Does the Type of Toeing Affect Balance in
Children With Diplegic Cerebral Palsy? An
Observational Cross-sectional Study
Abstract
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
Author(s)
hamada Ahmed Hamada
Coauthor(s)
Heba Gaber Abdelaziz
Journal/Conference Information
Journal of Chiropractic Medicine,DOI: https://dx.doi.org/10.1016/j.jcm.2019.01.005, ISSN: 1556-3707, Volume: 18, Issue: 3, Pages Range: 229-235,