I naupang tê chu an ke ruhte chungah a kal em? Toe walking chungchang hi han sawi ila!

I fate chu a kal tan chuan a chanchin tenau zawng zawng chu ngun takin i ngaihven thin a ni lawm ni? A châng chuan i naute chu a kekawrtein lei a khawih ai chuan a ke ruhte hmangin a kal tih i hmu ṭhin. Hei hi ``Toe Walking'' kan tih chu a ni. Nu leh pa thenkhat chuan hei hi an hmuh hian an hlau deuh thin. Mahse hei hi hlauh tur thil a ni fo em? A chungchang hi chipchiar zawkin han sawi ila.

Toe walking hi eng nge ni tak tak? (Toe Walking) A pangngai em?

A awlsam zawngin ``Toe Walking'' tih hian i fa chu an ke leh ke ruh ball-ah a kal tihna a ni a, an ke kephah chuan lei a tawk lo. Zai thiam ang mai a ni a, mahse hetiang lam hawi zawnga kal chungchang hi kan sawi fo thin.

Tunah chuan en teh, naupang kum hnih hnuai lam te hian kal an zir dawnin hetiang hian an ke ruhroah an kal hi thil pangngai tak a ni. Thil ngaihtuah tur a awm lo. An upat deuh deuh chuan an kekawrte chu leiah dahin an kal tha tan ang. A tam zawkah chuan hei hi enkawlna bik pawh a ngai lo.

Mahse, i fa chuan kum hnih a tlin hnuah pawh a kephah a tip chhunzawm zel a nih chuan , a chang chuan hriselna lama harsatna a lantir thei a, chuvangin tlem tal ngaihtuah a tha.

Hei hi a tam em em a, naupang lo thang lian tlangpui zingah chuan kum 5 1/2 an tlin meuh chuan 100 zinga 2 vel (2%) vel chu ke ruh (toe walking) an la ni. Mahse, naupang hmasawnna lama harsatna nei emaw, tihkhawtlai emaw nei zingah chuan 41% vel chu he kum hian ke ruh (toe walking) an nei tih hmuhchhuah a ni.

Toe walking-a mizia dangte chu engte nge ni?

A lan chhuah dan ber chu naupang chu a ke ruh chunga a kal a ni. Mi zawng zawng hmuh theih thil a ni. Naupang tê tê ṭhenkhat hnênah, ‘Fapa/fanu, leiah i ke hrual chungin kal rawh’ i tih chuan chutiang chu an ti thei a ni. Mahse, an ke ruhte hmanga an kal chhunzawm chuan hetiang thil dang hi i hmu ang:

• Balance leh coordination tlakchhamna: I balance neih hi a harsa hle niin a lang.
• Tlu fo: Naupang dang aiin a tlu tam thei.
• Kekawr hak harsa: Kekawr thenkhat chu a in fit tha lo emaw, bun harsa emaw a ni thei.
• Infiamna emaw, hobby dang emawa tel harsa: Naupang dangte nen tlan leh zuang chhuak ngai game-a tel chu a harsa thei hle.
• Ke natna chungchang sawi: A chang chuan i ke a na tih i sawi thei bawk.
• Heels-a kal harsa: Hei hian i ke ruhte chawi sangin, i kekawrte leia kal tura tih i nih chuan a harsa tihna a ni.
• Heel Cords/Achilles Tendon Stiffness: Ke hnunglam, kekawr chunglam tendons te hi a tight hlein a lang thei.

Engvangin nge naupang tê tête chu an ke ruh chungin an kal? A chhan engte nge ni?

A tam zawkah chuan tiptoeing reng reng hi chhan chiang tak a awm lo .Doctor-te chuan hei hi ``Idiopathic Toe Walking'' an ti a, chu chu ''a chhan hriat loh'' tihna a ni.A chang chuan tih dan a ni thei bawk.

Mahse, chhan dang eng emaw zat a awm thei.

Achilles Tendon tih tawi a ni

I ke hnung lamah, i bawnghnute ruhte inzawmkhawmna hmunah hian tendon chak tak Achilles Tendon an tih a awm a. Hei hi i kephah ruh nena inzawmtu a ni. I calf muscles i hman hian he Achilles Tendon hian i kephah a rawn hruai chho a.

Toe walker thenkhatah chuan he tendon hi pian tirh lamah a tawi deuh thei. . Hei hian naupang tan a kekawrte chu leiah dahin a kal dan pangngaia kal a harsat phah a ni. Hei hi harsatna leh dinhmun danglam tak a ni.

Naupang kum upa zawk thenkhat, kephah tip (tiptoe) te chuan an tih dan phung avang hian an ti mai thei. A nih loh leh, hun kal zelah an tendon leh ligament te a lo nghet tawh a, an kekawrte chu leiah dahin pangngai taka kal a na avangin a ni thei bawk.

A chhan dang hmuh tur awm lo tak tak

Although most of the time it’s nothing to worry about, in rare cases , ke ruh kal hi a hnuaia damdawi lam dinhmun chhinchhiahna a ni thei. Entir nan:

• A thluak lama harsatna: `(Cerebral Palsy)` ang chi natna.
• Muscle emaw nerve disorder: ``Muscular Dystrophy'' ang chi natna.
• Spine-a thil awm lo (abnormality) a awm.
• Autism Spectrum Disorder (ASD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk.

Autism leh tiptoeing hi inzawmna a awm em?

Ni e, ke ruh (toe walking) hi naupang Autism Spectrum Disorder (ASD) vei zingah a tam zawk. Zirna lian tak pakhatah chuan ASD vei naupang 9% vel chu an ke ruh hmangin an kal tih hmuhchhuah a ni. He zirchianna vek hian ASD nei lo naupang 0.5% aia tlem chu hetiang hian an kal tih hmuhchhuah a ni.

The exact cause of this is not yet clear , autism leh tiptoeing inkarah hian direct link hmuh a la ni lo. Ankle-a veins te a zim lutuk hian chetna a tikhawtlai a ni thei.

A nih loh leh, sensory system nena inzawm thil a ni thei bawk . Naupang autism vei tam tak chuan an vestibular system-ah harsatna engemaw zat an nei a. He vestibular system hi kan thluak hian kan chetna, a dinhmun leh a hmun (spatial orientation) chungchang hriattirna petu a ni. Hei hi ke ruh (toe walking) chhan pawh a ni thei bawk. Scientist te chuan sensory processing hian toe walking a nghawng dan dik tak hriatthiam nan he thil hi zirchianna tam zawk an neih a ngai a ni.

Puitling zingah tiptoeing kan hmu thei em?

Ni e, mi thenkhat chu puitling an nih chuan ke ruh hmangin an la kal zel a. An naupan laia siamthat an tum a, mahse a bo vek lo a, a enkawl dan pawh a hlawhtling lo a ni mai thei.

A châng dangah chuan, puitlin hunah pawh, chhan hriat lohvin i ke ruhte hmangin i kal ṭan thei a ni. Ke ruh tichhe thei hriselna lama harsatna thenkhat, corn, callus, leh peripheral neuropathy te pawh hian ke ruh (toe walking) a thlen thei bawk.

Engtin nge doctor-te hian ke ruh (toe walking) dik taka an hriat theih?

I fa chu doctor hnena i hruai hunah chuan i fate damdawi lam chanchin kimchang a zawt hmasa ang che . Tichuan, taksa enfiahna a nei ang . He endiknaah hian doctor chuan i fa kal dan chu uluk takin a enfiah ang. I fa ke leh keah harsatna a awm leh awm loh a enfiah ang. Naupang chetna range leh tihkhawtlai a awm leh awm loh a enfiah bawk ang.

Hei bakah hian naupang nervous system-ah harsatna a awm em tih hriat nan neurological test eng emaw zat neih theih a ni bawk. Chung zingah chuan:

• Naupang reflexes enfiah.
• Kut leh kea sensation hriat zat tehna.
• Muscle chakna test.

Ke ruh kalna tihtawp nan eng enkawlna nge tih theih ang?

Toe walking tihtawp dan tur enkawlna chu thil engemaw zatah a innghat a ni. Chung zingah chuan:

• I fa kum zat .
• Engtiang chiahin nge naupang tiptoes.
• Hetiang dinhmun lo awm chhan bulpui ber chu eng nge ni?

A tam zawkah chuan i doctor chuan nonsurgical treatment a rawn rawt hmasa ang. Chung zingah chuan:

• Physical Therapy: Naupang hian physical therapist nen thawkdunin a ke ruh leh ke ruh te chu stretching exercise an ti thin. Hei hian stiffness tihziaawmna leh range of motion tihsan nan a pui thei bawk. Traditional physical therapy-ah hian a chang chuan serial casting an tih dan an hmang thin. Hemiah hian naupang chuan kar engemaw zat chu walking cast a ha thin. Hei hian ke ruh chhunga thau leh ruh (ligament) te chu a tizau a, a sei thei bawk.
• Ankle-Foot Orthotics (AFOs): I fain plastic brace a bun thei. Hei hian naupang chu nilengin a kal laiin ke chu degree 90-a a awm theih nan a pui a, ke ruh chhunga ruh leh ligament te chu a tizau a ni. Hei hi physical therapist leh orthotist (medical professional, splints leh braces lama tui tak) te nen thawhhona tha tak neia tih a ni.
• Hmuhdan:A châng chuan doctor chuan ``wait-and-see'' approach hmang turin a hrilh ang che. Chu chu, a dinhmun chu a mah chauhin a ṭhat leh ṭhat loh en a ni. Mahse he approach hi thla ruk aia rei hman a ni lo.
• Botulinum A Toxin (Botox®) Injection: Botox® injection hi naupang thau chak lo leh contract awlsam zawk nan pek theih a ni.

Ngaihtuah teh, i fa nilengin a inkhelh lai hian hetiang brace hi bun hi a buaithlak deuh mai thei. Mahse hun rei tak chhung chu a hlawkna chu a phu hle.

If your child is over 5 years old , i doctor chuan Achilles tendons leh calf muscles te tihzauh leh sei turin operation neih a rawt thei ang. He surgery hian i fate ke leh ke ruh chhunga a chetna leh a hnathawh dan tur a tichangtlung thei a ni.

Tin, ``Vestibular-Sensory Therapy'' tih damdawi hian naupang a pui thei bawk. Hei hian naupang chu occupational therapist emaw physical therapist emaw nen an inhmu a, an ``Vestibular System'' tichaktu enkawlna an dawng thin.

Toe walking i veng thei em?

Ni e, eng emaw chen chu a theih a ni. Mahse, hemi chungchang hi i fa naupang doctor hnenah i hriattir a pawimawh hle . Tichuan, a dinhmun chu uluk takin a chhui chhuak thei a, a tul ang ang a ti thei bawk.

I fa chu a lo upat deuh deuh chuan an Achilles tendons te chu i tizau thei a, ke ruh kal theihna pawh i ti tlem thei bawk. Tin, pheikhawk in fit tha leh support tha tak thlan nan a pui bawk.

Naupang tiptoe nei tan chuan eng prognosis nge ni?

Naupang hmalam hun chu an ke ruh kal chhanah a innghat a ni. Idiopathic toe walking, a chhan hmuh theih lohna hmunah chuan naupang tam zawk chu enkawlna hmangin an dam chhuak vek a, leiah an kekawrte dahin kal dan pangngai an zir thin. Infiamna leh thil dang dangah an tel thei tlangpui.

Mahse, naupang ṭhenkhat chuan enkawlna emaw, operation emaw an neih hnuah pawh kephah an tip chhunzawm thei a ni . Chutih lai chuan ke brace hman a ngai a, a pui thei bawk.

I ke ruhte hmanga i kal chhunzawm chuan eng harsatna nge lo awm thei?

Tiptoe kal chhunzawm zel hian i fate Achilles tendons leh calf muscles te a tikhauh thei a ni. Hei hian i fa chu a kekawrte chu leiah dahin a kal dan pangngaia kal chu a ti harsa thei a, thil theih loh pawh a ni lo .

Chu bâkah, naupang chuan a ke leh ke ruhte chu a che thei lo thei a, a nih loh leh pheikhawk ṭhenkhat, a bîk takin ice skating-a hman ṭhin chu bun harsa a ti thei bawk. Naupangin a lo puitlin rualin he ke ruh kalna hi a thunun loh chuan taksa ruh leh ruh lama harsatna dang leh natna a lo awm thei a ni.

Hemi chungchangah hian doctor hnenah eng nge ka zawh ang?

I fain kum hnih a tlin hnuah pawh a kephah a tip chhunzawm zel a nih chuan a hnuaia mite hi a doctor zawt la a tha ang:

• Hei hi enkawl turin ka fa hian eng specialist nge a hmuh ang?
• Ka fa hian cast emaw leg braces emaw a mamawh dawn em ?
• Cerebral Palsy ang damdawi dang a awm loh nan eng test nge tih tur?
• Condition dang, Autism Spectrum Disorder ang chi symptoms te hi ka ngaihtuah tur em ni?
• Hetiang dinhmun hi a la awm zel a nih chuan engtin nge ka fa dam chhung zawng a nghawng ang?

A tawp berah chuan thil hriat reng tur

Chuvangin, ke ruh (toe walking) hi naupang tê tête zingah hmuh tur awm fo a ni a, a bik takin kea kal an zir lai hian. Naupang tam zawk chuan hei hi rei vak lo hnuah an outgrow a, an kekawrte chu leiah dahin an kal pangngai tan thin.

Mahse, a tlem hle a, ke ruh (toe walking) hi damdawi lam dinhmun hnuaia awm chhinchhiahna a ni thei. Chuvangin, i fa ke ruh kal dan chungchangah ngaihtuahna emaw, lungkhamna emaw i neih chuan doctor nen inbia ngei ang che. I doctor chuan harsatna a ni tak tak em tih a hre thei a, a nih chuan eng enkawlna nge a tan a tha tih a hre thei bawk.

Toe walking zawng zawng hi a serious vek lo tih hre reng ang che. Mahse, hriat reng a pawimawh a, a tul chuan damdawi lam thurawn lak a pawimawh. I fate hian hmalam hun hrisel leh hlim tak nei rawh se!

` Tiptoe walking, toe walking, naupang, ke lama harsatna, physical therapy, autism, damdawi lam enkawlna