Idiopathic toe-walking (ITW) in children is commonly linked to ankle equinus or a deformity which limits motion in the ankle joint during the contact phase of the gait cycle.
Williams et al. sought to measure the foot and ankle range of motion using weightbearing lunge tests and the six-item version of the Foot Posture Index (FPI-6).
30 children with a long-term history of habitual toe-walking between the ages of 4 and 8 years were age-matched with a non-toe-walking cohort.
The weightbearing lunge test aimed to determine the muscle flexibility of the gastrocnemius and soleus muscles by using a digital inclinometer positioned at the flat aspect of the Achilles tendon. This was performed in a bent-leg and straight-leg lunge position.
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