Surgery vs Casting for Idiopathic Toe Walking
(ITW Trial)
Trial Summary
What is the purpose of this trial?
To compare and contrast the clinical, gait and parent-reported outcomes following either non-operative (casting) or operative treatment for children with idiopathic toe walking (ITW) and determine whether there are specific genes associated with ITW.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the treatment Serial Casting, Serial Casting, Progressive Casting, Sequential Casting, Surgery for idiopathic toe walking?
Is serial casting generally safe for treating conditions like toe walking?
How does the treatment of serial casting differ from other treatments for idiopathic toe walking?
Serial casting for idiopathic toe walking is unique because it involves applying a series of casts to gradually stretch and lengthen the muscles and tendons in the foot and ankle, which is different from surgery that involves physically altering the structure of the foot. Unlike dynamic splinting, which allows for continued physical therapy, serial casting typically does not permit concurrent physical therapy sessions.14589
Research Team
Jeremy Bauer, MD
Principal Investigator
Shriners Hospitals for Children-Portland
Eligibility Criteria
This trial is for children with idiopathic toe walking (ITW), a condition where they walk on their toes without any known cause. The study seeks participants who have not responded to other treatments and are eligible for either non-operative or operative interventions.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either serial casting or surgery for idiopathic toe walking
Follow-up
Participants are monitored for safety and effectiveness after treatment
Genetic Analysis
Whole genome sequencing is conducted to identify potential genetic determinants of idiopathic toe walking
Treatment Details
Interventions
- Serial Casting
- Surgery
Serial Casting is already approved in United States, European Union, Canada for the following indications:
- Idiopathic Toe Walking
- Cerebral Palsy
- Spina Bifida
- Muscle Spasticity
- Idiopathic Toe Walking
- Cerebral Palsy
- Spina Bifida
- Muscle Spasticity
- Idiopathic Toe Walking
- Cerebral Palsy
- Spina Bifida
- Muscle Spasticity
Find a Clinic Near You
Who Is Running the Clinical Trial?
Shriners Hospitals for Children
Lead Sponsor