Defining Treatment Outcomes and Genetic Architecture in Idiopathic Toe Walking*
To compare and contrast the clinical, gait and parent-reported outcomes following either non-operative (casting) or operative treatment for children with idiopathic toe walking (ITW) and determine whether there are specific genes associated with ITW.
- EligibilityCriteria: Inclusion Criteria:  Diagnosis of Idiopathic Toe Walking Persistent (ITWp) Between the ages of 6-18 years Passive dorsiflexion dorsiflexion with knee extension between -10 plantar flexion - + 5 degrees of dorsiflexion, DiGiovanni defined an isolated gastrocnemius contracture as maximum passive ankle dorsiflexion as < 5 degrees with the knee in full extension  Exclusion Criteria:  Diagnosis of Autism or autism spectrum disorder Presence of any indicators of trauma, neuromuscular influence or neurogenic influence as identified by using the Toe Walking Tool - HealthyVolunteers: No - Gender: All - MinimumAge: 6 Years - MaximumAge: 18 Years - StdAgeList: Child, Adult