Williams Cylie M, Tinley Paul, Rawicki Barry
J Am Podiatr Med Assoc. 2014 May;104(3):253-62. doi: 10.7547/0003-0538-104.3.253.
Idiopathic toe-walking (ITW) is a condition commonly seen by podiatric physicians. Because a toe-walking gait style is also caused by or associated with many other medical conditions, podiatric physicians should pay particular attention to ensuring an accurate diagnosis. There are many reported treatment options available for ITW. Therefore, a literature review was conducted to determine what treatment options are supported by the evidence as having the best long-term effect on ITW gait.
After extraction of relevant articles, 21 manuscripts reporting treatment options for ITW gait were appraised against the levels of evidence.
From these articles, there was no single treatment option reported as having a long-term effect on the gait of children with ITW. There was support in the literature for surgical interventions, serial casting, and the use of botulinum toxin type A. There was limited evidence that footwear or orthoses changed the gait pattern.
This review updates the knowledge of podiatric physicians, enhances how children who present with this gait style can be managed, and highlights areas for future research.
特发性足尖行走（ITW）是足病医生常见的一种病症。由于足尖行走步态也由许多其他病症引起或与之相关，足病医生应特别注意确保准确诊断。目前有许多针对ITW的治疗方案报道。因此，进行了一项文献综述，以确定哪些治疗方案有证据支持对ITW步态具有最佳长期效果。
提取相关文章后，根据证据水平对21篇报告ITW步态治疗方案的手稿进行评估。
从这些文章中，没有单一治疗方案被报道对ITW儿童的步态有长期效果。文献支持手术干预、连续石膏固定和使用A型肉毒杆菌毒素。仅有有限证据表明鞋类或矫形器能改变步态模式。
本综述更新了足病医生的知识，改进了对呈现这种步态的儿童的管理方式，并突出了未来研究的领域。
