During prop sitting, which combination should cueing aim to promote?

• A. Posterior pelvic tilt and trunk flexion
• B. Neutral pelvis and trunk rotation
• C. Anterior pelvic tilt and trunk flexion
• D. Anterior pelvic tilt and trunk extension

Answer: (D)

In prop sitting, you want an upright, stable alignment that lets the child use the upper body without slumping. Cueing should promote an anterior tilt of the pelvis combined with trunk extension. This forward pelvic tilt increases lumbar lordosis and supports a lengthened spine, helping keep the chest up, head in midline, and the arms free to reach and interact with props. It creates a solid base over the sitting surface, aiding balance and control. Conversely, a posterior pelvic tilt with trunk flexion would slump the spine and reduce stability; neutral pelvis with trunk rotation lacks consistent sagittal alignment; anterior tilt with trunk flexion would bend the trunk forward rather than extend it, undermining balance and reach. So, anterior pelvic tilt with trunk extension best supports the goals of prop sitting.