Trial of a Botulinum A Toxin (Botox) Injection in the Gastrocnemius Muscle in Children With Idiopathic Toe Walking
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The purpose of this study is to compare the effect of Botox and casting to placebo and casting for reducing toe walking problems in children who are idiopathic toe walkers.
Condition or disease
Idiopathic Toe Walking
Drug: Botox injections
Patients who have been seen by one of the 5 paediatric orthopaedic surgeons at British Columbia's Children's Hospital and have been referred to the Shriner's gait lab for assessment of idiopathic toe walking will be eligible for the study.
The primary outcome will be based on gait analysis data - specifically whether post injection gait analyses show a reduction in the features that were used to determine the severity of the subjects' toe walking problem. [ Time Frame: Data not known ]
Secondary Outcome Measures
Ankle range of motion (dorsiflexion and plantarflexion) [ Time Frame: collected at every visit ]
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Ages Eligible for Study:
5 Years to 15 Years (Child)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
Patients who have been seen by one of the 5 paediatric orthopaedic surgeons at British Columbia's Children's Hospital and have been referred to the Shriner's gait lab for assessment of idiopathic toe walking
Clinical toe walkers - toe walkers as per gait lab's definition (loss of 1st ankle rocker, early heel rise [prior to 30% of the cycle] and A1 kinematic data)
Aged 5 - 15 years old
Parents and patients educated about protocol and willing to partake
Cooperative patient with gait analysis and injection