Does your child primarily walk on their toes? Have you been told your child will outgrow this gait pattern? While this may be seen in early walkers, persistent toe walking can be influenced by various factors, including sensory processing and muscle imbalances. Research suggests that some children toe walk due to decreased sensory feedback from the soles of their feet, leading them to seek more input or avoid certain sensations by walking on their toes. This altered gait pattern not only affects balance by shifting the center of gravity forward but can also lead to a decreased engagement of the abdominal and gluteal muscles, which are crucial for stability and efficient movement during walking. This altered gait pattern also shifts their center of gravity forward, making these children more prone to balance difficulties and an increased risk of trips and falls during play and daily activities

Our physical therapy approach to toe walking involves a comprehensive assessment that considers sensory processing, balance, and the activation patterns of the entire lower limb and core, including the abdominals and glutes. We aim to improve sensory awareness in the feet through targeted activities, retrain a more typical heel-toe walking pattern, and enhance balance by addressing the altered center of gravity. Crucially, our therapy also focuses on improving the activation and strength of the abdominal and gluteal muscles and improved sanction through one’s heels. . Muscles and proprioceptors (sense of position) play a vital role in foot/pelvic stability and providing a strong foundation for efficient leg movement during gait. By addressing these interconnected sensory-motor and biomechanical factors, we strive to help your child develop a more typical walking pattern and improve their overall functional movement and participation in age appropriate activities.