Are Wheelchairs Hurting Children’s Hips? | S2 EP1 w/ Dr. Mathias Axt

𝐀𝐫𝐞 𝐖𝐞 𝐇𝐮𝐫𝐭𝐢𝐧𝐠 𝐂𝐡𝐢𝐥𝐝𝐫𝐞𝐧’𝐬 𝐇𝐢𝐩𝐬 𝐢𝐧 𝐓𝐡𝐞𝐢𝐫 𝐖𝐡𝐞𝐞𝐥𝐜𝐡𝐚𝐢𝐫𝐬? | 𝐒𝟐 𝐄𝐏 𝟏 𝐰𝐢𝐭𝐡 𝐃𝐫. 𝐌𝐚𝐭𝐡𝐢𝐚𝐬 𝐀𝐱𝐭 (𝐏𝐞𝐝𝐢𝐚𝐭𝐫𝐢𝐜 𝐎𝐫𝐭𝐡𝐨𝐩𝐚𝐞𝐝𝐢𝐜 𝐒𝐮𝐫𝐠𝐞𝐨𝐧) We asked a pediatric orthopedic surgeon the questions every clinician is afraid to ask and he answered all of them. Welcome back to Wheel Chat, Season 2. Today we are sitting down with Dr. Mathias Axt a pediatric orthopedic surgeon with over 20 years of experience in children's hospitals, focusing on hip development, surgical management, and long-term outcomes in children with cerebral palsy and other neuromuscular conditions. If you've ever been told to seat a non-ambulant child in hip abduction and wondered why, how much, or for how long —this episode is exactly what you've been looking for. And if you've never questioned it at all, this episode is even more important for you to watch. We go deep on the anatomy, the clinical principles, the seating implications, and the real-world equipment challenges that every wheelchair rep and therapist faces in practice. Dr. Axt brings two decades of surgical experience to the table and what he shares here is not the kind of stuff you'll easily find summarised anywhere else. TIMESTAMPS: 00:00 — Intro & episode preview 00:46 — Welcome to Wheel Chat Season 2 01:07 — Introducing Dr. Mathias Axt 03:00 — Who needs to sit in hip abduction and why? 04:45 — Muscle imbalance, Coxa Valga & antetorsion explained 06:54 — How pressure prevents normal hip socket development 10:14 — How CP differs from spina bifida and SMA 12:05 — Core principles: Abduction is a tool, not a rule 15:05 — The 20-degree guideline — where it comes from 16:09 — Windswept deformity — what it is and how to manage it 21:04 — Why pelvis neutrality matters more than leg symmetry 24:01 — The problem with standard contoured cushions 25:55 — Why flat cushions with adjustable pommels may work better 29:42 — Why we must avoid external rotation (frog legs) 33:14 — What happens when you forcefully abduct a subluxed hip 34:28 — Live case study — seating a client in practice 35:36 — Closing thoughts and the education gap 38:00 — Season 2 sign-off 🔔 Subscribe to Wheel Chat so you never miss an episode 👍 Like this video — it helps us get more incredible guests like Dr. Axt 💬 Drop your questions in the comments — what do you want us to cover next? 📢 Share this with a clinician, OT, physio, or wheelchair rep who needs to hear it Music: Cipher - Electronic Light by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/... Email us : We’d love to hear from you. If you have any questions about this podcast, please email us at wheelchatpod@gmail.com Follow us : TikTok :   / wheelchat_podcast   Instagram :   / wheelchat_podcast   Disclaimer: The views and opinions expressed in this podcast are solely those of Anthony and Justin.