In Reply.—We are pleased—but not surprised—that other physicians and therapists working with high-risk infants and young children with cerebral palsy have made observations similar to our own. Our case report represents one of many similar observations over the years. The article was prompted by our dismay that nothing has been written about this subject in the pediatric literature.
We do take issue with the letter writers' rejection of the notion that "a clinical study to demonstrate deleterious effect is needed." The article by Kauffman and Ridenour,1 cited in our article, is exemplary, and it would be important to have similar data on a high-risk population. Too many medical recommendations are based on clinical impressions and too few on solid clinical research.
We wholeheartedly agree with the writers' statement that infant walkers have "no redeeming value." In fact, that very wording was omitted from our article, only because of the