Why Do Some Children With Autism Toe Walk—and What Can Parents Do?

a child's feet with little smily faces drawn on each toe

Are you concerned about your child’s toe walking habits? Toe walking, a common concern for parents, can sometimes be associated with autism spectrum disorder (ASD). Understanding the connection between toe walking and autism is crucial for early intervention and support.

What is Toe Walking?

Toe walking refers to a walking pattern where a person walks on their toes or the balls of their feet without their heels touching the ground. While occasional toe walking in toddlers is common, persistent toe walking beyond the age of two may indicate an underlying issue.

The Connection with Autism

Toe walking is often observed in children with autism spectrum disorder (ASD). While not all toe walkers have autism, studies suggest that many children with ASD exhibit toe walking behavior. Children with Autism often have higher sensory seeking behaviors, and being up on their toes gives them deep sensory input through their feet and in their contracted calf muscles. This connection can lead to more targeted interventions and support from therapists and parents.

How Can a MetroEHS Physical Therapist Help?

Physical therapy plays a crucial role in addressing toe walking in children, especially those with autism. A skilled physical therapist can:

  • Assess the Underlying Causes: A physical therapist will conduct a comprehensive evaluation to identify any underlying factors contributing to toe walking, such as muscle tightness, sensory issues, muscle weakness, or lack of range of motion.
  • Develop Individualized Treatment Plans: Based on the assessment, the physical therapist will create a personalized treatment plan tailored to your child’s needs. This plan may include stretching exercises, strengthening activities, balance training, or different sensory inputs.
  • Educate and Empower Families: MetroEHS Physical Therapists work closely with families to educate them about toe walking and provide strategies for home exercises and activities to support their child’s progress.

Toe-walking can impact your child long-term if left untreated:

Toe walking will impact your child’s overall body positioning, posture, and muscles. With toe walking, because of these impacts, it will also change the load of the body’s joints and likely cause chronic pain as the individual ages. It is common for toe walkers to lose range of motion in their ankles, preventing them from being able to reach their heels to the ground and causing their Achilles tendon to shorten. In more severe cases, if the Achilles tendon shortens too much, the only way to regain that length is with a surgical lengthening.

Take the First Step Towards Support

If you’re concerned about your child’s toe walking or suspect they may have autism, early intervention is key. Schedule an evaluation with a qualified physical therapist who specializes in pediatric care. Together, we can help your child take confident steps towards improved mobility and independence.

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May 16, 2023

What Is Intensive Feeding Therapy at MetroEHS and How Does It Work?

What is the Intensive Feeding Therapy Program Like at MetroEHS?

As we dive into the details of the Intensive Feeding Therapy Program at MetroEHS, hear from the experts at MetroEHS and how they collaborate on the most wholistic approach to Intensive Feeding Therapy.

Jessica Hunt (Occupational Therapist/Feeding Specialist):
When it comes to treating children who have complex feeding difficulties and pediatric feeding issues, there's a multitude of things that are typically at the root of the problem. So what's very unique about the program that we have here is that we have involvement from both occupational therapy, speech and language therapy, physical therapy, a dietician, as well as psychology.

Rose Britt (Registered Dietitian):
So it's all five disciplines. Spending time together with the family, with the patient, with each other, all talking at one cohesive time, making a plan instead of grabbing pieces from all over the place and putting them together. I think it makes it a lot smoother for us and the families as well.

Kris Krajewski (Director PT, OT, and Speech Services/SLP):
Each of our disciplines really does have something to offer to this process, but when we work all together, we have the ability to help our kiddos make more progress more quickly.

Kayla Daniels (Physical Therapist):
At Metro, we really take a whole body approach. We don't just look at one aspect of the child. And a lot of people don't think of physical therapy as part of the feeding team, but in order to eat, you have to use all of these posture and muscles, you have to hold yourself up. You have to hold your head up to be able to swallow. So really focusing on all of those aspects of your body is really important to be able to make the progress.

Azari Haygood (Psychologist):
As a psychologist on staff for the Intensive Feeding Program, I offer mental health services to the families and to some of the clients. It's very stressful for a lot of these families. It's stressful for the clients that we see. And so, I offer just another support for them, where I'm helping them kind of overcome some of the stressors that they're experiencing around feeding.

Rose Britt (Registered Dietitian):
It's not just me telling you what to do. There's so much more going into that, and you get to really listen to the families and hear why it's not working and problem solve together.

Kayla Daniels (Physical Therapist):
The impact you can make, not only on the child's life, but on the family's life as a whole is huge.

Azari Haygood (Psychologist):
Seeing that improvement in their family's lives feels really great all around.

Jessica Hunt (Occupational Therapist/Feeding Specialist):
One in 23 children have a pediatric feeding issue. And so, to truly be able to address all of the aspects of that in one place, that's where we get to make a difference every single day.

Kris Krajewski (Director PT, OT, and Speech Services/SLP):
It's like when you have a jigsaw puzzle and you're missing one piece, you can still tell what the picture of the jigsaw puzzle is going to be, but when you have all of the pieces together, integrated into this treatment, the result is just something so much more beautiful.

March 26, 2024

New Therapy for Age Old Issue: Pelvic Floor Therapy

MetroEHS introduced Pelvic Floor Therapy last month and this new therapy will change the lives of countless children because of it. Pelvic floor therapy is a specialized field of physical therapy that focuses on treating conditions and symptoms related to the pelvic floor muscles in children.  Pelvic Floor Therapy involves training your child on how to contract and relax the pelvic floor muscles and with retraining and regular exercises, your child can learn how to better control and gain sensory awareness of these muscles, which play a crucial role in urination and stooling.

Who Could Benefit from Pelvic Floor Therapy?

Pelvic floor therapy can be beneficial for children who struggle with or are unable to gain control over their bowel and bladder. This therapy is often recommended for children who are diagnosed with one or multiple of the following conditions:

  • Enuresis/Bedwetting
  • Constipation
  • Incontinence
  • Overactive bladder
  • Urinary frequency/retention
  • Urinary incontinence
  • Urinary urgency
  • Frequent UTIs

What to Expect with Pelvic Floor Therapy?

The success of pelvic floor therapy often depends on the involvement and commitment of parents or caregivers. Adherence to recommended diet modifications and daily routines can greatly improve the outcomes of this therapy. At MetroEHS, our physical therapists take into account the family history and any life-changing events to tailor the therapy according to the specific needs of each child.

May 7, 2025

Unlocking Your Child’s Potential: How Early Intervention and Neuroplasticity Shape Brain Development – WDIV Segment #2

Every child’s brain is equipped with a remarkable ability known as neuroplasticity—the capacity to adapt, reorganize, and form new neural connections in response to experiences and learning. This adaptability is especially potent during early childhood, making timely intervention crucial for children facing developmental challenges, including autism spectrum disorder (ASD).

In a recent discussion, Tia Moss and Kathleen Lewandowski, Regional Discipline Directors at MetroEHS Pediatric Therapy, emphasized the significance of early intervention and the role of neuroplasticity in shaping a child’s developmental trajectory.

Understanding Neuroplasticity in Early Childhood

Neuroplasticity refers to the brain’s ability to change and adapt throughout life. In early childhood, this adaptability is at its peak, with the brain forming over a million new neural connections every second. These connections lay the foundation for essential skills such as language, social interaction, and problem-solving.

The Importance of Early Intervention

Research consistently shows that early diagnosis and intervention for autism can lead to significant improvements in communication, social skills, and overall development. Intervening during the brain’s most malleable stages allows therapists to harness neuroplasticity effectively, promoting positive behavioral and cognitive changes.

Creating an Environment That Fosters Brain Development

To optimize neuroplasticity, it’s essential to provide children with stimulating environments that encourage exploration and learning. Engaging in play, encouraging movement, and stimulating the senses can all contribute to healthy brain development . Such environments support the formation of new neural pathways, reinforcing learning and skill acquisition.

Supporting Families Through Early Intervention

MetroEHS Pediatric Therapy is dedicated to helping families navigate the journey of early intervention. Their team of professionals offers comprehensive services, including ABA therapy, speech and language therapy, occupational therapy, and more, tailored to meet each child’s unique needs.

For more information on how MetroEHS can support your child’s development, visit metroehs.com or call 248-970-8402