It is important for a child to be seated properly when attempting to complete table top activities such as writing, coloring, and cutting. In order to facilitate upper extremity (arm) control, the trunk must be stable.

Chair Size

• The child's feet should be flat on the floor. Place phone books or the top of a box underneath the feet if the chair is too high.
• The knees, hips, and ankles should be bent at a 90 degree angle.
• The child should be able to sit with his/her back against the back of the chair. Place a cushion behind the student if there is a wide space.

Desk/Table Size

• The top of the desk or table should be approximately two inches above the elbow when the child is sitting with his/her arm at his/her side.

Paper Positioning

• The paper should be angled when students are completing writing assignments. It should be perpendicular to the forearm. Use tape to make a diagonal line on the desk/table top for students to follow if they who have difficulty positioning their paper correctly.

Alternative Positions

• Standing at an easel (increases wrist strength)
• Laying on the floor on the stomach while weight bearing on the arms (increases shoulder stability)
• Sitting in a bean bag chair (provides sensory input and is great for reading but not recommended for writing activities)
• Sitting on a therapy ball or on a ball chair (requires use of the trunk muscles and provides sensory input)
• Sitting on a wedge cushion (facilitates use of the trunk extensor muscles)
• Using a slant board or a 3-4 inch binder to lean on when writing (helps facilitate an upright posture and position the wrist correctly)