Idiopathic toe walking and sensory processing dysfunction.
Idiopathic toe walking and sensory processing dysfunction.
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DOI：
10.1186/1757-1146-3-16
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发表时间：
2010-08-16
影响因子：
2.9
通讯作者：
Curtin M
中科院分区：
文献类型：
--
作者：
Williams CM;Tinley P;Curtin M
人们普遍认为，踮起脚尖行走涉及在步态周期的接触阶段脚跟着地的缺失或限制。踮脚行走已被确定为疾病过程、创伤和/或神经源性影响的症状。当步态模式没有明显原因时，即可诊断为特发性脚趾行走 (ITW)。尽管对 ITW 病理生理学的研究有限，但越来越多的当代文献和实践者争论提出，这种步态模式与感觉处理功能障碍 (SPD) 有关。本文的目的是查阅文献并总结关于踮脚行走与 SPD 之间关系的已知信息。审阅了 49 篇文章，主要来自同行评审期刊。还审查了五本当代文本。文献风格包括作者观点文章、给编辑的信、临床试验、案例研究、分类研究、海报/会议摘要和叙述性文献综述。根据证据水平对文献进行评估和分级。仅进行了一项关于特发性脚趾行走和感觉处理的小型前瞻性、描述性研究，没有对照。一项针对特发性踮脚行走流行程度的横断面研究提出，感觉处理是造成这种差异的原因之一。在四篇当代文本和一篇会议摘要中发现了 ITW 和感觉处理之间拟议的联系。基于现有的有限确凿证据，ITW 与感觉处理之间的关系尚未得到证实。鉴于研究的数量和类型有限以及轶事证据的不断增加，建议进一步研究这种关系将是有利的。
It is generally understood that toe walking involves the absence or limitation of heel strike in the contact phase of the gait cycle. Toe walking has been identified as a symptom of disease processes, trauma and/or neurogenic influences. When there is no obvious cause of the gait pattern, a diagnosis of idiopathic toe walking (ITW) is made. Although there has been limited research into the pathophysiology of ITW, there has been an increasing number of contemporary texts and practitioner debates proposing that this gait pattern is linked to a sensory processing dysfunction (SPD). The purpose of this paper is to examine the literature and provide a summary of what is known about the relationship between toe walking and SPD. Forty-nine articles were reviewed, predominantly sourced from peer reviewed journals. Five contemporary texts were also reviewed. The literature styles consisted of author opinion pieces, letters to the editor, clinical trials, case studies, classification studies, poster/conference abstracts and narrative literature reviews. Literature was assessed and graded according to level of evidence. Only one small prospective, descriptive study without control has been conducted in relation to idiopathic toe walking and sensory processing. A cross-sectional study into the prevalence of idiopathic toe walking proposed sensory processing as being a reason for the difference. A proposed link between ITW and sensory processing was found within four contemporary texts and one conference abstract. Based on the limited conclusive evidence available, the relationship between ITW and sensory processing has not been confirmed. Given the limited number and types of studies together with the growing body of anecdotal evidence it is proposed that further investigation of this relationship would be advantageous.
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影响因子：
1.7
作者：
Brouwer, B;Davidson, LK;Olney, SJ
通讯作者：
Olney, SJ
影响因子：
1.1
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DOI：
10.1097/01.blo.0000122879.25630.5a
发表时间：
2004-03-01
影响因子：
4.2
作者：
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影响因子：
2.4
作者：
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影响因子：
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作者：
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通讯作者：
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