Toe walking idiopathic toe walkers, a family link has been observed. Idiopathic toe walking can be described as bilateral toe walking with no orthopedic or neurological cause past the age of two. In this condition, children are able to voluntarily walk with the normal heel-toe pattern, but prefer to walk with the toe-toe pattern. In order for it to be considered idiopathic, the child's medical history should be clear of any neurological, orthopedic, or neuro-psychiatric conditions including other gait abnormalities. Two classifications of idiopathic toe walking have been established. The Alvarez's classification identifies the severity of the dysfunction based upon kinematics and
Educational Commission for Foreign Medical Graduates the specified medical school has a physical campus in the country and the address of that campus. Whether instruction has begun at the school, and on what date. If instruction has not yet begun, the date classes are expected to begin. If applicable, the name of the university with which the medical college is affiliated. That graduates of the specified medical school eligible for medical licensure in the country The date on which graduates of the specified medical school became eligible for medical licensure The letter must be received directly from the Ministry of Health or other authority, on letterhead