The Certified Occupational Therapy Assistant (COTA) observes a 6-year-old child with cerebral palsy and high muscle tone using a W-sitting position on the floor at all times.What does this observation suggest about the child?

Question

Quizplus · Accepted Answer

Children with poor trunk stability may favor a W-sitting position, since the lower extremities are positioned to provide a wide base of support.W-sitting does not require trunk strength or stability and thus makes it easier for children to manipulate objects and play on the floor.However, W-sitting may lead to orthopedic problems, including increased risk of hip dislocation, joint deformities, and the aggravation of muscle tightness.W-sitting does not allow for rotation, weight shifting, or the opportunity to cross midline.Therefore, occupational therapy (OT) practitioners discourage W-sitting by promoting other sitting positions that engage children's postural system and encourage the use of trunk muscles.Alternatives to W-sitting include tailor-sitting; long-sitting; side-sitting; or sitting on the OT practitioner's lap, on a bench, or on a ball.

The Certified Occupational Therapy Assistant (COTA) Observes a 6-Year-Old Child