Introduction of Autism

Autism Spectrum Disorders (ASD) is characterized by the tendency of engaging in social-negotiation difficulties, communication challenges and repetitive behaviors. The Autism child faces the communication challenges to spoken others. The tendency to engage in repetitive behavior. In ASD children may struggle with master higher level motor skills like that caching ball skills, rope skipping, riding a bike, balancing and hopping. These things affect their overall development.   


The word spectrum shows that wide changes in challenges and strengths possessed by everyone with autism. Autism tends signs find the common age between 2 and 3 years, often associated with neurological immaturity. They Face the lack of spoken language interfere every day in his life. The ASD chart:

The Toe walking Autism:

Toe walking means the child walks on his toe or on the balls of their feet not using their whole feet. This symptom commonly found in young age like who just start learning to walk and usually rises quickly.

Those children who continue to walk without touching their high heels on the ground for more than three months of learning about walking, they usually have a gross motor function loss known as “toe walking”. Toe walking is not a permanent symptom of this deficit as some child usually do it out of habit. But if you look at it, then it is appropriate to seek the cause of this issue. Toe walking can be a sign of autism, cerebral palsy, muscular dystrophy, or a short Achilles tendon.

Causes of Toe walking

  • A short Achilles tendon
  • Cerebral palsy
  • Muscular dystrophy
  • Autism

A dysfunctional vestibular system is a common problem in autism.  Vestibular system provides the feedback regarding body motion and position with a brain. It may be possible to reduce or eliminate the toe by providing a person with a medical vestibular stimulus. Toe walking might be directly or indirectly related to the visual-vestibular problem.

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Common Causes of Toe Walking Autism:

  • Sensory issues
  • Tight calf muscles and shortened heel (Achilles) tendons
  • Hyper-reactive calf muscles
  • Hyperextended back posture

In all above each situation, the physical therapist develops a personal program to find the issues and help the autistic child to develop the healthy manner of walking.

     The Exercise of Toe walking Autism:

  1. Exercise for child leg muscle strengthening and coordination. For example, tell the child to practice walking her heels not, his toe.
  2. Activities to reduce hypersensitivity and reduce sensitivity issues We have seen examples where it was easy to find socks without disturbing seams. Sometimes the sensory issues were away more complex. We strongly urge professional help with such issues, because if the problem does not fit into the challenges of the child then it can be easy to spoil the problem.
  3. Muscle stretching or apply of casts length tight or short calf muscle.
  4. Posture exercise and help to improve body alignment.
  5. If all above measures are not useful or sufficient, an orthopedic doctor might not propose orthotics or braces for lower legs, ankles, and feet. Another medical intervention involves Botox injections to rest calf muscles. As a last option, a child may need the surgery to lengthen the heel tendons.

Toe walking is out of habit, it is also known as idiopathic toe walking. Regular toe walking can increase the rate of the child’s risk of falling. The falling reason can result in a stigma.An experienced physiotherapist in pediatrics will assess the overall motor functioning of the child, identify the underlying difficulties, and provide an intervention program to help solve or improve these difficulties and later the child’s overall functioning. Strategies that can be used as part of the Physiotherapy Intervention Plan.

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