Baby Walkers and Children’s’ 'Toe-Walking' Syndrome May Lead to Posture Problems Warn Chiropractors



Even children who are otherwise healthy but who walk on their toes because of spending too much time in baby walkers may be setting themselves up for posture problems in later life, the New Zealand Chiropractors’ Association warns following publication this month of a new study from Sweden. 

According to the study to be published in the August issue of Pediatrics[1] as many as one in 20 children may predominantly walk on their toes in early childhood. The study points out that children who have developmental delays or neuropsychiatric disorders are more likely to walk on their toes.
But Dr Hayden Thomas, chiropractor and spokesperson for the New Zealand Chiropractors’ Association explains: `Many healthy children also adopt this stance, which can lead to posture problems. Proper motor system integration is often upset by assisted walkers affecting the neuro-musculo-skeletal system. This is jeopardises reflex integration and the development of higher neural function. We strongly advise against the use of baby walkers for New Zealand toddlers for this reason.’

Toe-walking is a condition where children walk on their toes instead of using a typical gait. Certain conditions, such as cerebral palsy, can cause toe-walking, according to background information in the study. But, sometimes, toe-walking occurs in children who appear to be healthy otherwise. This is called idiopathic, or habitual, toe-walking.
The Swedish study noted that toe-walking in otherwise healthy children often resolves on its own. By 5.5 years, "more than half of the children have spontaneously ceased to walk on their toes," they concluded.
Thirty (20 boys and 10 girls) of the otherwise healthy children were current toe-walkers. That represented about 2 per cent of all the children. Another 40 children (22 boys and 18 girls) had previously walked on their toes. That means about 5 per cent of 5.5-year-old children had a history of toe-walking.
Most of the children, but not all, started walking on their toes. Eleven children developed toe-walking during their first year of walking, according to the study. Of the 17 children with developmental delays or neuropsychiatric disorders, seven boys (41 per cent) had a history of toe-walking. About half of these children started walking on their toes. In two children, toe-walking started during the first year of walking, and one youngster started toe-walking during the second year of walking, the researchers found.
Left untreated, toe-walking can cause damage to the structures in the legs, ankles and heels. It can also create a social stigma, according to the study authors.
Commenting on the study, Dr Thomas agreed that every child is different and every treatment is different, but early intervention is key. The brain from zero to 3 years old is much more pliable. He pointed out that children who walk on their toes tend to walk with their stomachs pushed forward, and part of treatment has to include moving that centre of gravity back. And, the longer that posture has been practiced, the longer it will likely take to correct.
Dr Thomas added that while the study found an association between toe-walking and developmental delays or neuropsychiatric disorders, it did not prove a cause-and-effect relationship.



 For further information on the New Zealand Chiropractors’ Association visit www.chiropractic.org.nz. 
-Ends-




[1] http://www.nlm.nih.gov/medlineplus/news/fullstory_127506.html

Untangling the Web for Marketing Communications



You’d think that by now we would all know that any business in New Zealand has realised that it needs have an online presence. We carried out some research with Nielsen last year on behalf of Business Mentors New Zealand, and this confirmed that the internet is the key source of information for the `very interested’ segment of the market. That is those people already predisposed to purchase.

Yet according to MYOB at the launch of their new initiative to provide a free website building service and their research reveals that only 32 per cent of New Zealand businesses even have a website.

I’m assuming that you are up to speed with this and that you do have a website. If you haven’t, stop reading this and go immediately to


and come back once you have got it sorted out.

The internet is your shop front. Everything we do on behalf of our PR clients is designed to raise the searchability of their business and its products or services online. So we are talking not just about making sure they come up on the first page of a Google search; we are talking about social media. There is a whole host of other online content that needs to point to our clients’ websites and improving the content, effectiveness and measurability of that is what I want to cover in this article.

So first the good news.  According to analysts, this is a great time to be in social media. It has got simpler believe it or not. In the last couple of years the number of competing social networks has dwindled, making it easier to pick where you should focus your efforts.

At the top, number one among the social media networks is Facebook. No surprise there, given the amount of publicity it has generated recently. With over 850 million users, three out of every four social networking minutes worldwide in 2011 were spent on Facebook.

At number two is YouTube, with 800 million visitors a month, three billion videos viewed every day and eight years’ worth of video uploaded every 24 hours.

In at number three is Twitter, with 300 million users. During the 2012 US Super Bowl the current record of 12,000 Tweets per second was set.

And number four is LinkedIn, with 150 million users, including executives for all the Fortune 500 companies.

What we’ve seen as the number of competing networks has consolidated is that social media has become a mainstream activity, no longer the domain of tech-savvy teens.

But business continues to lag behind in adapting to this changing world. A recent business survey in the US found that 14 per cent of companies were doing nothing with social media, 23 per cent had taken the first steps, 20 per cent were piloting social media communications, 27 per cent were in the process of integrating social media with the rest of their marketing communications and only 16 per cent had fully embraced it as part of the marketing mix.

In the meanwhile, new social networks are creating ever more exciting ways to reach and engage your potential audiences. Witness Pinterest, the online scrap-book board and new mobile networks.

So, for most of our clients we ensure they have a Facebook page, a Twitter feed, maybe some YouTube and a profile on LinkedIn all pointing back to our webpage, right?

Well, maybe. Here’s the bad news. Now is a very difficult time to be in social media. The downside of social media’s popularity is that because everyone and his dog are doing it, businesses have a harder time getting noticed. You’re constantly competing for your potential customer’s attention against their friends, well-funded brands, automated apps (news, games, music) and so on.

Not only that but the rules keep changing. Facebook for example has made some changes that dramatically reduce the visibility of organisations. A study by the blog Allfacebook.com found that Facebook page content is now seen by only 17 per cent of fans. So no wonder General Motors pulled its Facebook advertising claiming that it didn’t sell cars.

In fact, Twitter and YouTube have also launched dramatic redesigns in the past year. Twitter has just cut the automatic posting of Tweets to LinkedIn, which some of us found quite useful. Each of these changes mean that social media professionals have to re-evaluate their approach to the online media and how we manage content.

And make no mistake, content is king. Get it right and your story will sing. Get it wrong and at best you will be tolerated and at worst the wrath of the gods will descend upon you – you will be ignored.

So let’s take a step by step approach to facing this new reality.

First off, Step 1, face up to the fact that social media is challenging and requires focus and resources. It’s not a nice to have. It is vital. You must invest.



Step 2, have a strategy and a plan. These are different things.

A strategy gives you a consistent vision, buy-in from everyone in the business, systems and processes, accountability, room for growth and interpretation.

A plan gives you content (relevant to your strategy and your business objectives), a detailed schedule of outbound messages, realistic goals and benchmarks, opportunities to optimise and improve and peace of mind.

Now I know, most businesspeople I meet either through mentoring or as clients, like most people, have no plan for what they’re going to post in social media. You have to have decent content and decent content begins with brainstorming.

You need other people, key players but not too many. Look at what content you already have. You can use what you have on your website as a starter. But look at your particular audiences and what they care about. Does that change seasonally? What are other potential sources of ongoing content? How will you engage your audience instead of just talking at them?

You may find it useful to have two kinds of content plan. A global view for the whole year and a daily view with pre-written content, or at least topics for each month. But remember it is always a work in progress. Social media content planning requires constant evolution.

Ongoing changes in software, visitor behaviour and new trends can be frustrating or they can be new opportunities. Curating successful content isn’t about bells and whistles, it’s about knowing your audience and adapting to their feedback.

Ask yourself some questions:
1)            Does what I am saying enhance my business offer?
2)            Is it evidence based and a consensus view?
3)            Why do people visit my web site/social media?
4)            Where did they come from?
5)            How much do they know about me?
6)            When are they most active?
7)            What motivates them to engage with me?


And remember visibility comes at a premium on line. You need to step up your pace and don’t be shy. Last year a survey asked how much social media is too much? The results are surprising.  The respondents said more than 36 Twitter posts a day or 21  Facebook  entries, 16 on Google+ or 14 on LinkedIn 14.  They all sound a lot to me too. We usually limit ourselves to a couple per client each day, but even so you’ve got some scope before you bore the audience.

You need to find the balance that works for you and that involves being creative and experimenting as well as measuring what you do. But it also means, some time, some effort and yes some money too.

And yes, if you call me, we can do it with you, for you.

Peter Boyes is the managing director of Boyes PR. He manages the online strategies and curates content for a number of client organisations.

Any queries to peter@boyespr.co.nz