Tests and diagnosis
By Mayo Clinic staffToe walking can be observed during a physical exam. In some cases, the doctor may do an in-depth gait analysis or an exam known as electromyography (EMG). During EMG, a thin needle with an electrode is inserted into a muscle in the leg. The electrode measures the electrical activity in the affected nerve or muscle.
If the doctor suspects an underlying condition such as cerebral palsy or autism, he or she may recommend a neurological exam or testing for developmental delays.
- Solan MC, et al. Idiopathic toe walking and contractures of the triceps surae. Foot Ankle Clinics of North America. 2010;15:297.
- Williams CM, et al. Idiopathic toe walking and sensory processing dysfunction. Journal of Foot and Ankle Research. 2010;3:16.
- Williams CM, et al. The toe walking tool: A novel method for assessing idiopathic toe walking children. Gait & Posture. 2010;32:508.
- Cerebral palsy: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/cerebral_palsy/detail_cerebral_palsy.htm. Accessed Jan. 23, 2012.
- JAMA patient page: Muscular dystrophy. Journal of the American Medical Association. 2011;306:2526.
- Autism fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/autism/detail_autism.htm. Accessed Jan. 23, 2012.
- Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed Jan. 23, 2012.

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