{"id":6356,"date":"2021-12-15T10:29:36","date_gmt":"2021-12-15T10:29:36","guid":{"rendered":"https:\/\/isbipe.com\/2021\/12\/15\/adduction-walking\/"},"modified":"2021-12-15T10:29:45","modified_gmt":"2021-12-15T10:29:45","slug":"adduction-walking","status":"publish","type":"post","link":"https:\/\/isbipe.com\/en\/adduction-walking\/","title":{"rendered":"ADDUCTION WALKING"},"content":{"rendered":"[vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none”][vc_column_text]\n

My child walks with his\/her feet turned inwards. Could this cause problems for him\/her?<\/h2>\n

\u201cAdduction walking\u201d[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none”][vc_column_text]\n

What is adduction walking?<\/strong><\/h2>\n

Inward toe-in gait<\/strong>, also called intraversion<\/strong>or adducted gait,<\/strong> is one of the most common rotational gait problems of the lower limb in infancy and is considered a variation of normal development and resolves spontaneously in most cases (90-95%) as the child grows. . Children with this anomaly walk with their toes turned inwards<\/strong>, i.e. with a reduced or non-existent gait angle, and tend to trip over themselves very easily (1,2,3). (1,2,3) (1,2,3)<\/p>\n

According to statistics, this pathology is more common in girls between 2 and 5 years of age and occurs bilaterally.<\/strong> (2)<\/p>\n

The adduction gait pattern is characterised by the presence of an internal rotation of the foot axis with respect to the line of gait progression<\/strong>(4), this alteration can occur due to three main circumstances and it is important to know at what level the affectation is. (5,6): (5,6):<\/p>\n

    \n
  1. The presence of metatarsus adductus:<\/u><\/strong> Metatarsus adductus, also called metatarsus varus<\/strong>, is a common foot deformity that manifests from birth. It causes the front part of the foot, or forefoot, to turn inward.<\/li>\n
  2. Enlarged femoral anteversion<\/u><\/strong>: Femoral anteversion is a condition where the femoral neck tilts forward, causing the lower leg to turn inward.It is present in 10% of children and usually corrects itself over time.<\/strong><\/li>\n
  3. Internal tibial torsion<\/u>: is the inward rotation<\/strong>of the tibia, in most cases bilaterally<\/strong>. It is the most common cause<\/strong>of the onset of adducted gait.<\/li>\n<\/ol>\n

    Studies show that the treatment of choice is conservative, with early examination<\/strong>and detection<\/strong>by a qualified specialist, together with the prescription of plantar orthoses and specific exercises, the prognosis for improvement is quite good.<\/strong> (7)[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none”][vc_text_separator title=”Bibliography” i_icon_fontawesome=”fa fa-book” i_background_style=”rounded-outline” color=”blue” add_icon=”true”][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” bg_color=”rgba(16,61,92,0.04)” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid” bg_image_animation=”none”][vc_column_text]\n

      \n
    1. \n
      Sass P, Hassan G. Lower extremity abnormalities in children. Am Fam Physician. 2003;68(3):461\u20138.<\/h6>\n<\/li>\n
    2. \n
      Altinel L, K\u00f6se KC, Aksoy Y, I\u015fik C, Er\u011fan V, Ozdemir A. Hip rotation degrees, intoeing problem, and sitting habits in nursery school children: an analysis of 1,134 cases. Acta Orthop Traumatol Turc [Internet]. 2007;41(3):190\u20134.<\/h6>\n<\/li>\n
    3. \n
      Kamegaya, M., & Shinohara, Y. Gait disorders and leg deformities in children. J Orthop Sci. 2002;7(1):154-9<\/h6>\n<\/li>\n
    4. \n
      Harris E. The intoeing child: etiology, prognosis, and current treatment options. Clin Podiatr Med Surg. 2013; 30: 531-565.<\/h6>\n<\/li>\n
    5. \n
      Staheli LT. Rotational problems in children. Instr Course Lect. 1994;43:199-209. PMID: 9097150<\/h6>\n<\/li>\n
    6. \n
      Baar A. rotational problems of lower limbs in children and adolescents. Cirug\u00eda Ortop\u00e9dica Pedi\u00e1trica. 2021. 32(3). 286-294<\/h6>\n<\/li>\n
    7. \n
      Nourai MH, Fadaei B, Rizi AM. In-toeing and out-toeing gait conservative treatment; hip anteversion and retroversion: 10-year follow-up. J Res Med Sci. 2015 Nov;20(11):1084-7. doi: 10.4103\/1735-1995.172833. PMID: 26941813; PMCID: PMC4755096<\/h6>\n<\/li>\n<\/ol>\n[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"

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