Flow chart of patient selection.
<div><p>Aim</p><p>The aims of study were: to observe gait parameters evolution for group of patients with surgery and conservative treatment; to compare these parameters for a group of matched patients with surgery and without; to compare these parameters with a group of asym...
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2025
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| author | Alice Bonnefoy-Mazure (14723886) |
| author2 | Marys Revaz (22339474) Camille Leroquais (22339477) Geraldo de Coulon (22339480) Pierre Lascombes (14723889) Stéphane Armand (8374584) |
| author2_role | author author author author author |
| author_facet | Alice Bonnefoy-Mazure (14723886) Marys Revaz (22339474) Camille Leroquais (22339477) Geraldo de Coulon (22339480) Pierre Lascombes (14723889) Stéphane Armand (8374584) |
| author_role | author |
| dc.creator.none.fl_str_mv | Alice Bonnefoy-Mazure (14723886) Marys Revaz (22339474) Camille Leroquais (22339477) Geraldo de Coulon (22339480) Pierre Lascombes (14723889) Stéphane Armand (8374584) |
| dc.date.none.fl_str_mv | 2025-09-30T17:23:29Z |
| dc.identifier.none.fl_str_mv | 10.1371/journal.pone.0331099.g001 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/figure/Flow_chart_of_patient_selection_/30248173 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Medicine Cell Biology Molecular Biology Biotechnology Evolutionary Biology Developmental Biology Marine Biology Cancer Infectious Diseases Virology idiopathic toe walking idiopathic toe walkers significantly lower compared xlink "> regardless xlink "> depending first ankle rocker passive ankle dorsiflexion ankle passive dorsiflexion groups significantly improved thirteen itw patients itw patients improves surgical treatment could xlink "> passive dorsiflexion ankle power significantly greater first cga ten patients matched patients treated surgically treated conservatively significant improvement mean age flexed knee analyse differences |
| dc.title.none.fl_str_mv | Flow chart of patient selection. |
| dc.type.none.fl_str_mv | Image Figure info:eu-repo/semantics/publishedVersion image |
| description | <div><p>Aim</p><p>The aims of study were: to observe gait parameters evolution for group of patients with surgery and conservative treatment; to compare these parameters for a group of matched patients with surgery and without; to compare these parameters with a group of asymptomatic children.</p><p>Background</p><p>Depending of the importance of the equinus in idiopathic toe walking (ITW) patients, conservative or surgical treatment could be proposed. Currently, there is no consensus about the treatment of ITW.</p><p>Methods</p><p>ITW patients with surgical or conservative treatment and with two clinical gait analysis (CGA before and after treatment) were selected. Gait parameters have been used as: presence of first ankle rocker, peak ankle power generation, ankle passive dorsiflexion with extended and flexed knee. Paired and Unpaired t-test were used to analyse differences between the 2 CGA, between groups of treatment and with asymptomatic children.</p><p>Results</p><p>Sixteen ITW patients were treated surgically with a mean age at baseline of 8.6y and a follow-up time of 2.1y. Thirteen ITW patients were treated conservatively with mean age at baseline of 6.5y and a follow-up time of 3.0y. Only surgery group had a significant improvement in passive ankle dorsiflexion. Both groups significantly improved their parameters. Ten patients in each group were similar in terms of passive ankle dorsiflexion at the first CGA. Passive dorsiflexion and ankle power were significantly greater for the surgery group at the second CGA. Parameters were significantly lower compared to asymptomatic children.</p><p>Conclusions</p><p>Regardless of the treatment, the gait quality of the ITW patients improves over time but does not recover the gait of healthy children.</p><p>Level of evidence</p><p>This study was a therapeutic retrospective comparative study (level III)</p></div> |
| eu_rights_str_mv | openAccess |
| id | Manara_d4fa7166d5b42e4dd3b2765443298dee |
| identifier_str_mv | 10.1371/journal.pone.0331099.g001 |
| network_acronym_str | Manara |
| network_name_str | ManaraRepo |
| oai_identifier_str | oai:figshare.com:article/30248173 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Flow chart of patient selection.Alice Bonnefoy-Mazure (14723886)Marys Revaz (22339474)Camille Leroquais (22339477)Geraldo de Coulon (22339480)Pierre Lascombes (14723889)Stéphane Armand (8374584)MedicineCell BiologyMolecular BiologyBiotechnologyEvolutionary BiologyDevelopmental BiologyMarine BiologyCancerInfectious DiseasesVirologyidiopathic toe walkingidiopathic toe walkerssignificantly lower comparedxlink "> regardlessxlink "> dependingfirst ankle rockerpassive ankle dorsiflexionankle passive dorsiflexiongroups significantly improvedthirteen itw patientsitw patients improvessurgical treatment couldxlink ">passive dorsiflexionankle powersignificantly greaterfirst cgaten patientsmatched patientstreated surgicallytreated conservativelysignificant improvementmean ageflexed kneeanalyse differences<div><p>Aim</p><p>The aims of study were: to observe gait parameters evolution for group of patients with surgery and conservative treatment; to compare these parameters for a group of matched patients with surgery and without; to compare these parameters with a group of asymptomatic children.</p><p>Background</p><p>Depending of the importance of the equinus in idiopathic toe walking (ITW) patients, conservative or surgical treatment could be proposed. Currently, there is no consensus about the treatment of ITW.</p><p>Methods</p><p>ITW patients with surgical or conservative treatment and with two clinical gait analysis (CGA before and after treatment) were selected. Gait parameters have been used as: presence of first ankle rocker, peak ankle power generation, ankle passive dorsiflexion with extended and flexed knee. Paired and Unpaired t-test were used to analyse differences between the 2 CGA, between groups of treatment and with asymptomatic children.</p><p>Results</p><p>Sixteen ITW patients were treated surgically with a mean age at baseline of 8.6y and a follow-up time of 2.1y. Thirteen ITW patients were treated conservatively with mean age at baseline of 6.5y and a follow-up time of 3.0y. Only surgery group had a significant improvement in passive ankle dorsiflexion. Both groups significantly improved their parameters. Ten patients in each group were similar in terms of passive ankle dorsiflexion at the first CGA. Passive dorsiflexion and ankle power were significantly greater for the surgery group at the second CGA. Parameters were significantly lower compared to asymptomatic children.</p><p>Conclusions</p><p>Regardless of the treatment, the gait quality of the ITW patients improves over time but does not recover the gait of healthy children.</p><p>Level of evidence</p><p>This study was a therapeutic retrospective comparative study (level III)</p></div>2025-09-30T17:23:29ZImageFigureinfo:eu-repo/semantics/publishedVersionimage10.1371/journal.pone.0331099.g001https://figshare.com/articles/figure/Flow_chart_of_patient_selection_/30248173CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/302481732025-09-30T17:23:29Z |
| spellingShingle | Flow chart of patient selection. Alice Bonnefoy-Mazure (14723886) Medicine Cell Biology Molecular Biology Biotechnology Evolutionary Biology Developmental Biology Marine Biology Cancer Infectious Diseases Virology idiopathic toe walking idiopathic toe walkers significantly lower compared xlink "> regardless xlink "> depending first ankle rocker passive ankle dorsiflexion ankle passive dorsiflexion groups significantly improved thirteen itw patients itw patients improves surgical treatment could xlink "> passive dorsiflexion ankle power significantly greater first cga ten patients matched patients treated surgically treated conservatively significant improvement mean age flexed knee analyse differences |
| status_str | publishedVersion |
| title | Flow chart of patient selection. |
| title_full | Flow chart of patient selection. |
| title_fullStr | Flow chart of patient selection. |
| title_full_unstemmed | Flow chart of patient selection. |
| title_short | Flow chart of patient selection. |
| title_sort | Flow chart of patient selection. |
| topic | Medicine Cell Biology Molecular Biology Biotechnology Evolutionary Biology Developmental Biology Marine Biology Cancer Infectious Diseases Virology idiopathic toe walking idiopathic toe walkers significantly lower compared xlink "> regardless xlink "> depending first ankle rocker passive ankle dorsiflexion ankle passive dorsiflexion groups significantly improved thirteen itw patients itw patients improves surgical treatment could xlink "> passive dorsiflexion ankle power significantly greater first cga ten patients matched patients treated surgically treated conservatively significant improvement mean age flexed knee analyse differences |