Assessing sensory processing differences in children with idiopathic toe walking: A pilot study.

Idiopathic toe-walking (ITW) refers to persistent walking without heel contact for unknown reasons. An underexplored area is the relationship of sensory processing to ITW. This study presents methods to assess sensory differences in individuals with ITW and summarizes results from a pilot testing of...

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Publicado en:Physiotherapy Theory & Practice Vol. 39; no. 11; pp. 2314 - 2327
Autores principales: Chu, Virginia, Girolami, Gay L., Grant-Beuttler, Marybeth
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Nov2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2023
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      pub: Taylor & Francis Ltd
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        atl: Assessing sensory processing differences in children with idiopathic toe walking: A pilot study.
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        au:
          Chu, Virginia
          Girolami, Gay L.
          Grant-Beuttler, Marybeth
        affil: Department of Occupational Therapy, Virginia Commonwealth University, Richmond, VA, USA
      sug:
        subj:
          Walking Physiology
          Toes Physiology
          Gait Physiology
          Proprioception
          Gait Disorders, Neurologic Rehabilitation
          Pilot Studies
          Human
          Matched Case Control
          Questionnaires
          Clinical Assessment Tools
          Ankle Joint Physiology
          Balance, Postural
          Funding Source
          Descriptive Statistics
          Child, Preschool
          Child
          Adolescence
          Young Adult
          Female
          Male
          Occupational Therapy
          Data Analysis Software
          Pearson's Correlation Coefficient
          Chi Square Test
          T-Tests
          Sensory Motor Integration
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Female
          Male
      ab: Idiopathic toe-walking (ITW) refers to persistent walking without heel contact for unknown reasons. An underexplored area is the relationship of sensory processing to ITW. This study presents methods to assess sensory differences in individuals with ITW and summarizes results from a pilot testing of the measures. This pilot study included nine children and one young adult with ITW. Ten age-matched controls were recruited to provide a comparison group when norms were not available in the literature. The measures included in this study were as follows: sensory questionnaires; electrodermal activity response to sensory stimuli; monofilaments; biothesiometer; gait on different surfaces; NeuroCom® SMART Balance Master® Sensory Organization Test and Adaptation Test; and ankle position matching. All study procedures were completed in about 3 hours. Children as young as 4 years were able to complete the measures. We observed overall differences in sensory processing, specifically, higher Sensory Processing Measure scores (p =.011), higher resting electrodermal activity (p =.012), increases in heel-toe walking on novel surfaces (p =.034), and more falls with balance perturbation (p =.007) in individuals with ITW. A subset of individuals also showed tactile hyposensitivity (5 out of 10 in the ITW group) and poor equilibrium scores in the Sensory Organization Test (4 out of 9 in the ITW group, 1 unable to complete the test). Our results confirmed the heterogeneity in the etiology of ITW. We propose that further testing in sensory modulation, tactile processing, and vestibular processing is needed to fully explore the impact of sensory processing on children with ITW.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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