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Dear NJ, Guilt does not strike me as ever being therapeutic. Sarah Fern Striffler, PT Nidhi Jalan wrote: > Hi Netta! > I couldn't agree with you more. I am definitely of the opinion that we > should allow children to play in W-sitting with out guilt. I also know that > the reason children are doing this is because it is providing them more > freedom in the sitting position. The trend here has been not to allow > w-sitting because of the risk of increasing femoral anteversion and the risk > of hip dislocation due to the internal rotation. This is what we were taught > and therefore have been practicing. Since I attended the conference in the > US I have changed my opinion on this subject. However since I am also > involved in teaching and training other therapists here I am looking for any > journal articles and research on the subject - it is always more convincing > for people to read research and form an opinion rather than for me to give > them my opinion. I know that there are articles available- I am not being > able to get the correct references. Any ideas / suggestions? > Thanks for your comments. > Looking forward to your reply, > Nidhi > > >From: "Netta Harries" <[log in to unmask]> > >Reply-To: [log in to unmask] > >To: [log in to unmask] > >Subject: Re: W-sitting > >Date: Fri, 13 Oct 2000 18:53:45 GMT > > > > > > > > > >>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 > >_________________________________________________________________________ > >Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. > > > >Share information about yourself, create your own public profile at > >http://profiles.msn.com. > > > > _________________________________________________________________________ > Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. > > Share information about yourself, create your own public profile at > http://profiles.msn.com. %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%