This study aimed to investigate any differences between the motor skills and sensory processing abilities of children between the ages of 4 and 8, who do and do not have an idiopathic toe walking gait. Children in each cohort were tested with a number of norm referenced assessments. A total of 60 children participated, 30 within each cohort. Those with an idiopathic toe walking gait were found to have different Sensory Profile quadrant scores ( P = .002), poorer performance on the Bruininks–Oseretsky Test of Motor Proficiency ( P ≤ .001), a lower vibration perception threshold ( P = .001), and poorer performance on the Standing Walking Balance subtest of the Sensory Integration and Praxis Test ( P = .047), compared with non–toe walking peers. Although this research does not give a causative factor for toe walking gait, it provides a number of theories as to why this gait may not be idiopathic in nature.