How would one perform the toe walking test?

• A. Instructing the patient to walk on their toes for a few steps to assess calf strength.
• B. Instructing the patient to balance on one foot.
• C. Having the patient squat down and rise back up.
• D. Asking the patient to march in place.

Answer: (A)

The toe walking test is performed by instructing the patient to walk on their toes for a few steps. This test primarily assesses calf muscle strength and the functionality of the Achilles tendon. Walking on the toes engages the gastrocnemius and soleus muscles, which are critical for proper lower limb function.

When a patient walks on their toes, the clinician can observe for any difficulty, weakness, or compensatory movements that might indicate underlying musculoskeletal issues. This assessment is particularly important in pediatric evaluations to check for developmental issues or abnormalities.

The other options do not adequately assess toe walking or calf strength. Balancing on one foot focuses on stability and proprioception, while squatting and rising targets overall lower limb strength and joint mobility. Marching in place assesses coordination and balance but does not specifically test the ability to walk on the toes. Thus, the most appropriate choice for evaluating calf strength through the toe walking test is instructing the patient to walk on their toes.