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Toe walking, idiopathicTToe walking, idiopathicToe walking, idiopathicEnglishOrthopaedics/MusculoskeletalPreschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years)Lower leg;Foot;ToesSkeletal muscleConditions and diseasesCaregivers Adult (19+)NA2020-04-28T04:00:00Z6.6000000000000073.60000000000001187.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Idiopathic toe walking is when your child continues to walk on their tip toes beyond three years of age. Learn stretches and strengthening exercises, and about proper shoes to help your child.<br></p><figure><img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_toe_walking_MED_ILL_EN.jpg" alt="Lower half of child standing on toes" /> </figure> <p>Most children begin walking at 12 to 14 months with their feet flat on the ground. However, there are some children who begin walking on their tip toes instead. This pattern normally disappears within three to six months of learning how to walk. It almost always is completely gone by the end of the third year.</p><p>Idiopathic toe walking is when a child continues to walk on their tip toes beyond three years of age. They will often stand with their feet flat on the ground, but when walking or running will prefer to be on their toes. If your child does not outgrow tip toe walking by three years of age, take them to see a health-care professional. </p> <br><h2>Key points</h2> <ul> <li>Idiopathic toe walking is when a child continues to walk on their tip toes beyond three years of age.</li> <li>Idiopathic toe walking can lead to tight calf muscles and decreased movement of the ankles.</li> <li>Treatment for children younger than six years of age includes calf stretches, Achilles tendon stretches and sit to stand exercises.</li> <li>Treatment for children six years of age and older includes calf stretches and other exercises, including marching on the spot, walking uphill and on uneven surfaces, heel walking and squats.</li> </ul><h2>Features of idiopathic toe walking</h2> <p>Although we do not really know why some children prefer to walk on their toes, we do know that idiopathic toe walkers:</p> <ul> <li>walk on tip toes on both sides</li> <li>are constantly balancing on their toes</li> <li>are physically able to keep up with other children their age</li> <li>walk with straight knees</li> <li>will often be able to stand with their feet flat on the ground</li> <li>often have a family history of toe walking</li> </ul><h2>Help your child with a home exercise program</h2><p>If your child has idiopathic toe walking, a daily home exercise program can be very helpful. The goal is to stretch the calf muscles and strengthen the muscles on the front of the legs. This will help your child to be able to successfully walk with a heel-to-toe pattern.</p><p>If your child's calf muscles are tight, or ankle motion is limited, you will be shown stretches to do at home with them. These stretches should be followed with activities to help them use their muscles in their new lengthened position.</p><p>These exercises will be necessary and beneficial as long as your child demonstrates a tip toe walking pattern. The exercises will vary with their age. The most important part of the exercise program is to remember to have fun with your child!</p><h2>Stretches and strengthening exercises for children under six years of age</h2><ul class="akh-steps"><li><h3>Calf stretch</h3> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_toe_walking_calfstretch_under6_MED_ILL_EN.jpg" alt="Hand pushing child’s foot upward toward their head with the leg held straight" /> </figure> <ul><li>Have your child lie on their back on a comfortable surface such as a firm bed.</li><li>With their knee straight and leg supported on the bed, bring your child's foot upwards, toward their head, bending their ankle.</li><li>Hold the stretch at the end of the movement (that is, as far as your child's range of motion will permit) for 15 to 30 seconds. This should not be painful for your child.</li><li>Bring your child's foot back to a normal position. Repeat the exercise 10 times on each leg, daily.</li></ul></li><li><h3>Achilles tendon stretch</h3> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_toe_walking_achillesstretch_MED_ILL_EN.jpg" alt="Hand pushing child’s foot upward toward their head with leg bent at the knee" /> </figure> <ul><li>Have your child lie on their back on a comfortable surface such as a firm bed.</li><li>With their knee bent, bring your child's foot upwards, toward their head, bending their ankle.</li><li>Hold the stretch at the end of the movement (that is, as far as your child's range of motion will permit) for 15 to 30 seconds. This should not be painful for your child.</li><li>Bring your child's foot back to a normal position. Repeat the exercise 10 times on each leg, daily.</li></ul></li><li><h3>Sit to stand</h3> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_toe_walking_sit_to_stand_MED_ILL_EN.jpg" alt="Child standing up from stool while parent holds their ankles" /> </figure> <ul><li>Have your child sit on a children's sized chair or stool.</li><li>Place your hands below their knees, providing a moderate, constant pressure downwards as a cue to keep their heels on the floor.</li><li>Have your child practice standing up while keeping their heels on the ground.</li><li>Make this exercise fun by playing a game of high five, blowing bubbles, reaching for objects, working in front of a mirror or singing songs.</li></ul></li></ul><h2>Exercises suitable for children ages six years and up:</h2><ul class="akh-steps"><li><h3>Calf Stretch</h3> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_walking_calfstretch_6up_MED_ILL_EN.jpg" alt="Child standing facing a wall with both hands on the wall with one leg stretched behind them and one stepped toward the wall" /> </figure> <ul><li>Have your child stand approximately two feet from a wall. Place both of their hands at shoulder height against the wall.</li><li>With their right knee straight, have them step towards the wall with the left foot. They should lean in until a stretch is felt in the back of the right calf. Make sure they keep the heel of the right foot on the ground.</li><li>Hold the stretch for 15 to 30 seconds.</li><li>Repeat the exercise 10 times on each leg, daily.</li></ul></li><li><h3>Other exercises include:</h3> <figure> <span class="asset-image-title">Squats</span><img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_walking_squats_MED_ILL_EN.jpg" alt="Child squatting with someone supporting them by the hands" /> </figure> <ul><li>Marching on the spot. Have your child bring their knees up high and then land with a flat foot.</li><li>Walking uphill.</li><li>Walking on uneven surfaces such as in a playground or sand.</li><li>Walking on the heels only. Keep the toes off the ground at all times.</li><li>Practicing squats. With feet flat on the floor, hip width apart, have your child slowly lower their body all the way to the floor by bending at their knees and hips but keeping their chest upright.<br><br><br></li></ul></li></ul><h2>Identify toe walking early to prevent muscle problems</h2> <p>Children who walk on their toes can develop tight calf muscles on the backs of their legs and have decreased movement of their ankles. In addition, the muscles on the front of their legs may become weak. If there is tightness and weakness, your child will have difficulty walking on their heels. Early identification of toe walking can help lead to the prevention of these muscle problems.</p>
Marcher sur la pointe des pieds, idiopathiqueMMarcher sur la pointe des pieds, idiopathiqueToe walking, idiopathicFrenchOrthopaedics/MusculoskeletalPreschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years)Lower leg;Foot;ToesSkeletal muscleConditions and diseasesCaregivers Adult (19+)NA2020-04-28T04:00:00Z1062.00000000000Health (A-Z) - ConditionsHealth A-Z<p>​On parle de la marche idiopathique sur la pointe des pieds lorsque votre enfant marche encore sur la pointe de ses pieds après l'âge de trois ans. Apprenez-en davantage sur les étirements et les exercices de renforcement, ainsi que sur les chaussures appropriées afin d'aider votre enfant.<br></p><figure><img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_toe_walking_MED_ILL_EN.jpg" alt="Bas du corps d’un enfant marchant sur la pointe des pieds" /> </figure> <p>​La plupart des enfants commencent à marcher entre l'âge de 12 et 14 mois en ayant leurs pieds bien à plat au sol. Par contre, certains enfants commencent à marcher sur la pointe des pieds. Cette démarche disparait habituellement de trois à six mois après l'apprentissage de la marche. Presque tous les enfants ne marchent plus sur la pointe des pieds à la fin de leur troisième année.</p><p>On parle de la marche idiopathique sur la pointe des pieds lorsqu'un enfant marche encore sur la pointe de ses pieds après l'âge de trois ans. Il se tiendra souvent debout avec ses pieds bien plats au sol, mais préfèrera se tenir sur ses pointes lorsqu'il marchera ou courra. Si votre enfant ne cesse pas de marcher sur la pointe des pieds après l'âge de trois ans, consultez un professionnel de la santé.</p><h2>À retenir</h2><ul><li>On parle de la marche idiopathique sur la pointe des pieds lorsqu'un enfant marche encore sur la pointe de ses pieds après l'âge de trois ans. </li><li>Les enfants qui marchent sur leurs orteils peuvent développer des tensions aux muscles du mollet à l'arrière de leurs jambes et peuvent avoir une diminution de l'amplitude des mouvements de leurs chevilles.</li><li>Le traitement pour les enfants de moins de six ans comprend les étirements du mollet, l'étirement du tendon d'Achille, et les exercices d'assis à debout.<br></li><li>Le traitement pour les enfants de six ans et plus comprend les étirements du mollet et des exercices additionnels : marcher sur place, monter une côte, marcher sur une surface irrégulière, marcher sur les talons et faire des accroupissements.</li></ul> <br><h2>Caractéristiques de la marche idiopathique sur la pointe des pieds</h2><p>Même si nous ne comprenons pas vraiment pourquoi certains enfants préfèrent marcher sur la pointe des pieds, nous savons que les enfants qui pratiquent la marche idiopathique sur la pointe des pieds :</p><ul><li>marchent sur la pointe des pieds autant à gauche qu'à droite;</li><li>se balancent constamment sur leurs orteils;</li><li>sont physiquement capables de suivre des enfants de leur âge;</li><li>marchent avec les genoux bloqués;</li><li>seront souvent capables de se tenir debout en ayant les pieds bien à plat au sol;</li><li>ont souvent des antécédents familiaux de marche sur la pointe des pieds.</li></ul> <h2>Aidez votre enfant à l'aide d'un programme d'exercice à la maison</h2><p>Un programme d'exercice à la maison peut être très utile si votre enfant souffre de marche idiopathique sur la pointe des pieds. Le but de ce programme est d'étirer les muscles du mollet et de renforcer les muscles situés à l'avant des jambes. Ceci aidera votre enfant à adopter une démarche du talon vers les orteils.</p><p>Si les muscles du mollet de votre enfant sont tendus, ou si le mouvement de ses chevilles est limité, on vous enseignera des étirements à pratiquer à la maison avec lui. À la fin des étirements, des activités favorisant l'utilisation de ses muscles dans leur nouvelle position allongée devraient être pratiquées. Ces exercices seront nécessaires et bénéfiques aussi longtemps que votre enfant aura une démarche sur la pointe des pieds. Les exercices seront différents en fonction de son âge. La partie la plus importante de ce programme est de ne pas oublier d'avoir du plaisir avec votre enfant !</p><h2>Étirements et exercices de renforcement pour les enfants de moins de six ans</h2><ul class="akh-steps"><li><h3>Étirements du mollet<br></h3> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_toe_walking_calfstretch_under6_MED_ILL_EN.jpg" alt="Un main poussant le pied d’un enfant vers sa tête et l’autre main tenant la jambe étroite" /> </figure> <ul><li>Demandez à votre enfant de s'étendre sur le dos sur une surface confortable comme un lit ferme.</li><li>Avec ses genoux bloqués et ses jambes reposant sur le lit, levez le pied de votre enfant vers sa tête, la cheville en dorsiflexion.</li><li>Maintenez l'étirement à la fin du mouvement (en respectant les limites d'étirement de votre enfant) de 15 à 30 secondes. Votre enfant ne devrait pas ressentir de douleur.</li><li>Ramenez le pied de votre enfant en position normale. Répétez l'exercice 10 fois pour chaque jambe chaque jour.</li></ul></li><li><h3>Étirement du tendon d'Achille</h3> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_toe_walking_achillesstretch_MED_ILL_EN.jpg" alt="Un main poussant le pied d’un enfant vers sa tête avec la jambe pliée au genou" /> </figure> <ul><li>Demandez à votre enfant de s'étendre sur le dos sur une surface confortable comme un lit ferme.</li><li>Les genoux pliés, soulevez le pied de votre enfant vers sa tête, la cheville en dorsiflexion.<br></li><li>Maintenez l'étirement à la fin du mouvement (en respectant les limites d'étirement de votre enfant) de 15 à 30 secondes. Votre enfant ne devrait pas ressentir de douleur.</li><li>Ramenez le pied de votre enfant en position normale. Répétez l'exercice 10 fois pour chaque jambe chaque jour.</li></ul></li><li><h3>D'assis à debout</h3> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_toe_walking_sit_to_stand_MED_ILL_EN.jpg" alt="Enfant se mettant debout d’un tabouret lorsque son parent tient ses chevilles" /> </figure> <ul><li>Demandez à votre enfant de s'assoir sur une chaise ou un tabouret pour enfant.</li><li>Placez vos mains en dessous de ses genoux en appliquant une pression modérée et constante, en guise de rappel de garder ses talons au sol.</li><li>Demandez à votre enfant de se lever en maintenant ses talons au sol.</li><li>Amusez-vous au cours de cet exercice en jouant au jeu de « tape m'en cinq » à souffler des bulles, à attraper des objets, installez-vous devant un miroir ou chantez des chansons.</li></ul></li></ul><h2>Des exercices adaptés aux enfants de six ans et plus</h2><ul class="akh-steps"><li><h3>Étirements des mollets</h3> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_walking_calfstretch_6up_MED_ILL_EN.jpg" alt="Enfant debout, faisant face au mur avec les deux mains sur le mur, une jambe étendu derrière lui et une jambe en avant" /> </figure> <ul><li>Demandez à votre enfant de se tenir debout à une distance d'environ deux pieds (60 cm) d'un mur. Placez ses deux mains sur le mur à la hauteur de ses épaules.</li><li>En tenant son genou droit bloqué, demandez-lui d'avancer son pied gauche vers le mur. Il devrait se pencher vers le mur jusqu'à ce qu'il ressente un étirement à l'arrière de son mollet droit. Assurez-vous que le talon de son pied droit soit bien à plat au sol.</li><li>Maintenez l'étirement de 15 à 30 secondes.</li><li>Répétez l'exercice 10 fois pour chaque jambe chaque jour.</li></ul></li><li><h3>Des exercices additionnels :<br></h3> <figure><span class="asset-image-title">Accroupissements</span><img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_walking_squats_MED_ILL_EN.jpg" alt="Enfant faisant un accroupissement avec quelqu’un lui soutenant par les mains" /> </figure> <ul><li>Marcher sur place. Demandez à votre enfant de lever ses genoux bien hauts et ensuite de déposer son pied bien à plat au sol.</li><li>Monter une côte.</li><li>Marcher sur une surface irrégulière, comme un terrain de jeu ou du sable.<br></li><li>Marcher sur les talons seulement. Garder les orteils en l'air en tout temps.</li><li>Faire des accroupissements. En ayant les pieds bien à plat au sol, en ligne avec les hanches, demandez à votre enfant de pencher son corps jusqu'au sol en pliant ses genoux et ses hanches, mais en gardant sa poitrine vers le haut.<br></li></ul></li></ul><h2>L'identification précoce de la marche sur la pointe des pieds afin d'éviter des troubles musculaires</h2><p>Les enfants qui marchent sur leurs orteils peuvent développer des tensions aux muscles du mollet à l'arrière de leurs jambes et peuvent avoir une diminution de l'amplitude des mouvements de leurs chevilles. De plus, les muscles à l'avant de leurs jambes peuvent s'affaiblir. S'il y a de la tension et de la faiblesse, votre enfant aura de la difficulté à marcher sur ses talons. L'identification précoce de la marche sur la pointe des pieds peut aider à prévenir ces troubles musculaires.</p>

 

 

Neonatal Neurodevelopmental Follow-Up Clinic (NNFU)Neonatal Neurodevelopmental Follow-Up Clinic (NNFU)Neonatal Neurodevelopmental Follow-Up Clinic (NNFU)NEnglishNeonatology;DevelopmentalBaby (1-12 months);School age child (5-8 years);Toddler (13-24 months)NANAHealthy living and preventionAdult (19+) CaregiversNA2019-05-21T04:00:00ZLanding PageLearning Hub<p>The Neonatal Neurodevelopmental Follow-Up Clinic assesses babies who have been admitted to the Neonatal Intensive Care Unit (NICU) or Cardiac Critical Care Unit (CCCU) and may be at risk for developmental issues. Learn about what you can expect during your baby's development and how you can help your child acheive developmental milestones.</p><p>The Neonatal Neurodevelopmental Follow-Up Clinic assesses babies who have been admitted to the Neonatal Intensive Care Unit (NICU) or Cardiac Critical Care Unit (CCCU) and may be at risk for developmental issues. 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Learn how you can help your child and when to worry.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Speech and language development</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1891&language=English">Speech and language</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1892&language=English">Development of speech and language</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=485&language=English">Hearing and communication in the first year</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=732&language=English">Speech and language milestones</a></li><li class="list-group-item"> <a class="overview-links" 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class="panel-title">Sensory development</h2></div><div class="panel-body list-group" style="display:none;"><p>Learn about the sensory systems, sensory development and how your baby may be influenced by sensation. </p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3881&language=English">Sensory development and suggestions for babies</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3890&language=English">Sensory development and activities for children</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Learning and thinking</h2></div><div class="panel-body list-group" style="display:none;"><p>Find out how babies and young children learn and think, and how you can encourage creativity and curiosity in your child.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Learning to think</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=488&language=English">Cognitive development in babies</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=489&language=English">The first six months</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=490&language=English">The next six months</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1887&language=English">Learning and education in premature babies</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Learning through play</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=627&language=English">Creativity: How to raise a creative thinker</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=628&language=English">Curiosity: How to nurture the urge to know more</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=649&language=English">Spatial reasoning: How to foster in children</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Healthy screen time</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=643&language=English">Screen time: An overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=644&language=English">Healthy screen time limits</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Sleep</h2></div><div class="panel-body list-group" style="display:none;"><p>Getting a consistent good night's sleep is important for babies and children to grow. Proper sleep will help your child become a creative thinker, concentrate on tasks and have better problem-solving abilities.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=645&language=English">Sleep benefits and recommended amounts</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=447&language=English">Sleep time for newborns</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=646&language=English">Sleep tips: How to help your child get a good night's sleep</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=306&language=English">Sleep problems</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Feeding and nutrition</h2></div><div class="panel-body list-group" style="display:none;"><p>Proper nutrition is important to help your baby or child grow. Some children may also need special nutritional care depending on their age and condition.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Health and nutrition</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1436&language=English">Canada's food guide</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1439&language=English">Protein foods</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1967&language=English">Vegetarian child</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1994&language=English">Teeth: Dental care for children</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Nutrition for babies</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1457&language=English">Understanding your baby's feeding cues</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1197&language=English">Energy boosting during baby's first year</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=633&language=English">Phasing out nighttime feedings</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=635&language=English">Breastfeeding: Weaning and withdrawing your milk supply</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=497&language=English">Introducing solids</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1458&language=English">Introducing new textures</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=31&language=English">Gag reflex</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Nutrition for toddlers</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1460&language=English">Feeding your toddler or preschooler</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1461&language=English">Drinks for your toddler or preschooler</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Nutrition for children</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1465&language=English">Involving kids in mealtime prep</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1466&language=English">Healthy food and drink choices </a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Nutrition for specific conditions</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1975&language=English">EA/TEF and feeding</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Behaviour</h2></div><div class="panel-body list-group" style="display:none;"><p>All babies and children behave differently. Learn what you can expect as your child grows, and what you can do to help your child with behavioural and learning issues.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=445&language=English">Newborn baby behaviour</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=487&language=English">Social and emotional development in babies</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1883&language=English">Effects of prematurity</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1948&language=English">How to help your child understand and cope with their emotions</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3879&language=English">Tips for positive parenting and managing behaviour in children up to age 5</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3880&language=English">How to set limits (children up to 5 years of age)</a></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Behaviour issues and disorders</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1870&language=English">Behavioural and learning issues</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2001&language=English">Behavioural disorders: How to help your child at home</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=714&language=English">Disciplining your child</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Temperament</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=499&language=English">Temperament</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=500&language=English">More about temperament</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=501&language=English">Temperament: What you can do</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Transitioning to school</h2></div><div class="panel-body list-group" style="display:none;"><p>Having your child start school is stressful for most parents, especially if you're concerned about how your child will adjust. Learn what parents and caregivers can do to help make their child's transition to school easier for everyone.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Going to school</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1154&language=English">Advocating for your child at school</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=711&language=English">Cognitive development in school-age children</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2002&language=English">Assessing your child for neuropsychological difficulties</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1889&language=English">Back in the classroom</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1876&language=English">Becoming more independent</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Talking to your child's school</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1145&language=English">Talking to your child's school</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1146&language=English">Communicating with others about your child's needs</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=650&language=English">Congenital heart defects: Information for teachers</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Maternal and family health</h2></div><div class="panel-body list-group" style="display:none;"><p>Having a baby can be a big adjustment for you and your family. Learn about adjusting to your new baby, managing relationship stress and the development of attachment between caregivers and baby.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Adjusting to your newborn</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=450&language=English">Adjusting to your newborn baby</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=334&language=English">The expecting father</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=452&language=English">Fatherhood: Having a new baby</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=418&language=English">Baby blues and postpartum depression</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Attachment</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=503&language=English">Development of attachment</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=504&language=English">Your effect on your child's attachment</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>You and your partner</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1872&language=English">You and your partner</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=451&language=English">Relationship stress after having a baby</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>When your child is in the hospital</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1152&language=English">Getting help when your child is in hospital</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>COVID-19 resources</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3888&language=English">Stressed adults and anxious young children: Supporting infants, toddlers and preschoolers through COVID-19</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Community resources</h2></div><div class="panel-body list-group" style="display:none;">In this section, find links to even more information about child health and development, as well as links to resources for community programming, research and funding.</div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Dentist</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://www.ontario.ca/page/get-dental-care">Teeth cleaning, check-ups and dental treatment for kids (Ontario)</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Vision</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://optom.on.ca/">Ontario association of optometrists</a></li><li class="list-group-item"> <a class="overview-links" href="http://www.children.gov.on.ca/htdocs/English/earlychildhood/blindnesslowvision/index.aspx">Blindness and low vision (Ontario)</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Hearing</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="http://www.children.gov.on.ca/htdocs/English/earlychildhood/hearing/index.aspx">Infant Hearing Program (Ontario)</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Development</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="http://www.children.gov.on.ca/htdocs/English/earlychildhood/health/index.aspx">Healthy Babies Healthy Children (Ontario)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.oaicd.ca/wp-content/uploads/2017/08/OAICD-Directory-2017.pdf">Infant and Child Development Services (Ontario)</a></li><li class="list-group-item"> <a class="overview-links" href="http://www.children.gov.on.ca/htdocs/English/earlychildhood/speechlanguage/locations.aspx">Preschool Speech and Language Program Locations (Ontario)</a></li><li class="list-group-item"> <a class="overview-links" href="https://empoweredkidsontario.ca/en/memberdirectory">Empowered Kids Ontario Member Directory</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Community programming</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://www.ontario.ca/page/find-earlyon-child-and-family-centre">EarlyON</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.toronto.ca/community-people/children-parenting/children-programs-activities/licensed-child-care/">Liscensed Child Care (Toronto)</a></li><li class="list-group-item"> <a class="overview-links" href="http://www.mtc.gov.on.ca/en/libraries/oplweb.shtml">Ontario Public Libraries</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Research</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://www.canchild.ca/">CanChild</a></li><li class="list-group-item"> <a class="overview-links" href="https://neonatalresearch.org/">Neonatal Research</a></li><li class="list-group-item"> <a class="overview-links" href="http://www.neoknowledge.org/">Neoknowledge</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Funding</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="http://www.children.gov.on.ca/htdocs/English/specialneeds/specialservices.aspx">Special Services at Home (Ontario)</a></li><li class="list-group-item"> <a class="overview-links" href="http://www.children.gov.on.ca/htdocs/English/specialneeds/respite.aspx">Respite Care (Ontario)</a></li><li class="list-group-item"> <a class="overview-links" href="http://www.children.gov.on.ca/htdocs/English/specialneeds/disabilities.aspx">Assistance for Chlidren with Severe Disabilities (Ontario)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.canada.ca/en/revenue-agency/services/child-family-benefits/child-disability-benefit.html">Child disability benefit (Canada)</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Other resources</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="http://cpbf-fbpc.org/">Canadian Premature Babies Foundation</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.caringforkids.cps.ca/">Caring for Kids</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.imhpromotion.ca/">Infant Mental Health Promotion</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.pcmch.on.ca/">Provincial Council for Maternal and Child Health</a></li><li class="list-group-item"> <a class="overview-links" href="http://en.beststart.org/">Best Start</a></li><li class="list-group-item"> <a class="overview-links" href="https://empoweredkidsontario.ca/">Empowered Kids Ontario</a></li><li class="list-group-item"> <a class="overview-links" href="https://lookseechecklist.com/en/">Looksee Checklist</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.zerotothree.org/">Zero to Three</a></li><li class="list-group-item"> <a class="overview-links" href="https://developingchild.harvard.edu/">Center on the Developing Child</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.toronto.ca/wp-content/uploads/2017/11/964f-tph-ea-help-your-child-now-factsheet-eng-2016.pdf">Early Abilities - Toronto Public Health</a></li></ol></li></ol></div>https://assets.aboutkidshealth.ca/AKHAssets/NNFU_clinic_learning_hub.jpgnnfu

 

 

Toe walking, idiopathic946.000000000000Toe walking, idiopathicToe walking, idiopathicTEnglishOrthopaedics/MusculoskeletalPreschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years)Lower leg;Foot;ToesSkeletal muscleConditions and diseasesCaregivers Adult (19+)NA2020-04-28T04:00:00Z6.6000000000000073.60000000000001187.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Idiopathic toe walking is when your child continues to walk on their tip toes beyond three years of age. Learn stretches and strengthening exercises, and about proper shoes to help your child.<br></p><figure><img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_toe_walking_MED_ILL_EN.jpg" alt="Lower half of child standing on toes" /> </figure> <p>Most children begin walking at 12 to 14 months with their feet flat on the ground. However, there are some children who begin walking on their tip toes instead. This pattern normally disappears within three to six months of learning how to walk. It almost always is completely gone by the end of the third year.</p><p>Idiopathic toe walking is when a child continues to walk on their tip toes beyond three years of age. They will often stand with their feet flat on the ground, but when walking or running will prefer to be on their toes. If your child does not outgrow tip toe walking by three years of age, take them to see a health-care professional. </p> <br><h2>Key points</h2> <ul> <li>Idiopathic toe walking is when a child continues to walk on their tip toes beyond three years of age.</li> <li>Idiopathic toe walking can lead to tight calf muscles and decreased movement of the ankles.</li> <li>Treatment for children younger than six years of age includes calf stretches, Achilles tendon stretches and sit to stand exercises.</li> <li>Treatment for children six years of age and older includes calf stretches and other exercises, including marching on the spot, walking uphill and on uneven surfaces, heel walking and squats.</li> </ul><h2>Features of idiopathic toe walking</h2> <p>Although we do not really know why some children prefer to walk on their toes, we do know that idiopathic toe walkers:</p> <ul> <li>walk on tip toes on both sides</li> <li>are constantly balancing on their toes</li> <li>are physically able to keep up with other children their age</li> <li>walk with straight knees</li> <li>will often be able to stand with their feet flat on the ground</li> <li>often have a family history of toe walking</li> </ul><h2>Help your child with a home exercise program</h2><p>If your child has idiopathic toe walking, a daily home exercise program can be very helpful. The goal is to stretch the calf muscles and strengthen the muscles on the front of the legs. This will help your child to be able to successfully walk with a heel-to-toe pattern.</p><p>If your child's calf muscles are tight, or ankle motion is limited, you will be shown stretches to do at home with them. These stretches should be followed with activities to help them use their muscles in their new lengthened position.</p><p>These exercises will be necessary and beneficial as long as your child demonstrates a tip toe walking pattern. The exercises will vary with their age. The most important part of the exercise program is to remember to have fun with your child!</p><h2>Stretches and strengthening exercises for children under six years of age</h2><ul class="akh-steps"><li><h3>Calf stretch</h3> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_toe_walking_calfstretch_under6_MED_ILL_EN.jpg" alt="Hand pushing child’s foot upward toward their head with the leg held straight" /> </figure> <ul><li>Have your child lie on their back on a comfortable surface such as a firm bed.</li><li>With their knee straight and leg supported on the bed, bring your child's foot upwards, toward their head, bending their ankle.</li><li>Hold the stretch at the end of the movement (that is, as far as your child's range of motion will permit) for 15 to 30 seconds. This should not be painful for your child.</li><li>Bring your child's foot back to a normal position. Repeat the exercise 10 times on each leg, daily.</li></ul></li><li><h3>Achilles tendon stretch</h3> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_toe_walking_achillesstretch_MED_ILL_EN.jpg" alt="Hand pushing child’s foot upward toward their head with leg bent at the knee" /> </figure> <ul><li>Have your child lie on their back on a comfortable surface such as a firm bed.</li><li>With their knee bent, bring your child's foot upwards, toward their head, bending their ankle.</li><li>Hold the stretch at the end of the movement (that is, as far as your child's range of motion will permit) for 15 to 30 seconds. This should not be painful for your child.</li><li>Bring your child's foot back to a normal position. Repeat the exercise 10 times on each leg, daily.</li></ul></li><li><h3>Sit to stand</h3> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_toe_walking_sit_to_stand_MED_ILL_EN.jpg" alt="Child standing up from stool while parent holds their ankles" /> </figure> <ul><li>Have your child sit on a children's sized chair or stool.</li><li>Place your hands below their knees, providing a moderate, constant pressure downwards as a cue to keep their heels on the floor.</li><li>Have your child practice standing up while keeping their heels on the ground.</li><li>Make this exercise fun by playing a game of high five, blowing bubbles, reaching for objects, working in front of a mirror or singing songs.</li></ul></li></ul><h2>Exercises suitable for children ages six years and up:</h2><ul class="akh-steps"><li><h3>Calf Stretch</h3> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_walking_calfstretch_6up_MED_ILL_EN.jpg" alt="Child standing facing a wall with both hands on the wall with one leg stretched behind them and one stepped toward the wall" /> </figure> <ul><li>Have your child stand approximately two feet from a wall. Place both of their hands at shoulder height against the wall.</li><li>With their right knee straight, have them step towards the wall with the left foot. They should lean in until a stretch is felt in the back of the right calf. Make sure they keep the heel of the right foot on the ground.</li><li>Hold the stretch for 15 to 30 seconds.</li><li>Repeat the exercise 10 times on each leg, daily.</li></ul></li><li><h3>Other exercises include:</h3> <figure> <span class="asset-image-title">Squats</span><img src="https://assets.aboutkidshealth.ca/akhassets/Idiopathic_walking_squats_MED_ILL_EN.jpg" alt="Child squatting with someone supporting them by the hands" /> </figure> <ul><li>Marching on the spot. Have your child bring their knees up high and then land with a flat foot.</li><li>Walking uphill.</li><li>Walking on uneven surfaces such as in a playground or sand.</li><li>Walking on the heels only. Keep the toes off the ground at all times.</li><li>Practicing squats. With feet flat on the floor, hip width apart, have your child slowly lower their body all the way to the floor by bending at their knees and hips but keeping their chest upright.<br><br><br></li></ul></li></ul><h2>Identify toe walking early to prevent muscle problems</h2> <p>Children who walk on their toes can develop tight calf muscles on the backs of their legs and have decreased movement of their ankles. In addition, the muscles on the front of their legs may become weak. If there is tightness and weakness, your child will have difficulty walking on their heels. Early identification of toe walking can help lead to the prevention of these muscle problems.</p><h2>Shoes for your child</h2> <p>Wearing shoes may not correct toe walking. However, appropriate foot wear can help your child bring their heels further down. When selecting shoes for your child, keep in mind the following criteria:</p> <ul> <li>Choose a high cut shoe with a wide sole that provides good foot support.</li> <li>The shoe should be rigid or firm, not flexible in the middle section.</li> <li>The back of the heel should be firm.</li> </ul> <h2>Other treatments</h2> <p>Idiopathic toe walking in children is not a serious condition. It often resolves spontaneously and does not cause the child significant problems apart from the cosmetic appearance. Normally, your child will not need surgery. In addition to stretching and strengthening, treatments may include repeated casting of feet and ankles, bracing devices, or a combination of the two. It is important to understand that even though your child may achieve short-term improvement in muscle length and ankle range of motion, these treatments may not always guarantee a normal heel-to-toe walking pattern.</p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/toe_walking_ideopathic.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/toe_walking_ideopathic.jpgToe walking, idiopathicFalse Learn stretches and strengthening exercises and about proper shoes to help your child if they walk on their toes beyond three years of age.

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