Sir.—The article by Holm et al that discussed infant walkers and cerebral palsy1 should have been published as a comment or a letter to the editor. The report described the authors' impressions from observing one child with cerebral palsy who was using a walker. There is no actual study to support the authors' opinions that the walker was in fact detrimental. There is no way of knowing whether the child would have walked sooner or later without the walker. There was no comparison of children with cerebral palsy to a similar degree using walkers v not using walkers.
It might be possible to argue that children with cerebral palsy should be allowed to use a walker part of the time, particularly in cases where there is considerable frustration from the difficulty in ambulation. Using a walker part of the time and working on therapy and training at other