When we see our children sitting in the classic W-shaped posture, many parents wonder whether it should be corrected. This concern is completely normal, but before taking any action, it's essential to understand the reason behind this posture.
Why do they sit in a W?
In many cases, W-sitting is caused by a condition called femoral anteversion. This means the head of the femur is rotated inward, which makes children more comfortable sitting in this position. In most cases this condition is physiological — that is, completely normal — and children usually stop sitting this way as they grow up.
So, should W-sitting be corrected?
The answer isn't that simple. Instead of asking ourselves whether to correct W-sitting, the real question we should ask is: is my child's femoral anteversion normal or pathological?
How is it determined whether femoral anteversion is normal or pathological?
This is assessed in a specialised consultation. That's why a first podiatric assessment around 3 years old is recommended. The consultation evaluates multiple aspects of the child's development, including femoral anteversion.
What to do if femoral anteversion is physiological?
If the specialist determines that the femoral anteversion is physiological, there's no need to correct the W-sitting posture. We can simply let the child sit however they find most comfortable.
And if it is pathological?
If, on the other hand, femoral anteversion is found to be outside normal values and is considered pathological, rather than simply correcting the posture, an exercise and physical-activity plan will be recommended that promotes external hip rotation.
Conclusion
W-sitting isn't always a cause for alarm. In many cases, it's a normal condition that children grow out of over time. However, if you have doubts about whether your child's femoral anteversion is normal or pathological, it's best to consult a podiatrist. Remember that an early assessment can make a difference for your child's healthy development.
Share
