COMPARATIVE STUDY TO SEE THE EFFECT OF HOLD RELAX TECHNIQUES WITH OR WITHOUT AFOS IN CHILDREN WITH IDIOPATHIC TOE-WALKING

Jeeya Paul, Uswa Fatima, Chaman Lal, Asma Khalid, Zainabia Ayoub,

Abstract

Background: Toe walking is a typical pattern seen in young, healthy children and is a problematic pattern seen in anatomical abnormalities and neuromuscular disorders. Idiopathic toe walking refers to this condition as a singular gait anomaly (ITW). Idiopathic toe walkers are typically developing kids (greater than 3 years old) who are seen to walk on their toes. Anecdotal descriptions of toe walking include "walking on toes" and "bouncy gait," according to referring doctors. Toe walking is described by orthopaedic surgeons and physiotherapists as having reduced ankle range of motion and being unable to heel strike at the initial point of stride.

Objective of study: Objective of the study was to explore the combine effect of HRT and AFO’s with idiopathic toe walking.

Materials and Methods: A cross sectional experimental study was used in which total 60 patients was included having idiopathic toe walking with the age of 5 or less than 5 year old. SPSS 26 was usd to evaluate the results of this study

Results: This study shows that the combine of effect of AFO’s and hold relax technique was more effective than single application of hold relax technique.

Conclusion: Patients treated with AFO’s and HRT shows more effective results than HRT.

Keywords: Idiopathic toe walking, Ankle Foot Orthoses (AFOs), Hold-relax techniques.