{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:57:10Z","timestamp":1790571430769,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to examine sensory processing patterns, the frequency and impact of parent\u2010reported pain in children who toe walk across a range of diagnoses using validated caregiver\u2010report tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An online cross\u2010sectional survey was distributed internationally between July 2024 and March 2025. Parents of children who toe walk aged 3\u201314\u2009years, regardless of diagnosis, completed the Short Sensory Profile (SSP) and the Child Activity Limitations Interview\u20109 (CALI\u20109).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The survey collected responses from 176 parents of 187 children with toe walking gait. Sensory processing challenges were frequently reported, particularly in children with autism spectrum disorder (98%). Nearly half (48% of 187) of children were reported to experience pain, most frequently in the feet\/ankles, lower legs, and hips\/thighs. Most parents (94%) and their child's medical professional (81%) attributed their child's pain to toe walking. Parents of children experiencing pain described significantly greater limitations in activities such as sports (OR 3.10,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), running (OR 3.46,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and social participation (OR 2.43,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sensory processing differences and pain were frequently reported among children who toe walk in this sample. Routine assessment of sensory processing and pain in clinical practice may guide targeted interventions to improve participation, function, and quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70504","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T04:08:53Z","timestamp":1784866133000},"page":"1682-1692","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Investigating the Relationship Between Sensory Processing, Pain and Toe Walking Gait: A Survey Study"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8364-5079","authenticated-orcid":false,"given":"Jack H.","family":"Donne","sequence":"first","affiliation":[{"name":"School of Primary and Allied Health Care Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verity","family":"Pacey","sequence":"additional","affiliation":[{"name":"School of Health Sciences and Nursing Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desiree","family":"Polt","sequence":"additional","affiliation":[{"name":"Parent Team Member  Junction City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A.","family":"Powell","sequence":"additional","affiliation":[{"name":"School of Medicine The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0811-4785","authenticated-orcid":false,"given":"Michael C.","family":"Fahey","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Monash Health  Melbourne Victoria Australia"},{"name":"Department of Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0223-9141","authenticated-orcid":false,"given":"Cylie M.","family":"Williams","sequence":"additional","affiliation":[{"name":"School of Primary and Allied Health Care Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001163-199704000-00005"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20107610.2005.01546.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.07.016"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.7748\/paed.18.10.30.s21"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010024\u201003458\u20100"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/neurosci5030027"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623\u2010200206000\u201000010"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012\u20100225"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0883073814521298"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10184128"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1203\/PDR.0b013e3182130c54"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/088307389501000412"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.16821"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757\u20101146\u20103\u201016"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047\u2010022\u201000576\u2010x"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665\u20109913(21)00032\u20101"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887\u2010017\u20100927\u20104"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-8422(23)00302-6"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1109\/iembs.2008.4650317"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.7547\/1030374"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e318192bfb1"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.3.e34"},{"key":"e_1_2_10_24_1","unstructured":"Qualtrics [Computer Software]. 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