>From: "Nidhi Jalan" <[log in to unmask]>
>Reply-To: [log in to unmask]
>To: [log in to unmask]
>Subject: W-sitting
>Date: Fri, 13 Oct 2000 14:56:07 GMT
>
>Hi!
>I am a physiotherapist practicing in a center for children with physical
>disabilities in India. I am interesting in finding some information on
>w......
dear nidhi,
children who choose to sit in the "w" position, c.p, hypotonic, with
hyperlaxitiy of connective tissues, etc, have a good reason to do so:
stability for the pelvis and trunk and freedom for using and manipulating
things with their hands. for some of them it takes years to get up to
sitting and get all that freedom. now, why do "we" want to prevent the
children from sitting like that? is it because of the internal rotation of
the hip joint? infantile anteversion of the femur resolves gradually with
extension of the hip joints while standing, with pressure of the anterior
ligaments on the head of the femur at the age of one year. c.p children are
very late in acquiering a standing position and their abnormal tone keep on
forcing the internal rotation of the hips. what are the chances to prevent
or influence the torsinal abnormalities of the femur by not letting the
child to sit in a "w" is not known and very difficult to find out. on top of
all this what are the chances that the child, who chose this position, will
obey our orders for more than a few minutes? so i think, in practice, adopt
more friendly approach and let children play with pleasure rather than
guilt.
netta harries
pediatric p.t
israel
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