Children begin walking independently on average at about 14 months of age. Infant gait is characterized by high stepping as the heel and toes are lifted and lowered to the ground simultaneously. A heel strike typically appears about 22 weeks after independent walking (Sutherland et al. 1980), and intermittent toe walking is a common pattern in healthy developing children less than 3 years old (Sutherland et al. 1980). Gait is mature by 7–8 years of age. Toe walking is more noticeable when walking barefoot than in shoes as the heel raise of the shoe can help compensate for any structural cause of toe walking.


Positive Family History Calf Muscle Spastic Diplegia Independent Walking Equinus Deformity 
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Copyright information

© Springer India 2015

Authors and Affiliations

  • James Robb
    • 1
  1. 1.OrthopaedicUniversity of St AndrewsScotlandUK

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