Assessing the Balance of an Adult Idiopathic Toe Walker and the Effect of Adding Custom Heel Wedges: Case Report

Idiopathic toe walkers present with a distinctly different walking pattern that, over a long period of time, can alter the development of the calf muscles and Achilles tendon, as well as decrease the stability one has while standing. While research has been performed on how to prevent toe walking, the focus has been on the pediatric population, who are more responsive to treatments, rather than adults whose bodies have adapted to an abnormal way of walking. This study reveals the benefits of creating custom heel wedges for an adult toe walker. The balance of the subject was first assessed using the BTrackS Balance Plate. Then, custom heel wedges were fabricated and the subject’s balance was reevaluated while wearing the heel wedges. The results illustrated an improvement in balance after using the heel wedges, because the subject has more plantigrade support when standing. Due to the successful results, this study offers an alternative solution for toe walkers who cannot or do not want to receive other types of treatment, and potentially decrease the numerous types of injuries they endure due to their lack of stability.