Idiopathic toe-walking: Does treatment alter the natural history?
Idiopathic toe-walking: Does treatment alter the natural history?
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DOI：
10.1097/01202412-200001000-00010
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发表时间：
2000-01-01
影响因子：
1.1
通讯作者：
Cole, WG
中科院分区：
文献类型：
--
作者：
Eastwood, DM;Menelaus, MB;Cole, WG
对136名特发性足趾行走儿童进行了观察、石膏或手术治疗，以确定其结果。根据患者决定的结果，观察组6%的人步态正常，45%的人步态改善，49%的人步态不变。医生确定的结果显示，12%的儿童步态正常。CAST组的结果与此相似。根据患者决定的结果，手术组有22%的患者行走正常，50%有改善，26%没有变化，2%有恶化；有医生决定的结果，37%行走正常。观察组确定的自然病史是特发性脚趾行走持续存在，尽管有50%的改善。石膏处理并没有改变自然历史。手术治疗可能会影响结果，但手术适应证需要明确。
Outcomes from observation or cast or surgical treatment of idiopathic toe-walking were determined in 136 children. With patient-determined outcomes, for the observation group,gait was normal in 6%, improved in 45%, and unchanged in 49%. Physician-determined outcomes demonstrated normal gait in 12% of children. Outcomes were similar in the cast group. With patient-determined outcomes in the surgical group, 22% walked normally, 50% had improved, 26% were unchanged, and 2% had deteriorated; with physician-determined outcomes, 37% walked normally. The natural history, determined from the observation group, was for idiopathic toe-walking to persist, albeit with improvement in 50%. Cast treatment did not alter the natural history. Surgical treatment may influence the outcome, but indications for surgery need to be clarified.