• 1

    Giunti A, Moroni A, Olmi R, et al: Does the importance of the angle of anteversion contribute to osteoarthrosis? a preliminary report. .Clin Orthop 145::213. ,1979. .

    • Search Google Scholar
    • Export Citation
  • 2

    Fulkerson FP, Hungerford D: Disorder of the Patellofemoral Joint, 2nd Ed, p 15, Williams & Wilkins, Baltimore. ,1990. .

  • 3

    Molina A, Álvarez P, Tey M, et al: “Repercusión Biomecánica y Fisiopatológica del Morfotipo Torsional: Repercusión de las Anomalías Torsionales en la Rodilla,” in Desalineaciones Torsionales de las Extremidades Inferiores: Implicaciones Clinicopatológicas: Monografías SECOT 2, ed by J Ballester, p 29, Ed Masson SA, Barcelona. ,2001. .

  • 4

    Ballester J: Operative treatment for recurrent dislocation of the patella. .Reconstr Surg Traumatol 12::46. ,1971. .

  • 5

    Cebamanos J, Molina A, Pelfort X, et al: “Repercusión Biomecánica y Fisiopatológica del Morfotipo Torsional: Repercusión de las Anomalías Torsionales en el Pie,” in Desalineaciones Torsionales de las Extremidades Inferiores: Implicaciones Clinicopatológicas: Monografías SECOT 2, ed by J Ballester, p 54, Ed Masson SA, Barcelona. ,2001. .

  • 6

    Dimeglio A: Ortopedia Infantil Cotidiana, Ed Masson SA, Barcelona. ,1997. .

  • 7

    Rosselli P, Medina A: La verdadera utilidad del “calzado correctivo” en niños. .Rev Colomb Ortop Trauma 15::1. ,2005. .

  • 8

    Malagon V, Arango R: Ortopedia Infantil, Ed Jims, Barcelona. ,1987. .

  • 9

    McPoil TG, Cornwall MW: The effect of foot orthoses on transverse tibial rotation during walking. .JAPMA 90::2. ,2000. .

  • 10

    Michaud TC: Foot Orthoses and Other Forms of Conservative Foot Care, Williams & Wilkins, Baltimore. ,1996. .

  • 11

    Redmond AC: The effectiveness of gait plates in controlling in-toeing symptoms in young children. .JAPMA 90::70. ,2000. .

  • 12

    Shuster RO: A device to influence the angle of gait. .JAPA 57::269. ,1967. .

  • 13

    Lafuente G, Dominguez G, Munuera PV, et al: Patrón rotador de la extremidad inferior: concepto, valores normales, y relación con el ángulo de la marcha y con la movilidad del primer dedo. .Rev Esp Podol 16::6. ,2005. .

    • Search Google Scholar
    • Export Citation
  • 14

    Viladot A: Patología del Antepie, 4th Ed, Springer-Verlag Ibérica, Barcelona. ,2001. .

  • 15

    Benhamu S, Gonzalez R, Martinez L, et al: Protocolo de toma de moldes en espuma fenólica: maniobras aplicativas sobre el pie. .Rev Esp Podol 15::184. ,2004. .

    • Search Google Scholar
    • Export Citation
  • 16

    Goldcher A: Manual de Podología, Ed Masson SA, Barcelona. ,1992. .

  • 17

    Morton DJ: The angle of gait: a study based upon examination of the feet of central African natives. .J Bone Joint Surg Am 14::741. ,1932. .

    • Search Google Scholar
    • Export Citation
  • 18

    Murray MP, Drought AB, Kory RC: Walking patterns of normal men. .J Bone Joint Surg Am 46::335. ,1964. .

  • 19

    Murray MP, Kory RC, Sepic SB: Walking patterns of normal women. .Arch Phys Med Rehabil 51::637. ,1970. .

  • 20

    Seber S, Hazer B, Kose N, et al: Rotational profile of the lower extremity and foot progression angle: computerized tomographic examination of 50 male adults. .Arch Orthop Traum Surg 120::255. ,2000. .

    • Search Google Scholar
    • Export Citation

Orthotic Devices with Out-toeing Wedge as Treatment for In-toed Gait in Children

Pedro V. Munuera Department of Podiatry, University of Seville, Seville, Spain.

Search for other papers by Pedro V. Munuera in
Current site
Google Scholar
PubMed
Close
 Lic Pod, PhD
,
Jose M. Castillo Department of Podiatry, University of Seville, Seville, Spain.

Search for other papers by Jose M. Castillo in
Current site
Google Scholar
PubMed
Close
 Lic Pod, PhD
,
Gabriel Dominguez Department of Podiatry, University of Seville, Seville, Spain.

Search for other papers by Gabriel Dominguez in
Current site
Google Scholar
PubMed
Close
 Lic Pod, PhD
, and
Guillermo Lafuente Department of Podiatry, University of Seville, Seville, Spain.

Search for other papers by Guillermo Lafuente in
Current site
Google Scholar
PubMed
Close
 Lic Pod, PhD
Restricted access

Background: Orthotic devices are used to help children progressively acquire a more physiologic walking pattern.

Methods: To determine the effect of an orthotic device with an out-toeing wedge along with a physiologic shoe as treatment for in-toed gait, angle of gait was measured in 48 children aged 3 to 14 years with in-toed gait. The following comparisons were made: angle of gait in children unshod versus children shod without treatment, angle of gait in children shod without treatment versus children shod plus orthoses, and angle of gait in children unshod versus children shod plus orthoses.

Results: Using a correctly fitting shoe increased the angle of gait in a nonsignificant manner, but a significant increase was revealed in the comparison of the angle of gait in children unshod versus children under treatment. The results showed that the behavior in boys and girls was similar to that in the total sample. Regarding side, the corrective effect of the orthotic device was similar in the two feet. However, the data showed a greater corrective effect of the shoe in the right foot.

Conclusions: Orthotic devices with out-toeing wedge combined with correctly fitting shoes, as well as shoes alone, are useful tools in the treatment of in-toed gait in children. (J Am Podiatr Med Assoc 100(6): 472–478, 2010)

Corresponding author: Pedro V. Munuera, Lic Pod, PhD, Department of Podiatry, University of Seville, C/Avicena, s/n, Seville, Seville 41008, Spain. (E-mail: pmunuera@us.es)