{"id":6484,"date":"2022-03-14T10:10:56","date_gmt":"2022-03-14T10:10:56","guid":{"rendered":"https:\/\/isbipe.com\/2022\/03\/14\/is-there-a-link-between-tiptoe-walking-and-autism-spectrum-disorder-asd\/"},"modified":"2022-03-14T10:10:56","modified_gmt":"2022-03-14T10:10:56","slug":"is-there-a-link-between-tiptoe-walking-and-autism-spectrum-disorder-asd","status":"publish","type":"post","link":"https:\/\/isbipe.com\/en\/is-there-a-link-between-tiptoe-walking-and-autism-spectrum-disorder-asd\/","title":{"rendered":"IS THERE A LINK BETWEEN TIPTOE WALKING AND AUTISM SPECTRUM DISORDER (ASD)?"},"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

Tiptoe walking and autism spectrum disorder<\/h2>\n[\/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]Walking is a complex activity that requires consideration of a large amount of information found both from the environment and the body itself.<\/strong><\/p>\n

In children, the motor and perceptual systems<\/strong>develop independently<\/strong> through exploration, Thus, central and peripheral structures involved in motor control undergo progressive development and functional integration, resulting in leading to increasingly complex and coordinated behaviour. (1)<\/p>\n

\"Toes<\/p>\n

The impairment of one or both of these systems and the consequent deficient formation of the body schema could be limiting factors for the development of a correct and adaptive gait pattern. For this reason, it is essential<\/strong>to carry out a series of explorations in the infant assessment that allow us to find out<\/strong> the development of the different perceptual, cognitive and motor skills<\/strong> in each child, linked to the progressive maturation process of the central nervous system. (3)<\/p>\n

Studies have linked children with impaired motor control, spasticity, visuoperception and\/or language with a gait pattern that is quite common in children, tiptoeing. (4)(5)<\/p>\n

Children who walk on tiptoe are those who from the beginning of walking usually walk without heel support, however, if they are asked or concentrate on their gait they are able to perform a gait with initial heel strike. Normally these children can stand with both feet fully supported when they are not walking.<\/p>\n

The association of this type of gait with alterations in child development has been described by several authors. It requires<\/strong> a thorough assessment<\/strong> of neurodevelopmental problems.<\/strong><\/p>\n

It has been considered normal for a child to walk on tiptoe for the first 2-3 months after the onset of walking. It starts to be considered abnormal from the age of 2 years and in all cases after the age of 3 years when the child should be carefully, because at this age he would already be in a position to acquire a mature gait, having reached the necessary neurological, biomechanical, psychological and environmental development.<\/p>\n

This type of gaitis more common in boys than in girls,<\/strong> in a proportion ranging from 50 to 80%.<\/p>\n

If there is no history to suggest neurological damage, it is most likely to be of idiopathic aetiology and the course is satisfactory without treatment. The first check-up should be carried out by the paediatrician<\/strong> and its evaluation and treatment will depend will depend mainly on the findings or warning signs that may appear in the clinical history and\/or examination. (19)<\/p>\n

Autism is a neurodevelopmental disorder characterised by early onset difficulties, affecting 1 in 68 years.<\/strong> More than 70% of the of the population with Autism Spectrum Disorder (ASD) have some type of medical, psychiatric, developmental or motor condition. (19)<\/p>\n

Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder. It is characterised by difficulties in socialisation with circumscribed<\/strong> interests and a tendency towards routinisation. It affects the way of communicating and interacting with other people. The symptomatology of autism manifests itself more between two and three years of life.<\/strong><\/p>\n

Children diagnosed later in ASD show greater delays in motor milestones, leading to postural asymmetries and gait disturbances. These alterations in ambulation occur in order to achieve greater stability to counterbalance the alterations in balance and proprioception that they present. One of the variations is walking. Tiptoeing is present in 15-45 %<\/strong> of children with ASD; the aetiology of this alteration is related to the dysregulation of infantile reflexes, if these do not develop naturally, they will cause alterations of the vestibular and visual system; both problems lead to changes in posture and gait. The prevalence of external tibial torsion in children with ASD is 32.9%, which increases the risk for the development of toe walking. (19)<\/p>\n

Soto Insuga et al. describe the frequency of idiopathic toe walking (equine gait) — a condition that prevents the child from performing a heel-supported gait–in children with a diagnosis of ADHD and neurological examination. For to do so, they used a sample of 312 patients with ADHD selected from the neuropaediatrics clinics of a university hospital. The authors describe a prevalence of idiopathic toe walking of 20.8% (65\/312) in their setting (65\/132) in addition to other disorders associated with ADHD (e.g. language disorders [33%][33%], tics[15%] [15%], oppositional defiant disorder [15%][15%]). (20)[\/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” 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

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