A 2012 Swedish study found that children with developmental delays or cognitive disorders were more likely to walk on their toes. Children who walk on their toes instead of walking flat-footed after the age of two should be evaluated for developmental delays. A large percentage of those diagnosed with autism spectrum disorders (ASD) may exhibit behaviors such as toe walking, and may stand and run on their toes as well. Research indicates that toe walking for these children may be sensory-related. Sometimes, a child who toe walks also exhibits repetitive ritualistic behaviors that could indicate obsessive-compulsive disorder (OCD).

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