[en] Idiopathic toe gait is a dynamic alteration characterized by the inability of the sufferer to initiate support with heel contact and maintain this contact during the phase of flat footing with the ground. Subjects with this condition have a medical history without stocks of any pathology that can cause said condition. Children with this condition have enough ankle dorsiflexion to be able to walk normally, however, those patients who have a persistent idiopathic toe gait may develop decreased ankle dorsiflexion and the appearance of deformities such as ankle clubbing. The prevalence varies between 7% and 24% in the pediatric population. Currently there is no consensus on whether or not this pathology should be treated. Among the main treatments we will find serial plasters, AFOs, insoles, botulinum toxin injection and the surgical option. Objective: This review is based on the bibliographical analysis to know if there are data that demonstrate the efficacy of stretching of the posterior musculature as a treatment for idiopathic toe walking in children. Methodology: To prepare the study, a bibliographic search was carried out in the following databases: Pudmed, Web of science, Google schoolar and Scorpus; the following keywords were used: "ITW", "idiopathic toe walking", "marcha en puntillas", "estiramientos", "stretching", "conservative treatment" and "foot equinus"; and a total of 35 articles were obtained Conclusion: After conducting the review, no significant evidence has been found to support the use of stretching as a treatment for idiopathic toe walking. It is considered necessary to carry out new research that will reinforce the use of these as treatment since they would mean a reduction in the cost of the process and the appearance of adverse effects.

[gl] A marcha en puntillas idiopática é una alteración dinámica caracterizada pola incapacidade do paciente para iniciar co apoio do talón a marcha e manter este contacto durante a fase de pé plano co chan, os doentes presentan un historial médico sen existencias de ningunha patoloxía que poda provocar dita condición. Os nenos con esta afección teñen suficiente rango de dorsiflexión de nocello, o que lles permite poder camiñar cunha marcha normal, non obstante, aqueles suxetos con marcha en puntillas idiopática persistente poden desenvolver una disminución da dorxiflexión da TPA e aparición de deformidades como o equino de nocello. A prevalencia varía entre o 7% e o 24% na poboación pediátrica. Actualmente non existe consenso sobre a necesidade de tratarse ou non nesta patoloxía. Entre os principais tratamentos atoparemos os xesos en serie, os AFOs, plantillas, inxención de toxina botulínica e a opción cirúrxica. Obxetivo: Esta revisión basase no análisis bibliográfico para coñecer a existencia de datos que demostren a eficacia dos estiramentos da musculatura posterior como tratamento no marcha en puntillas idiopática nos menos. Metodoloxía: Para a evavoración do estudo realizase unha búsqueda bibliográfica nas seguintes bases de datos: Pudmes, Web of science, Google schoolar y Scorpus; utilizaronse as siguientes palabras claves: "ITW", "idiopathic toe walking", "marcha en puntillas", "estiramientos", "stretching", "conservative treatment" y "foot equinus"; e se obtiveron un total 35 artigos. Conclusión: Tras realizar a revisión non atoparonse evidencias significativas que avalen o uso dos estiramentos como tratamento para a marcha en putillas idiopática. Considérase necesaria a realización de novas investigación que apoien o uso destos tratamentos xa que supoñerian unha reducción dos coste do proceso e da aparición de efectos adversos.