We yu smɔl pikin bigin fɔ waka, yu kin pe atɛnshɔn gud wan to ɛni smɔl tin bɔt am, nɔto so? Sɔntɛnde yu kin notis se yu pikin de waka wit in fut finga dɛn instead fɔ lɛ in il dɛn tɔch di grɔn. Dis na wetin wi de kɔl ``Toe Walking''. Sɔm mama ɛn papa dɛn kin fred smɔl we dɛn si dis. Bɔt yu tink se dis na sɔntin we wi fɔ fred ɔltɛm? Lɛ wi tɔk mɔ bɔt am.
Wetin rili na fɔ waka na fut? (Toe Walking) Na nɔmal tin?
Fɔ tɔk am simpul wan, ``Toe Walking'' min se yu pikin de waka pan di bɔl dɛn na in fut ɛn fut, we di il dɛn na in fut nɔ de tɔch di grɔn. I tan lɛk pɔsin we de dans, bɔt wi de tɔk bɔt fɔ waka dis we ɔltɛm.
Naw, luk, i rili nɔmal fɔ mek smɔl pikin dɛn we nɔ rich tu ia yet waka wit dɛn fut finga dɛn lɛk dis we dɛn de lan fɔ waka. Natin nɔ de fɔ wɔri bɔt. As dɛn de ol, dɛn go bigin fɔ waka fayn wit dɛn il dɛn na grɔn. Bɔrku tɛm, dis nɔr kin ivin nid ɛni spɛshal tritmɛnt.
Bɔt if yu pikin kɔntinyu fɔ tip fut ivin afta i dɔn ol tu ia , sɔntɛnde i kin bi sayn fɔ se i gɛt wɛlbɔdi prɔblɛm, so i go fayn fɔ mek yu wɔri smɔl.
dis kin so kכmכn dat, pan pikin dεm we de divεlכp, lεk 2 pan 100 (2%) stil de waka na dεn fut we dεn rich 5 1/2 ia. כltu, pan pikin dεm we gεt sכm divεlכpmεnt dizayd כ delay, dεn kin fכnshכn bכt 41% fכ waka na dεn fut na dis ej.
Wetin na ɔda kwaliti dɛn we pɔsin kin gɛt we i de waka wit in fut?
Di men sayn na we di pikin de waka wit in fut finga dɛn. Na sɔntin we ɔlman kin si. If yu se to sɔm yɔŋ pikin dɛn, ‘Pikin/ gyal pikin, waka wit yu fut flat na grɔn,’ dɛn kin du dat. Bɔt if dɛn kɔntinyu fɔ waka wit dɛn fut finga dɛn, yu go si ɔda tin dɛn lɛk dis:
- Nɔ balans ɛn kɔdineshɔn: I tan lɛk se i at fɔ kip yu balans.
- Fɔdɔm ɔltɛm: I kin fɔdɔm pas ɔda pikin dɛn.
- I nɔ kin izi fɔ wɛr sus: Sɔm sus nɔ kin fit fayn ɔ i kin at fɔ wɛr.
- I nɔ izi fɔ tek pat pan spɔt ɔ ɔda tin dɛn we yu lɛk fɔ du: I kin at fɔ tek pat pan gem dɛn we nid fɔ rɔn ɛn jomp wit ɔda pikin dɛn.
- Fɔ tɔk bɔt pen na yu leg: Sɔntɛnde yu kin tɔk bak se yu leg dɛn de at.
- I nɔ izi fɔ waka pan il: Dis min se if dɛn aks yu fɔ waka wit yu fut finga dɛn ɔp ɛn yu il dɛn na grɔn, i nɔ kin izi fɔ du dat.
- di il kכd/Akilis tεndon stif: di tεndon dεm we de na di bak pat pan di leg, we de oba di il, kin fil tayt.
Wetin mek yɔŋ pikin dɛn kin waka wit dɛn fut finga? Wetin na di rizin dɛn?
Bɔrku tɛm, no patikyula rizin nɔr kin de fɔ mek yu de tɔp yu fut ɔltɛm.Dɔktɔ dɛn kin kɔl dis ``Idiopathic Toe Walking.'' Dat min ''fɔ nɔ no wetin mek i apin.'' Sɔntɛnde i kin bi abit.
Bɔt, sɔm ɔda rizin dɛn kin de.
Akilis Tɛndon we dɔn shɔt
na di bak pat pan yu leg, usay yu kalf mכsul dεm de kam togεda, wan strכng tεndon de we dεn kכl Akilis Tεndon. Dis na wetin de kɔnɛkt to yu il bon. We yu yuz yu kalf mכsul dεm, dis Akilis Tεndon de pul yu il כp.
pan sɔm pipul dεm we de waka na di fut, dis tεndon kin sכt sכm we dεn bכn dεm. . Dis kin mek i nɔ izi fɔ di pikin fɔ waka nɔmal wan wit dɛn il dɛn na grɔn. Dis na prɔblɛm ɛn na tin we nɔ kɔmɔn.
Sɔm big pikin dɛn we kin tip fut kin du dat bikɔs dɛn nɔ gɛt di abit. Ɔ, i kin bi bikɔs dɛn tɛndon ɛn ligamɛnt dɛn dɔn stif as tɛm de go ɛn i kin at fɔ waka nɔmal wan wit dɛn il dɛn na grɔn.
Ɔda tin dɛn we kin mek pɔsin nɔ bɔku
Pan ɔl we bɔku tɛm i nɔr kin wɔri bɔt, in rare cases , fɔ waka na yu fut kin bi sayn fɔ wan ɔndalayn mɛdikal kɔndishɔn. Fɔ ɛgzampul:
- Wan bren dizayd: Na wan sik lɛk `(Sɛribral Palsi)`.
- wan mכsul כ nεv dizכrd: Na kכndyushכn lεk ``Muscular Dystrophy''.
- Wan abnɔmal tin na di spayna.
- Ɔtizm Spɛktrum Disɔda (ASD) .
Yu tink se kɔnekshɔn de bitwin ɔtizm ɛn tip-toeing?
Yes, fɔ waka na yu fut na di pikin dɛm wae gɛt Autism Spectrum Disorder (ASD). Wan big stɔdi dɔn sho se lɛk 9% pan di pikin dɛn we gɛt ASD kin waka wit dɛn fut finga. Di sem stכdi sho se less dan 0.5% pan di pikin dεm we nכ gεt ASD de waka dis we.
De ekzak kɔz fɔ dis nɔr klia yet , as dɛn nɔr dɔn fɛn no dairekt link bitwin ɔtizm ɛn tiptoeing. i kin bi se we di vein dεm na di ankכl sכmtεm de mek i nכ muv.
Ɔ, i kin bi sɔntin we gɛt fɔ du wit di sɛns sistɛm . Bɔrku pikin dɛm wae gɛt ɔtizm kin gɛt sɔm prɔblɛm na dɛn vestibular sistɛm. dis vεstibular sistεm na in de gi wi bren infכmeshכn bכt di muvmεnt, poshכn, εn spatial כryenteshכn. Dis kin bi rizin bak fɔ mek pɔsin waka wit in fut. Sayɛnsman dɛn nid fɔ du mɔ risach bɔt dis fɔ ɔndastand gud gud wan aw di tin dɛn we pɔsin kin du we i de fil kin afɛkt di we aw pɔsin de waka na in fut.
Wi kin si tip-toeing bitwin big pipul dɛn?
Yɛs, sɔm pipul dɛn stil de waka wit dɛn fut finga dɛn we dɛn dɔn big. Sɔntɛm dɛn bin tray fɔ kɔrɛkt am we dɛn bin yɔŋ, bɔt i nɔ bin dɔn kɔmɔt kpatakpata, ɔ sɔntɛm di tritmɛnt nɔ bin wok fayn.
Ɔda tɛm dɛn, ivin we yu dɔn big, yu kin bigin fɔ waka wit yu fut finga dɛn fɔ no rizin. Sɔm wɛl bɔdi prɔblɛm dɛn we kin afɛkt di fut, lɛk kɔn, kɔl, ɛn periferik nyuropathy, kin mek bak yu fut waka.
Aw dɔktɔ dɛn kin no di kɔrɛkt we aw pɔsin de waka wit in fut?
We yu kɛr yu pikin go to dɔktɔ, i go aks yu fɔs bɔt yu pikin in kɔmplit mɛdikal istri . Dɔn, i go du wan ɛgzam pan in bɔdi . As pat pan dis ɛgzamin, di dɔktɔ go tek tɛm wach di we aw yu pikin de waka. I go chɛk fɔ ɛni prɔblɛm wit yu pikin in leg ɛn fut. I go chɛk bak usay di pikin de muv ɛn if ɛnitin de we i nɔ ebul fɔ muv.
Apat frɔm dat, dɛn kin du bɔku nyurolɔjik tɛst fɔ si if ɛni prɔblɛm de wit di pikin in nervɔs sistɛm. Dɛn tin ya na:
- Fɔ chɛk di pikin in riflɛs.
- Fɔ mɛzhɔ di digri we yu de fil na di an ɛn leg.
- Fɔ tɛst di mɔsul dɛn trɛnk.
Us tritmɛnt dɛn kin du fɔ stɔp fɔ waka na yu fut?
Di tritmɛnt fɔ stɔp fɔ waka na yu fut de dipen pan sɔm tin dɛn. Dɛn tin ya na:
- Yu pikin in ej .
- Aw bad di pikin de tip fut.
- Wetin na di men rizin we mek dis tin de apin?
I go mɔs bi se yu dɔktɔ go tɛl yu fɔs fɔ tek tritmɛnt dɛn we nɔto ɔpreshɔn . Dɛn tin ya na:
- Fyzikal Tεrapi: Di pikin de wok wit fyzikal tεrapist fכ du strεch εksεsayz fכ di mכsul dεm na in ankכl εn fut. Dis kin ɛp fɔ ridyus di stiffness ɛn inkrisayz rɛnj fɔ muv. Sɔntɛnde, tradishɔnal fizik tɛrapi kin yuz wan we we dɛn kɔl siriɔs kastin. Insay dis, di pikin kin wɛr wok fɔ sɔm wiks. dis de εp di mכsul dεm εn di ligament dεm na di ankכl fכ strεch εn lεng.
- Ankle-Foot Orthotics (AFO): Yu pikin kin wɛr plastic bres. dis de εp fכ mek di fut de 90 digri angle we di pikin de waka כl di de, i de strεch di mכsul dεm εn di ligament dεm na di ankכl. Dɛn kin du dis bay we dɛn de wok togɛda wit wan dɔktɔ we de mɛn pipul dɛn we gɛt bɔdi ɛn ɔtotis (wan dɔktɔ we sabi bɔt splint ɛn bres).
- Fɔ wach:Sɔntɛnde di dɔktɔ go tɛl yu fɔ tek ``wet-ɛn-si'' we. Dat min se fɔ si if di sik go bɛtɛ fɔ insɛf. Bɔt dɛn nɔ kin yuz dis we fɔ pas siks mɔnt.
- Botulinum A Toxin (Botox®) Injekshɔn: Dɛn kin gi Botox® injɛkshɔn fɔ mek di pikin in mɔsul dɛn wik ɛn mek i izi fɔ kɔntrakt.
Jɔs tink bɔt dat, i go tan lɛk se i nɔ izi fɔ wɛr bres lɛk dis we yu pikin de ple ɔl di de. Bɔt as tɛm de go, di bɛnifit dɛn we wi go gɛt go fayn fɔ am.
If yu pikin dɔn pas 5 ia , yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ mek di Akilis tɛndon ɛn di kalf mɔsul dɛn lɔs ɛn lɔng. Dis ɔpreshɔn kin ɛp yu pikin in fut ɛn anklɛ fɔ muv ɛn wok fayn fayn wan.
Dɔn bak, wan tritmɛnt we dɛn kɔl ``Vestibular-Sensory Therapy'' kin ɛp di pikin. insay dis, di pikin kin mit wit wan okyupashכnal tεrapist כ fכs tεrapist εn i kin gεt tritmεnt we de mek dεn ``Vestibular System''.
Yu kin mek yu nɔ waka na yu fut?
Yɛs, te to sɔm mak i pɔsibul. Bɔt i rili impɔtant fɔ mek yu tɛl yu pikin in dɔktɔ we de mɛn pikin dɛn bɔt dis. Dɔn i kin ebul fɔ chɛk di tin we apin fayn fayn wan ɛn du wetin nid fɔ apin.
As yu pikin de ol, yu kin ɛp am fɔ strɛch in Akilis tɛndon ɛn ridyus di chans fɔ waka na in fut. I kin ɛp bak fɔ pik sus we fit fayn ɛn we gɛt gud sɔpɔt.
Wetin na di prognosis fɔ pikin dɛm we gɛt tiptoe?
Di pikin in fiuja dipen pan wetin mek dɛn fut de waka. If na idiopathic toe walking, usay dɛn nɔ go ebul fɔ fɛn ɛni kɔz, bɔku pikin dɛn kin wɛl ɔltogɛda wit tritmɛnt ɛn lan fɔ waka nɔmal wan wit dɛn il na grɔn. Bɔku tɛm, dɛn kin ebul fɔ tek pat pan spɔt ɛn ɔda tin dɛn.
Bɔt sɔm pikin dɛn kin kɔntinyu fɔ de na dɛn fut ivin afta dɛn dɔn trit dɛn ɔ ɔpreshɔn . Na da tɛm de dɛn nid fɔ gɛt leg bres ɛn i kin ɛp.
Us prɔblɛm dɛn kin apin if yu kɔntinyu fɔ waka wit yu fut finga dɛn?
If yu kɔntinyu fɔ waka na yu tip fut, dat kin mek yu pikin in Akilis tɛndon ɛn di kalf mɔsul dɛn tayt. Dis kin mek i nɔ izi, if nɔto i nɔ pɔsibul , fɔ mek yu pikin waka nɔmal wan wit in il dɛn na grɔn.
Apat frɔm dat, di pikin nɔ kin ebul fɔ muv na in fut ɛn anklɛ, ɔ i kin at fɔ wɛr sɔm sus dɛn, mɔ di wan dɛn we dɛn kin yuz fɔ sket ays. If di pikin nɔ kɔntrol dis fut we i de waka as i de ol, ɔda prɔblɛm dɛn wit di mɔsul ɛn skel ɛn pen kin kam.
Wetin a fɔ aks di dɔktɔ bɔt dis?
If yu pikin kɔntinyu fɔ tip fut afta tu ia, i go fayn fɔ aks in dɔktɔ bɔt dɛn tin ya:
- Us spɛshal pɔsin mi pikin fɔ go to fɔ trit dis?
- Mi pikin go nid fɔ gɛt kɔst ɔ leg bres ?
- Us tɛst dɛn fɔ du fɔ mek shɔ se nɔ ɔda mɛrɛsin nɔ de lɛk Sɛribra Palsi?
- A fɔ wɔri bɔt di sayn dɛm fɔ ɔda sik, lɛk Autism Spectrum Disorder?
- If dis kayn tin kɔntinyu fɔ apin, aw i go afɛkt di ɔda pat na mi pikin in layf?
Fɔ dɔn, tin dɛn we wi fɔ mɛmba
So, fɔ waka na dɛn fut na kɔmɔn tin we dɛn kin si pan yɔŋ pikin dɛn, mɔ we dɛn de lan fɔ waka. Bɔku pikin dɛn kin gro pas dis afta sɔm tɛm ɛn bigin fɔ waka nɔmal wan wit dɛn il na grɔn.
Bɔt nɔto ɔltɛm, fɔ waka na yu fut kin bi sayn fɔ wan ɔndalayn mɛdikal kɔndishɔn. So, if yu gɛt ɛnitin fɔ wɔri bɔt ɔ wɔri bɔt aw yu pikin de waka na in fut, mek shɔ se yu tɔk to dɔktɔ. Yu dɔktɔ kin no if na rili prɔblɛm ɛn if na so i bi, us tritmɛnt we fayn fɔ am.
Mɛmba se nɔto ɔl di waka we yu de waka wit yu fut na siriɔs tin. Bɔt, i impɔtant fɔ no bɔt am ɛn go to dɔktɔ if nid de. Mek yu smɔl pikin gɛt wɛlbɔdi ɛn gladi at tumara bambay!
` Tiptoe waka, toe walking, pikin dɛm, fut prɔblɛm, fizik tɛrapi, ɔtizm, mɛrɛsin tritmɛnt











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