Southern Health, Cardinia Casey Community Health Service, 140-155 Sladen St., Locked Bag 2500, Cranbourne, VIC 3977, Australia.
Gait Posture. 2010 Oct;32(4):508-11. doi: 10.1016/j.gaitpost.2010.07.011. Epub 2010 Aug 7.
The diagnosis of idiopathic toe walking (ITW) is achieved by the exclusion of all medical causes associated with toe walking. In order to identify children with this gait type, an online Toe Walking Tool questionnaire was developed that utilized questions to identify healthy idiopathic toe walkers and excluded those who toe walk as a result of a medical condition.
A Delphi panel process was conducted to establish the relevance and validity of the questions. A group of 10 allied health professionals assessed 12 children utilizing the Toe Walking Tool. A kappa was calculated to determine reliability.
Clinicians agreed the questionnaire was an appropriate and effective assessment tool. The tool proved valid in that no child tested who toe walked as a result of a medical condition was able to progress through the testing process. Testing group of practitioners had a Fleiss Kappa agreement of 0.928.
The Toe Walking Tool is a valid and reliable method of assessing children who present to the general allied health clinician with toe walking. This tool can assist with the decision of when to refer a child for further specialist investigation of their toe walking.
特发性趾行（ITW）的诊断是通过排除所有与趾行相关的医学原因来实现的。为了识别具有这种步态类型的儿童，开发了一种在线趾行工具问卷，该问卷利用问题来识别健康的特发性趾行儿童，并排除因医疗状况而趾行的儿童。
采用德尔菲小组流程确定问题的相关性和有效性。一组 10 名联合健康专业人员使用趾行工具评估了 12 名儿童。计算kappa 值以确定可靠性。
临床医生认为该问卷是一种合适且有效的评估工具。该工具被证明是有效的，因为没有一个因医疗状况而趾行的孩子能够通过测试过程。测试组的从业者的 Fleiss Kappa 一致性为 0.928。
趾行工具是评估向一般联合健康临床医生就诊的趾行儿童的有效且可靠的方法。该工具可帮助决定何时将儿童转介给专家进一步调查其趾行情况。
