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*These exercises are beneficial both for strengthening and for sensory input that will help to decrease
toe-walking behaviors
Stationary Activities
Squat position
Reaching backwards
o This makes it difficult to maintain
standing position on toes and
encourages use of heels to keep
balance
Dynamic Activities
Stretching
Manual Calf Stretch: Have the child sit comfortably
with his/her knee straight. Place
your hand between the sitting surface and childs heel so
you are cupping the heel in your hand, placing
your forearm, lengthwise, along the bottom of the childs
foot. Slowly place pressure on the foot with your arm so
that the toes point up and back towards the childs body.
Hold this stretch for 30 seconds and repeat 2 times.
Wall Stretch:
Have the child place his hands on a wall and point both of
his feet at the wall. One foot should be behind the other
as pictured to the right. Have the child bend his front leg
and lean into the wall while keeping his back leg straight.
He should keep both heels down on the floor during the
stretch. He should hold the stretch for 30 seconds and
repeat 2 times.
Towel Stretch:
Have the child sit comfortably on the floor with both legs
straight out in front. Wrap a towel around both feet
so that it is on the lower half of the nook of his foot. He
should hold onto the towel at both ends. Have him pull
the towel towards him while pushing his knees flat into
the floor and keeping his back straight. He should hold
the stretch for 30 seconds and repeat 2 times.
References:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3565400/
https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/childrens-hospital/developmentaldisabilities/conditions/documents/toewalkinghep-2006.pdf
https://www.aea267.k12.ia.us/system/assets/uploads/files/1771/toe_walking_childrens_hospital_
of_minnesota.pdf
https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/childrens-hospital/developmentaldisabilities/conditions/documents/toewalkinghep-2006.pdf