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
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