Excessive Plantarflexion / Toe Walking
During the development of standing and walking skills, children will often bear weight on the front of their foot without bringing their heels down to the ground. This is commonly referred to as “toe walking” and is a normal part of a toddler’s progress toward standing and walking. If toe walking continues beyond age three, if the height of the heel (off the ground) is extreme, or if the child is not able to bring their heels down to the ground due to tightness in the muscles or tendons, a neurological problem may be indicated.
• Bear weight on forefoot with absent or delayed heel contact during gait
• Due to chronic muscle contracture; Achilles tendon contracture; involuntary muscle contractions; sensory issues
• May have pronated or supinated foot
• Variable ankle range
Brace Selection for Excessive Plantarflexion / Toe Walking
Within each level of involvement, there are recommended brace solutions.
- Heel off ground occasionally
- Can control when concentrating
- Plantarflexion more pronounced when running
- Dorsiflexion range is satisfactory
- Heel off ground half the time
- Can improve but not eliminate toe walking
- Dorsiflexion range is slightly limited
- Heel off ground always
- Cannot vary presentation
- Dorsiflexion is limited
