TFL tightness in Down syndrome is often associated with which leg position?

• A. Cross-legged
• B. Straight
• C. W-sit
• D. Frog-leg

Answer: (D)

Tightness in the tensor fasciae latae tends to pull the hip into a position of flexion and abduction, which is commonly seen as a frog-leg sitting posture. In this position the hips are flexed and abducted with the knees bent, giving the legs a frog-like spread. In children with Down syndrome, who often have hypotonia and atypical movement patterns, this pattern of tightness can be particularly evident, leading to the frog-leg stance as a characteristic leg position. Other sitting positions involve different combinations of rotation and adduction/abduction that aren’t as specifically linked to TFL tightness, so the frog-leg posture best reflects the typical effect of a tight TFL.