• McNamara M
• Alcantara Joel

• Affiliation / Private Practice of Chiropractic
• Affiliation / Research Director. International Chiropractic Pediatric Association
• Affiliation / Sherman College of Chiropractic. Research Consultant
• Affiliation(G) / United States / Missouri / St. Charles
• Affiliation(G) / United States / Pennsylvania / Media
• Affiliation(G) / United States / South Carolina / Spartanburg
• Feeding and Eating Disorders
• Female
• Gait
• Infant
• Logan Basic Technique
• Walking
• Zygoma

Objective: To describe the care of an infant with idiopathic toe walking and feeding difficulties.

Clinical Features: 15-month-old female started walking at 12-13 months of age, preferring to toe-walk. The infant would take a few steps with flat feet and begin toe walking by the 4th or 5th step. Additionally, the infant had difficulty eating with onset at three months of age. She refused to nurse or bottle-feed. Once on solids, she would only eat with distractive play. The child’s mother indicated difficulties with the mechanics of nursing, bottle-feeding, and eating.

Intervention and Outcome: The patient was cared for with Logan Basic Technique. In addition, her malar suture was released intra-orally. At the fourth visit, the patient began walking normally. At three months follow-up the child continued to walk heel-to-toe, eats normally and continues to receive chiropractic care on a wellness care basis.

Conclusion: This case report adds to the evidence that idiopathic infant toe walkers and those with feeding difficulties may benefit from chiropractic care. We encourage continued documentation of similar cases to inform practice and research.

Author keywords: Chiropractic, toe walker, Logan Basic, adjustment, vertebral subluxation, eating disorder

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