Where Yet They Walk
Toe walking can be classified into four groups.
10 Things to Know About Walking
Some neurological conditions such as cerebral palsy or muscular dystrophy cause the calf muscle to be tighter or change the way it works. This makes it hard or impossible for the child to get their heels onto the ground to walk with their whole foot. There are also orthopaedic conditions such as congenital talipes equinovarus also known as club foot or calcaneal apophysitis inflammation of the growth plate in the heel which cause toe walking.
The structural change in the foot or leg makes getting the heel to the ground impossible or painful. However, some children who can get their heels to the ground prefer to walk up on their tip toes. This group of children also has other behavioural characteristics, such as delays in achieving milestones or ritualistic behaviours.
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Here toe walking is associated with autism spectrum disorders or developmental delay. Then there are healthy children with no medical conditions who still persist in walking on their toes. This is known as idiopathic toe walking and is diagnosed through exclusion of all other medical conditions known to cause toe walking. Idiopathic toe walking has historically been called habitual toe walking with the presumption that the child has formed a habit of walking on their tip toes. It has also been called familial toe walking , as some studies report family members sharing the trait.
There may be a genetic cause as it is often seen in multiple family members. There are also other features often observed in children with this gait type. In some small studies, children with idiopathic toe walking have also shown speech and language delays and challenges with motor skills and sensory processing such as difficulty with balance and seeking out movement. The most common observation in idiopathic toe walkers is tight calf muscles. This can make getting the heel to the ground even harder and can cause pain when children are trying to play sport.
As you can imagine, children may be teased for walking differently. No single treatment permanently fixes idiopathic toe walking. Often time is the greatest fixer as the children get heavier and the toe walking gets harder to maintain.
10 Things to Know About Walking
The researchers suspect this link is also related to the brain, because the hind limbs of this so-called plantigrade stance are more complex biomechanically than those of horses, say, that don't place their heels on the ground. That biomechanical complexity likely requires more brain power to operate, and thus more time to get moving in early development. The finding could help to explain why human babies are helpless for such a long time following their birth.
Until now, one idea has been that our brains are so large and complex and we learn so many other things while also developing our motor skills that it takes longer for us to gain our footing. The finding also suggests the human noggin is not just the result of an advancement of the brain in non-human primates.
Rather, our brains may be very similar to various other animals with the only exception really being time — how long our brains are allotted for development. Previously she was an assistant editor at Scholastic's Science World magazine. Jeanna has an English degree from Salisbury University, a Master's degree in biogeochemistry and environmental sciences from the University of Maryland, and a science journalism degree from New York University.
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