Idiopathic Toe Walking
Conditions
Keywords
Randomized control trial; placebo-control study
Brief summary
The purpose of this study is to compare the effect of Botox and casting to placebo and casting for reducing toe walking problems in children who are idiopathic toe walkers.
Detailed description
Patients who have been seen by one of the 5 paediatric orthopaedic surgeons at British Columbia's Children's Hospital and have been referred to the Shriner's gait lab for assessment of idiopathic toe walking will be eligible for the study.
Interventions
DRUGBotox injections
Data not known.
Sponsors
University of British Columbia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
5 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
* Patients who have been seen by one of the 5 paediatric orthopaedic surgeons at British Columbia's Children's Hospital and have been referred to the Shriner's gait lab for assessment of idiopathic toe walking * Clinical toe walkers - toe walkers as per gait lab's definition (loss of 1st ankle rocker, early heel rise \[prior to 30% of the cycle\] and A1 kinematic data) * Aged 5 - 15 years old * Parents and patients educated about protocol and willing to partake * Cooperative patient with gait analysis and injection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome will be based on gait analysis data - specifically whether post injection gait analyses show a reduction in the features that were used to determine the severity of the subjects' toe walking problem. | Data not known |
Secondary
| Measure | Time frame |
|---|---|
| Ankle range of motion (dorsiflexion and plantarflexion) | collected at every visit |
Countries
Canada
Outcome results
None listed