common gait deviation

Question 12

spasticity is sugggestive of a ___motor neuro involvement

Answer 12

upper

Question 13

what are 3 things that children with idiopathic toe walking may have

Answer 13

PF contraction
toe walking > 75%
pain in feet or legs