Objective:

To synthesize current evidence on reported outcomes of conservative and surgical interventions for toe walking in children with Autism Spectrum Disorder (ASD).

Approach:

• Systematic Review: A PRISMA-based systematic review was conducted using PubMed, Scopus, and Google Scholar to identify studies reporting interventions for toe walking in children with ASD.

Key Findings:

• Eight studies involving 424 ASD patients aged 2–16 years were included.
• Conservative and multimodal conservative treatments generally reported higher improvement values than surgical and unimodal approaches.
• Findings were unweighted and based on heterogeneous and non-equivalent outcome measures.

Interpretation:

Current evidence is of very low certainty and does not allow conclusions regarding comparative effectiveness or treatment superiority.

Limitations:

• Substantial heterogeneity in study outcomes.
• Very low certainty of evidence.
• Findings should be considered descriptive and hypothesis-generating only.

Conclusion:

Further high-quality prospective studies using standardized clinical outcomes and long-term follow-up are required.