The Management of Toe Walking in Children with Autism Spectrum Disorder: <i>"Cast and Go"</i>
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. A structured eq...
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| Main Authors: | , , , |
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| Format: | Book |
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MDPI AG,
2022-09-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | 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. A structured equines foot is a possible consequence. Method: We present the "Cast and Go" protocol, used in 22 idiopathic toe walker children with ASD treated from 2015 to 2020. The treatment was performed by a single senior experienced doctor with botulinum injection, ankle casts and rehabilitative therapies. All patients underwent pre- and post-treatment clinical evaluation using ankle dorsiflexion angle and casting number as treatment. We aimed to identify the intervention with the shortest acquisition time for the management of toe walking. Results: Our findings demonstrated the baseline ankle dorsiflexion angle influenced the casting number (<i>p</i> < 0.01) and male patients had a higher baseline ankle dorsiflexion angle than female patients (<i>p</i> < 0.01). No adverse events were observed. Conclusions: These findings suggested that the "Cast and Go" protocol could be a promising, dynamic and effective practice for toe walking disease in ASD patients. |
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| Item Description: | 10.3390/children9101477 2227-9067 |