Have you noticed how your child sits on the floor? Some children sit with their knees together, forming a W shape. Is this sitting position dangerous for children? Let's explore the details in the following review.
Causes of children prefer to sit in the W position
Sitting in the W position is quite common among children, especially toddlers. This position involves placing the child's knees in front of their body, with each leg bent and positioned next to their pelvis. The name "W position" comes from the shape it resembles when viewed from above.
Many children prefer this position because it provides good body support and allows them to easily move backward or sideways to reach objects around them. Sitting in the W position requires less core muscle engagement to stay upright.
Is sitting in W position dangerous?
Many parents express concern about their children sitting in the W position. Typically, children favor this position between the ages of 2 and 5, gradually abandoning it as they grow older. Generally, the W sitting position is safe for children.
However, if your child exclusively sits in the W position, it may be advisable to consult a doctor. Parents should also pay attention if children who frequently sit in the W position show delays in walking, changes in their walking pattern despite being able to walk, or if they walk on their tiptoes. It's important to consult a doctor promptly if any of these issues occur.
Other risks associated with the habit of sitting in the W position include:
- Weakness of the trunk and legs
Young children often prefer the W position because their legs and torsos are not yet strong enough to maintain stability while playing. In this position, the legs bear most of the muscle workload, resulting in a lower center of gravity and a wider base to support movement. However, excessive use of this posture may lead to signs of weakness and poor leg muscle strength, such as frequent falls, awkward movements, delays in gross motor skills, and overall poor posture.
- Hip dysplasia
Children with existing hip disorders, whether genetic or developmental like hip dysplasia, should avoid the W position. Sitting in this way can potentially dislocate the hip by causing it to rotate outward from its socket. Parents should watch for signs of hip pain or discomfort, as these issues may not always be immediately apparent and can impact the child as they grow older.
- Orthopedic problems
Prolonged W sitting places strain on the legs and hips, potentially leading to tense muscles that interfere with normal movement. This strain can affect the development of coordination and balance in children. Parents should monitor for changes in gait, such as pigeon toes (where the soles of the feet turn inward), which may indicate orthopedic issues.
- Bilateral coordination problems
Children who frequently sit in the W position may experience challenges with coordination on both sides of their body. The posture restricts torso movement and limits the reach of their arms, potentially affecting hand dexterity, fine and gross motor skills, and overall coordination.
Research to date has not conclusively shown that the W-sitting position is harmful to children. However, parents should remain vigilant for any changes in their child's walking style, coordination, or movement patterns. If concerns arise, see a doctor.
If you need medical advice or consultation, you can either visit a doctor or make use of the consultation features that are available in the Ai Care application by downloading the Ai Care application from the App Store or Play Store.
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- dr Nadia Opmalina
Rachel Y. Goldstein, Alexander Nazareth, Parisa Ziarati, Nicole Mueske, Susan Rethlefsen, and Robert Kay Hip Dysplasia is Not More Common in W-Sitters. Pediatrics August 2019; 144 (2_MeetingAbstract): 770. 10.1542/peds.144.2MA8.770
MD Editorial Contributors. (2021). What to Know About W-Sitting in Children. Available from: https://www.webmd.com/children/what-to-know-about-w-sitting-in-children
Marcin, A. (2019). W-Sitting: Is It Really a Problem?. Available from: https://www.healthline.com/health/baby/w-sitting