Paediatric in-toed gait is a common source of referral to podiatrists. Sometimes the in-toed gait pattern is associated with pain, fatigue, tripping, uneven shoe-wear and other symptoms that necessitate treatment.
One treatment frequently combined in the management of in-toed gait is the orthotic device with a gait plate extension. Very few studies have investigated the effectiveness of the gait plate extension, although some promising results were reported in a recent systematic review by Uden and Kumar (2012). They reported some limited evidence that ‘gait plates’ and ‘orthotic devices with a gait plate extension’ may assist in the management of a paediatric in-toed gait pattern.
To get a clinical perspective on the prescription of the gait plate addition, we caught up with experienced podiatrist Russell Dovison from Bayside Podiatry.