{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T17:30:25Z","timestamp":1786383025196,"version":"build-2736575974"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify key factors influencing motor learning in children with motor difficulties and to examine the level of agreement and disagreement among paediatric physiotherapists regarding these factors within contemporary and conventional paradigms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A three-round modified Delphi study using online questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>The study included 16 experienced paediatric physiotherapists in the first round, of whom 14 (87.5%) completed all three rounds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Measures<\/jats:title>\n                    <jats:p>In Round 1, experts identified factors via open-ended questions. In Rounds 2 and 3, participants rated their agreement on a 5-point Likert scale. Consensus was defined using mean scores (mean \u2265 4.0), coefficient of variation (\u2264 30%) and percentage agreement (\u2265 70%). Kendall's coefficient of concordance (W) was used to assess inter-rater agreement on prioritisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From an initial 646 items, 251 factors reached consensus by Round 3. High levels of agreement were observed for factors aligned with contemporary motor learning paradigms (e.g. child motivation, goal-directed activity, family involvement). However, experts simultaneously reached consensus on conventional, impairment-based strategies (e.g. normalisation of tone, restriction of atypical movement). Despite high agreement on item importance, Kendall's W (0.244) indicated weak agreement on the relative prioritisation of these factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The participating experts endorsed a dual-consensus, valuing both active motor learning principles and traditional impairment-based normalisation. This coexistence highlights an apparent translational gap between current theoretical evidence and clinical practice. The identified framework has the potential to inform curriculum development to bridge conventional approaches and contemporary evidence-based paediatric rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155261474849","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T14:26:14Z","timestamp":1786026374000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Motor learning in children with movement difficulties: A modified Delphi study of influencing factors"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6970-0959","authenticated-orcid":false,"given":"Turgay","family":"Altunalan","sequence":"first","affiliation":[{"name":"Karadeniz Technical University"},{"name":"Faculty of Medical Sciences, Newcastle University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7153-2037","authenticated-orcid":false,"given":"Safiye G\u00fcl","family":"\u00d6zkan","sequence":"additional","affiliation":[{"name":"\u00dcsk\u00fcdar University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3802-6495","authenticated-orcid":false,"given":"Elif","family":"Balki","sequence":"additional","affiliation":[{"name":"\u00dcsk\u00fcdar University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4648-6447","authenticated-orcid":false,"given":"Ay\u015fe","family":"Sav G\u00fcrb\u00fcz","sequence":"additional","affiliation":[{"name":"\u00dcsk\u00fcdar University"},{"name":"Department of Physical Therapy and Rehabilitation, Graduate School of Health Sciences, Dokuz Eyl\u00fcl University, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6031-8227","authenticated-orcid":false,"given":"Burhan","family":"Sancakdar","sequence":"additional","affiliation":[{"name":"\u00dcsk\u00fcdar University"},{"name":"H\u0131fz\u0131 \u00d6zcan Special Education and Rehabilitation Centre, Cerebral Palsy Turkey, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-12-90"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11910-020-1022-z"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-444-64150-2.00007-1"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15682"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.16477"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2023.1171224"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15055"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2020.1725943"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.15437\/jetr.1483225"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15959"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12929"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2000.t01-1-01567.x"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0304651"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1035719X0300300213"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-024-02738-3"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.3266"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.3199"},{"key":"e_1_3_3_19_2","article-title":"Exploring effects of the HEP (homeostasis-enrichment-plasticity) approach as a comprehensive therapy intervention for an infant with cerebral palsy: a case report","volume":"12","author":"Bal\u0131kc\u0131 A","year":"2022","unstructured":"Bal\u0131kc\u0131 A. 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