Understanding W-Sitting in Children: Effects and How to Help

Occupational Therapy
Understanding W-Sitting in Children: Effects and How to Help

Understanding W-Sitting in Children: Effects and How to Help

"W-sitting" is a common sitting position observed in children, typically between ages 3 to 6, though it can also be seen in younger or older children. In this position, the child sits on the ground with their bottom down and both knees bent, while their feet and legs are spread out to each side, forming a "W" shape when viewed from above.

Children often prefer this position as it provides a wider base of support, making it more comfortable and putting less stress on their joints. While occasional use of W-sitting may not cause harm, there are concerns when children consistently adopt this posture.

Understanding the Concerns

  • Difficulty in Balancing: W-sitting limits a child's ability to shift their weight and maintain proper balance, potentially affecting their overall motor skills development.
  • Differences in Walking Patterns: Prolonged use of W-sitting can lead to a walking pattern, commonly known as a "pigeon-toe" gait, where the feet turn inward instead of pointing straight ahead.
  • Discomfort in Other Sitting Positions: Children who frequently W-sit may find it challenging to adopt alternative sitting positions, which could hinder their flexibility and comfort during various activities.
  • Weakness in the Lower Body: This sitting posture often encourages reliance on the legs for stability, leading to underutilization of core muscles and hindering their apt development.
  • Pain in the Back or Pelvic Area: W-sitting can cause strain on the back and pelvic region, especially when held for extended periods.
  • Delayed Developmental Milestones: Children who consistently W-sit may experience delays in reaching important developmental milestones, such as hand dominance, kicking, skipping, and ball play.

Long-Term Effects and Potential Risks

If not corrected in a timely manner, W-sitting can lead to severe long-term effects, including:

  • Increased Risk of Hip Dislocation: Prolonged W-sitting causes misalignment of the hip joint, leading to additional stress on supporting ligaments. This can result in the stretching or tearing of these ligaments, potentially leading to hip dysplasia or dislocation.
  • Impaired Bilateral Coordination: Bilateral coordination, the ability to use both sides of the body together effectively, may be delayed due to W-sitting, affecting a child's motor skills and coordination.
  • Core Strength Issues: Lack of core muscle engagement during W-sitting can lead to delayed development in core strength, impacting a child's balance, stability, and overall motor skills.
  • Gait Deviations: As mentioned earlier, W-sitting can cause a pigeon-toe gait, affecting the child's walking and running patterns.

How to Help Children Avoid W-Sitting

Here are at least six strategies you can implement to help children avoid W-sitting and promote healthier sitting habits:

  • Encourage Alternative Activities: Engage children in activities that promote a variety of sitting positions, such as wheelbarrow walks, kneeling, squatting, and sitting on balance beams.
  • Provide Different Seating Options: Offer a range of seating choices, such as beanbags, chairs, and small step stools, to encourage diverse postures.
  • Promote Side Sitting and Cross-Legged Sitting: Encourage children to adopt alternative sitting positions like side sitting and cross-legged sitting, which are beneficial for their overall posture.
  • Strengthen Core Muscles: Engage children in activities that focus on core muscle development, such as climbing, crawling, and core-strengthening exercises.
  • Seek Professional Guidance: If you notice persistent issues related to W-sitting or delayed developmental milestones, consult with a an Occupational Therapist or Physical Therapist for specialized guidance and support.


While W-sitting is a common sitting position in children, it is essential to be mindful of the potential issues associated with this posture. Encouraging children to adopt various sitting positions and promoting core muscle development can help them avoid the long-term effects of W-sitting. By providing the right support and guidance, we can ensure that children grow up with strong, healthy bodies and well-developed motor skills.


Aparna Rathnakaran

Occupational Therapits, Dimensions Centre for Child Development

Chitra Thadathil, 

Founding Director and Speech Pathologist

Dimensions Centre for Child Development 








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