The Journal of Children's Orthopaedics has published research on the use of Botox A in children with idiopathic toe walking. Fifteen children (ages 5-13)with a diagnosis of idiopathic toe walking underwent a gait analysis followed by Botox in the calf muscles and an exercise program. Gait analysis was repeated at 3 weeks, 3 months, 6 months and 12 months after treatment. Results from the gait analysis indicated significant improvements in decreased plantar flexion angle at initial contact and during swing phase and increased dorsiflexion during midstance. At 12 months post treatment, parents reported that 3 of the 11 children stopped toe walking completely, 4/11 decreased toe walking, and 4/11 continued to toe walk. The researchers concluded that Botox and exercise treatment for idiopathic toe walking displays gait pattern changes but does not always stop toe walking.
Reference: Pähr Engström1, Elena M. Gutierrez-Farewik1,Åsa Bartonek1, Kristina Tedroff1, Christina Orefelt1 and Yvonne Haglund-Åkerlind1 (2010) Does botulinum toxin A improve the walking pattern in children with idiopathic toe-walking? Journal of Children's Orthopaedics DOI 10.1007/s11832-010-0263-9 Published online 5/12/2010.