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Kids are full of energy and love to walk, run, and jump, so when little one sits still for a moment, you may find yourself breathing a sigh of relief. While they are sitting, take a moment to examine your child’s stance. Are he or she exhibiting W-sitting? W-sitting is when the knees are in front and the feet are behind and out to the sides—leaving the legs angled in a ‘W’ shape. This posture can be harmful to development, requiring pediatric physical therapy. Find out why it’s a cause for concern in the sections below. 

How Does W-Sitting Impact Kids?

pediatric physical therapyOccasional W-sitting is normal. Constantly maintaining this position without any variation can indicate physical problems, however. Tight hips, decreased strength and balance, or a lack of muscle tone might make it more comfortable than other upright positions.

Long-term W-sitting will only worsen these problems if it isn’t addressed. It can also lead to new issues that require pediatric physical therapy; this includes bad posture and frequent falling due to a lack of balance or leg positioning. In the most severe cases, there is a risk for a dislocated hip or tibial torsion, in which the shin bones twist inward.

What Can You Do to Fix the Problem?

If you notice W-sitting, watch your child for other symptoms of a developmental issue, like a rounded back, or a “bow-legged” or “pigeon-toed” gait. Sit with them on the floor and try other positions together to see what they are capable of. Can they sit straight up with their legs extended in front? What about a butterfly pose or sitting with the legs crossed?

If you do notice other signs or your child struggles with alternative poses, consult a pediatric physical therapy professional. They can diagnose the root cause of the problem and work with you to find solutions. Specialized exercises, stretches, and behavior modification can all help. 


Don’t delay child physical therapy and risk permanent problems. Let All For Kids Pediatric Therapy Clinic of Anchorage, AK, get your child’s development back on track. Working exclusively with kids and teens, these professionals are known for their friendly and welcoming approach. In addition to physical therapy, All For Kids also offers occupational and speech therapy. Schedule a pediatric physical therapy appointment by calling (907) 345-0050 and consult their website for new patient information.

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