Does the Type of Toeing Affect Balance in Children With Diplegic Cerebral Palsy? An Observational Cross-sectional Study


Objective: The purpose of the study was to find out effect of toeing on balance in children with diplegic cerebral palsy. Methods: An observational study was conducted. Thirty children with spastic diplegic cerebral palsy, aged 5 to 8 years, participated in this study. They were classified into 2 groups: group A was children with out-toeing, and group B was children with in-toeing. Foot progression angle was measured by using dynamic footprint, and balance was evaluated using Biodex Balance System equipment. The outcome of interest was postural control (overall stability, anteroposterior stability, and mediolateral stability). Results: Statistical analysis revealed a significant difference for the tested variables of interest between the 2 tested groups. Multiple pairwise comparison tests revealed that there was significantly better overall stability, anteroposterior stability, and mediolateral stability (P < .05) in group A. Conclusion: It can be concluded that children with out-toeing have higher balance and stability than children with in-toeing. (J Chiropr Med 2019;18;229-235) Key Indexing Terms: Balance; Cerebral Palsy; Toeing


hamada Ahmed Hamada


Heba Gaber Abdelaziz

Journal/Conference Information

Journal of Chiropractic Medicine,DOI:, ISSN: 1556-3707, Volume: 18, Issue: 3, Pages Range: 229-235,