The effectiveness of serial casting and ankle foot orthoses in treating toe walking in children with autism spectrum disorder.

Pediatr Phys Ther. 2021 Apr 1;33(2):83-90. Barkocy M, Schilz J, Heimerl S, Chee M, Valdez M, Redmond K.

Purpose: This proof of concept study examined the effectiveness of serial casting (SC) and ankle foot orthoses (AFOs) in children with autism spectrum disorder (Ch-ASD) who toe walk (TW). Data collected determined effects of SC, followed by AFO intervention on ankle dorsiflexion (A-DF) passive range of motion and kinematics, and parent-reported functional outcomes for children with autism spectrum disorder who TW and have limited A-DF passive range of motion.

Conclusions: Serial casting increased A-DF ROM and kinematics during walking. Consistent AFO use for walking training improved function and reduced toe walking. Serial casting followed by AFOs is a potential intervention for children with autism spectrum disorder who TW.

See abstract.