Development of expert consensus to guide physical rehabilitation in children and adolescents with acquired brain injury during the subacute phase.

The panel was small (11 experts) and from Western countries only, so it may not reflect global practices or low-resource settings. The study did not include children with prolonged disorders of consciousness, limiting its application to the most severe cases. Two panellists responded with support from their multidisciplinary teams, which may have influenced the consensus through groupthink rather than individual anonymity. The Delphi process was online with no opportunity for live discussion, potentially limiting the depth of agreement on complex topics like dosage. No distinction was made between different age groups or developmental stages in the final analysis, though experts noted this influenced their rankings.

The text does not explicitly state funding sources or conflicts of interest for the authors or panel members in the provided excerpts.

Do not treat these consensus statements as evidence that specific interventions work. This study reports what experts believe is important, not what has been proven effective in trials. In particular, the lack of consensus on dosage means there is no agreed-upon 'correct' amount of therapy; clinicians must still use individual judgment.