Yesterday was the follow up with our pediatrician for Anay's legs. Though doctor told us that it's improving and we have to keep going on with whatever the procedures we have been following past 4 months, he had warned us about his sitting position while playing and sleeping positions also.
As Anay is having his knees apart from each other its impossible for him to sit in a 'W position'. His legs just cant bend backwards like the way needed to sit in a 'W position'. But as both the legs are coming to the normal position, getting straight, after 6 months or so...he may start sitting like that.... Doctor had told us not to let him sit in such manner.
But the thing is I have seen so many children around who are simply sitting in 'W' for as long as 2 hours or so. And our pediatrician was very much concerned about this. So,
⭐WHY do they sit in that way?
*Its common for children to be born with their thighbones turned in, a condition known as femoral anteversion.
*W sitting is sometimes more comfortable, as they have more internal (hip) rotation.
*Another reason kids is that it’s a more stable sitting position. They can rotate their trunk, reach out and grab things more easily, Novais said.
⭐WHO should not w-sit?
*Usually between 4 to 6, but you’ll also see it with younger and older kids
* For many children, W-sitting should always be discouraged.
⭐WHY its bad?
1. There are orthopedic concerns. W-sitting can predispose a child to hip dislocation.
2. If there is muscle tightness, W-sitting will aggravate it.
3. This position places the hamstrings, hip adductors, internal rotators and heel cords in an extremely shortened range.
4. There are neurologic concerns/developmental delays, delays in gross motor skills like coordination and balance.
5. If a child has increased muscle tone, W-sitting will leed into the abnormal patterns of movement trying to be avoided.
6. Using other sitting postures will aid in the development of more desirable movement patterns.
7. W-sitting can also discourage a child from developing a hand preference.
8. No trunk rotation can take place when W-sitting, a child is less inclined to reach across the body and instead picks up objects on the right with the right hand, and those placed to the left with the left hand.
⭐ HOW to prevent W-sitting.
*The most effective way to prevent a problem with W-sitting is to prevent it from becoming a habit it the first place.
* Anticipate and catch it before the child even learns to W-sit. Thats what for anay we have been told.
* When playing with a child on the floor, hold his knees and feet together when kneeling or creeping on hands and knees. It will be impossible to get into a W-position from there
* If a child is unable to sit alone in any position other than a W, talk with a therapist.
* Tailor sitting against the couch may be one alternative; a small table and chair is another.
Although both our pedestrian and orthopedics have different opinion on this, as one says its perfectly normal to sit in 'W' because you need to assume the most stable and comfortable sitting position possible when engaging in tasks that require coordinated, controlled movements of the hands and fingers, we surely wouldn't want ro tale the risk!!!
@asha chaudhry @Priya Sood @Priya Iyer @Sheeba Vijesh @Sheeba Rizvi @Sumira Bhatia @sonam patel @Priyanka Maheshwari@Momzjourne @Roopashree Siddireddy @Pooja Singh @Sakshi Handa @Ashika Imthiyaz @Niveditha Rambhajan
As Anay is having his knees apart from each other its impossible for him to sit in a 'W position'. His legs just cant bend backwards like the way needed to sit in a 'W position'. But as both the legs are coming to the normal position, getting straight, after 6 months or so...he may start sitting like that.... Doctor had told us not to let him sit in such manner.
But the thing is I have seen so many children around who are simply sitting in 'W' for as long as 2 hours or so. And our pediatrician was very much concerned about this. So,
⭐WHY do they sit in that way?
*Its common for children to be born with their thighbones turned in, a condition known as femoral anteversion.
*W sitting is sometimes more comfortable, as they have more internal (hip) rotation.
*Another reason kids is that it’s a more stable sitting position. They can rotate their trunk, reach out and grab things more easily, Novais said.
⭐WHO should not w-sit?
*Usually between 4 to 6, but you’ll also see it with younger and older kids
* For many children, W-sitting should always be discouraged.
⭐WHY its bad?
1. There are orthopedic concerns. W-sitting can predispose a child to hip dislocation.
2. If there is muscle tightness, W-sitting will aggravate it.
3. This position places the hamstrings, hip adductors, internal rotators and heel cords in an extremely shortened range.
4. There are neurologic concerns/developmental delays, delays in gross motor skills like coordination and balance.
5. If a child has increased muscle tone, W-sitting will leed into the abnormal patterns of movement trying to be avoided.
6. Using other sitting postures will aid in the development of more desirable movement patterns.
7. W-sitting can also discourage a child from developing a hand preference.
8. No trunk rotation can take place when W-sitting, a child is less inclined to reach across the body and instead picks up objects on the right with the right hand, and those placed to the left with the left hand.
⭐ HOW to prevent W-sitting.
*The most effective way to prevent a problem with W-sitting is to prevent it from becoming a habit it the first place.
* Anticipate and catch it before the child even learns to W-sit. Thats what for anay we have been told.
* When playing with a child on the floor, hold his knees and feet together when kneeling or creeping on hands and knees. It will be impossible to get into a W-position from there
* If a child is unable to sit alone in any position other than a W, talk with a therapist.
* Tailor sitting against the couch may be one alternative; a small table and chair is another.
Although both our pedestrian and orthopedics have different opinion on this, as one says its perfectly normal to sit in 'W' because you need to assume the most stable and comfortable sitting position possible when engaging in tasks that require coordinated, controlled movements of the hands and fingers, we surely wouldn't want ro tale the risk!!!
@asha chaudhry @Priya Sood @Priya Iyer @Sheeba Vijesh @Sheeba Rizvi @Sumira Bhatia @sonam patel @Priyanka Maheshwari@Momzjourne @Roopashree Siddireddy @Pooja Singh @Sakshi Handa @Ashika Imthiyaz @Niveditha Rambhajan
Very good info...yes I'm aware of this W position...have read some article so I always keep watch on my both kids...thanks Shruti...loads of love to <u>Anay</u>
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<font color ="#3b5998"><b> @63732cbd573f5c0015bc4fa4 </b></font>; knock knee is a different phenomena but sitting in w position can make it worse.... It's makes baby's knees weak and the bones get so stubborn, sometimes people won't be able to sit in a proper leg folding position..not necessarily has to be with everyone who sits like this..but better to avoid... It won't cause any developmental delay just it will make up the bad posture...<br>
Sorry for late reply.i missed it!!
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My kiddo had already started to sit in this position when we came to know about it. He loves this position as he can easily transition from sitting to crawling. But the day since my sis-in-law told us about it we have been very watchful of Shaarav and correct him each time he takes w position. We've been telling him so many times that though he still sometimes sits in w position he has come to anticipate it and even correct it by himself. And whenever he doesn't we again need to guide him. I think he'll learn. We haven't seen any developmental delays in him so far. Thanks for the post. This is a less known fact but very important in a child's proper development.
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such an useful post <u>dear</u>
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sweta Kujur
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15 Nov 2017