Clark Elaine, Sweeney Jane K, Yocum Allison, McCoy Sarah W
Northwest Pediatric Therapies, Issaquah, Washington 98027, USA.
Pediatr Phys Ther. 2010 Winter;22(4):417-26. doi: 10.1097/PEP.0b013e3181f9d5b8.
To describe and evaluate the effects of motor control intervention in young children diagnosed with idiopathic toe walking.
Five children received motor control intervention in a multiple-case series design using a nonconcurrent, variable baseline. Multiple gait measures were taken before and during the intervention phase. Pre- and posttreatment measures of gross motor development and ankle dorsiflexion range of motion were compared.
During the intervention phase, heel strike frequency showed an upward slope for 1 participant, slight upward trends for 3 participants, and no change for 1 participant. Parents indicated minimal gait change within the children's regular environments. Gross motor skill scores increased but were not statistically significant. Passive ankle range of motion improved and was maintained (P = .002).
Presentation of children with idiopathic toe walking varies and refinement is needed for gait measures and assessment methods. Intervention improved ankle mobility, but additional components appear necessary to attain spontaneous heel-toe gait.
描述并评估运动控制干预对诊断为特发性足尖行走的幼儿的影响。
采用非同期、可变基线的多案例系列设计，对5名儿童进行运动控制干预。在干预阶段前后进行了多项步态测量。比较了粗大运动发育和踝关节背屈活动范围的治疗前和治疗后测量结果。
在干预阶段，1名参与者的足跟触地频率呈上升趋势，3名参与者呈轻微上升趋势，1名参与者无变化。家长表示，在孩子的日常环境中，步态变化很小。粗大运动技能得分有所提高，但无统计学意义。被动踝关节活动范围改善并得以维持（P = .002）。
特发性足尖行走儿童的表现各不相同，步态测量和评估方法需要改进。干预改善了踝关节活动度，但似乎还需要其他因素才能实现自发的足跟到足尖步态。
