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Published on: February 25, 2016
W-SITTING IN CHILDHOOD: A SYSTEMATIC REVIEW
David Gonçalves Nordon1, Caroline de Gouveia Buff Passone2, Clovis Artur Almeida da Silva2
1Pontifícia Universidade Católica de São Paulo, Departamento de Cirurgia, Disciplina de Ortopedia, Sorocaba, SP, Brazil.
Objective:
Despite the lack of science-based evidence, many specialists and non-specialists consider W-sitting detrimental to children. This systematic review aims to find evidence on W-sitting.
Methods:
This review was registered on PROSPERO under the number CRD42022313341. During January 2023, the term "W-sitting" and its variations were searched on the following databases: PubMed, Medline, Embase, PEDro, and Cochrane. Duplicate articles and those that addressed themes other than W-sitting were removed.
Results:
This review found 3641 articles, removed 614 duplicates, and excluded 3021 for focusing on subjects other than W-sitting. It included seven studies for analysis, one of which was a narrative review and two were methodologically inadequate cross-sectional to evaluate the causal effect in W-sitting. Another article evaluated muscular activation in adults according to sitting position. The last article found no causal relation between W-sitting and developmental dysplasia of the hip.
Conclusion:
This review found no scientific evidence advise against W-sitting in children and no association with hip dysplasia. Moreover, muscular activation remains the same, regardless of the position chosen for sitting. Level of evidence III, review article.
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