Quiz 2: Toe walking

Question 1

what is toe walking

Answer 1

limitation of heel strike in contact phase (can’t get heel to ground)

Question 2

at what age is toe walking concerning

Answer 2

3 years

Question 3

what is a common presentation of toe-walking in children?

Answer 3

they take…
- twice as many steps
- shorter step length
- ant pelvic tilit, hyper ext knees

Question 4

issues with prolonged toe walking?

Answer 4

calc narrowed
more falls
lower back pain + OA
pain in calves and HK on balls on feet

Question 5

What are other reasons children toe walk?

Answer 5

1. cerebral palsy
   - delay in milestones, high muscle tone, hyper-reflexia
   - gait: legs scissoring, side to side, can’t change surfaces
2. muscular dystrophy
   - positive gower’s sign
3. autism and sensory processing disorders
   - due to altered sensory processing
   - difficuity doing everyday activities (e.g. cooking, brushing teeth)
4. OTHER: tethered spinal cord!!, LLD, CMT

Question 6

what are the primitive reflexes?

Answer 6

1. tonic labyrinth (swim like) - 3-4 months
2. spinal galant (down back and head goes to side) - 3-9 months
3. STNR (cat and cow) - 9-11 months
4. plantar reflex - under 2 toes go up, over 2 toes go down