Non-surgical management of a pediatric "intoed" gait pattern - a systematic review of the current best evidence.

Journal of Multidisciplinary Healthcare
Hayley Uden, Saravana Kumar

Abstract

An intoed gait pattern is one of the most common referrals for children to an orthopedic consultation. Parental concern as to the aesthetics of the child's gait pattern and/or its symptomatic nature will primarily drive these referrals during a child's early developmental years. Whilst some of these referrals prove to be the result of a normal growth variant, some children will present with a symptomatic intoed gait pattern. Various treatments, both conservative and surgical, have been proposed including: braces, wedges, stretches and exercises, shoe modifications, and surgical procedures. However, which treatments are effective and justified in the management of this condition is not clear within the literature. The aim of this systematic review was to therefore identify and critique the best available evidence for the non-surgical management of an intoed gait pattern in a pediatric population. A systematic review was conducted of which only experimental studies investigating a management option for an intoeing gait pattern were included. Studies needed to be written in English, pertaining to a human pediatric population, and published within a peer reviewed journal. Electronic databases were searched: Ovid (Medline), EMBASE, ...Continue Reading

Citations

Mar 5, 2016·Journal of Research in Medical Sciences : the Official Journal of Isfahan University of Medical Sciences·Mohammad Hadi NouraiAbdullah Maleki Rizi
Apr 14, 2018·Clinical Pediatrics·Katherine M Berry
May 15, 2020·Journal of Foot and Ankle Research·Matthew HillNachiappan Chockalingam
May 8, 2019·Journal of Foot and Ankle Research·Matthew HillNachiappan Chockalingam
Feb 26, 2016·Prosthetics and Orthotics International·Sahar GanjehieSarah Curran
Jan 8, 2021·BMC Health Services Research·Kari Anne I EvensenIngebrigt Meisingset

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