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Infants, Toddlers, & Preschoolers
Reply to "W sitting and bike riding "
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]W sitting is often, but not always, associated with low tone and poor balance, both of which can make riding a bike harder. [/quote] It is virtually always associated with poor core strength and low tone. Please get your young children evaluated for OT if they cannot “break the habit” of W sitting [/quote] OT and not PT?[/quote] I am the one who said it's often but not always associated with low tone. I agree with the suggestion for an evaluation, and I'd start with OT, unless I was seeing other things. Core strength and stability is something that both OT's and PT's work on, but they come at it from different angles. For many young kids with mild issues with their core, the biggest problem that comes from poor core tone (something you can't work on directly) strength, and stability is fine motor, because it's hard to use your hands when you are using your brain energy to sit up. It's a major reason why kids who can sit criss cross applesauce at circle time, revert to W sitting during free play -- because their hands work better. An OT will look at all these issues. If the core issues were impacting other kinds of gross motor activities, like if they were struggling to alternate feet on stairs at an age when most kids can do so, or if they were having trouble with postural stability when sitting on a chair, or if they're 8 or older and still can't pedal a bike with training wheels, then I would suggest going ahead with both OT and PT, but for what OP seems to describe I would start with OT.[/quote]
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