Level of activity in children undergoing cancer treatment

Winter, Corinna; Müller, Carsten; Brandes, Mirko; Brinkmann, Anja; Hoffmann, Christiane; Hardes, Jendrik; Gosheger, Georg; Boos, Joachim; Rosenbaum, Dieter

doi:10.1002/pbc.22055

Cited by 126 publications

(117 citation statements)

References 30 publications

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“…Bone tumor patients showed a more pronounced decline in all motor abilities (except handgrip strength) than leukemia patients, which might be due to orthopedic restrictions and surgery or to the well-documented reduction of physical activity levels [14,39]. Specific physical therapy, adapted to individual performance limitations, is essential for this patient group, as well as a general promotion of enjoyable exercises to maintain adequate activity levels and physical fitness [40].…”

Section: Discussionmentioning

confidence: 98%

Motor performance in children and adolescents with cancer at the end of acute treatment phase

et al. 2014

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Section: Discussionmentioning

confidence: 98%

Motor performance in children and adolescents with cancer at the end of acute treatment phase

et al. 2014

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“…Children undergoing the early stages of treatment have reduced PA, mainly because of the constraints associated with hospitalization, which include medical apparatus, and side effects from intensive treatment regimes, such as fatigue and nausea, which lead to sedentary bed rest. 37,38 A spectrum of disuse, and overprotective parents and physicians monitoring children in remission, may contribute to patterns of inactivity persisting after treatment is completed. 39 Although five children in the current study had PAQ-C scores lower than published mean scores for children without a cancer diagnosis (mean score 3.2), 22 two children had comparable scores, and six achieved higher scores.…”

Section: Discussionmentioning

confidence: 99%

Associating Physical Activity Levels with Motor Performance and Physical Function in Childhood Survivors of Acute Lymphoblastic Leukemia

Hung

Rankin

Virji‐Babul

et al. 2017

Physiotherapy Canada

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Purpose: This cross-sectional, observational study investigated whether physical activity (PA) levels are associated with motor performance and physical function in children after treatment for acute lymphoblastic leukemia (ALL). Method: Participants aged 8-13 years who had completed treatment for ALL (3-36 months post-treatment) were tested at their oncology long-term follow-up appointment at the British Columbia Children's Hospital. PA level was measured using the Physical Activity Questionnaire for Older Children (PAQ-C). Motor performance was measured using the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition, Short Form (BOT-2 SF), and physical function was measured using the 6-minute walk test (6MWT). Results: Thirteen children completed testing. PAQ-C scores were not associated with BOT-2 SF or 6MWT performance. Eleven children (85%) performed below the norm for the 6MWT. Children with elevated body mass index had poorer 6MWT but similar PAQ-C scores. Conclusion: PA was not found to be associated with motor performance and physical function. Participants who were overweight or obese had poorer 6MWT performance, which may indicate the need for closer monitoring of post-treatment weight status and physical function in the oncology follow-up setting.Key Words: acute lymphoblastic leukemia; body mass index; motor skills; physical activity; physical fitness. RÉ SUMÉObjectif : cette é tude observationnelle à mé thodologie transversale portait sur le lien potentiel entre le niveau d'activité physique (AP) et la capacité motrice et physique des enfants ayant reç u un traitement contre la leucé mie lymphoblastique aiguë (LLA). Mé thode : des participants â gé s de 8 à 13 ans ayant reç u un traitement contre la LLA (de 3 à 36 mois aprè s le traitement) ont é té é valué s lors de leur rendez-vous de suivi à long terme en oncologie au British Columbia Children's Hospital. Le niveau d'AP a é té mesuré à l'aide du Questionnaire de mesure de l'activité physique chez les enfants (PAQ-C). La capacité motrice a é té mesuré e à l'aide du Bruininks-Oseretsky Test of Motor Proficiency, Deuxiè me é dition, Formulaire court (BOT-2 SF) et la capacité physique a é té mesuré e à l'aide du test de marche de 6 minutes (6MWT). Ré sultats : treize enfants ont effectué les tests. Aucun lien n'a é té observé entre les scores du PAQ-C et les ré sultats du BOT-2 SF ni ceux du 6MWT. Onze enfants (85 %) ont obtenu un ré sultat infé rieur à la norme au 6MWT. Les enfants ayant un indice de masse corporelle é levé ont obtenu des ré sultats plus faibles au 6MWT, mais des ré sultats similaires au PAQ-C. Conclusion : le niveau d'AP ne semble pas avoir de lien avec la capacité motrice ou physique. Les participants en surpoids et obè ses ont obtenu des ré sultats plus faibles au 6MWT, ce qui peut indiquer un besoin de surveillance plus é troit du poids et de la capacité physique aprè s le traitement lors des rendez-vous de suivi en oncologie.Acute lymphoblastic leukemia (ALL) is the most common childhood malignancy in Canada, a...

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“…These changes over time were also measured using sports activity scores that showed a significant reduction in the first year postsurgery compared with preosteosarcoma levels and a steady increase in activity levels up until 5 years postsurgery when maximum levels were achieved. Winter et al [23] compared activity levels of survivors of leukemia and bone tumors with a healthy control group by analyzing the number of daily gait cycles. This study demonstrated that activity levels in cancer survivors, especially in patients with bone tumors, are dramatically reduced.…”

Section: Discussionmentioning

confidence: 99%

What Sports Activity Levels Are Achieved in Patients With Modular Tumor Endoprostheses of Osteosarcoma About the Knee?

Lang

Hobusch

Funovics

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Advances in multimodal treatment have improved survival of patients with nonmetastatic osteosarcoma. At the same time, implant design has improved the outcomes of limb salvage with modular endoprostheses. However, little is known about sports activity in longterm survivors with osteosarcoma. Questions/purposes We wanted to evaluate (1) sports activity levels in long-term survivors of osteosarcoma about the knee who received a modular tumor endoprosthesis; (2) to determine if activity level changed over time from initial reconstruction or (3) was predicted from sports activity level before diagnosis; and (4) if complications that occurred affected sports or contributed to prosthetic failures. Methods Between 1995 and 2005, we treated 120 patients for osteosarcoma about the knee with resection and modular endoprosthetic reconstruction; of those, 25 (21%) have died, six (5%) had an amputation, 39 (32%) did not speak German and so were ineligible, and 14 (12%) were either lost to followup or refused to participate, leaving 27 patients (14 females, 13 males; median age 19 years [range, 12-60 years); average followup 11 ± 4 years) (54% of the living, German-speaking cohort) for this analysis. Tumors were located in the distal femur (n = 16) and the proximal tibia (n = 11). Sports participation as well as the UCLA Activity Score and the modified Weighted Activity Score were assessed retrospectively. Moreover, postoperative complications were evaluated. Results Before the diagnosis of osteosarcoma and 1, 3, and 5 years and at the latest followup, respectively, after their reconstructions, 24 (89%), nine (33%), 20 (74%), and 24 patients (89%) were able to perform sports activities. There was a reduction in high-impact activities. Those patients with followup longer than 5 years had no changes in sports activity at their latest followup. Patients who had higher levels of sports activity levels before surgery generally had higher levels of activity at last followup (UCLA Activity Score: r = 0.62, p \ 0.0005; modified Weighted Activity Score r = 0.49, p \ 0.01). Fourteen patients (51%) underwent revision surgery. With the numbers available, complications had no effect on sports activity. No sports activity-related complications were found. Conclusions Some long-term survivors of osteosarcoma can achieve high levels of sports activity. Preoperative activity levels seem to influence the postoperative activity levels. This information is important to give realistic expectations for long-term survivors of osteosarcoma of the knee.

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Level of activity in children undergoing cancer treatment

Cited by 126 publications

References 30 publications

Motor performance in children and adolescents with cancer at the end of acute treatment phase

Motor performance in children and adolescents with cancer at the end of acute treatment phase

Associating Physical Activity Levels with Motor Performance and Physical Function in Childhood Survivors of Acute Lymphoblastic Leukemia

What Sports Activity Levels Are Achieved in Patients With Modular Tumor Endoprostheses of Osteosarcoma About the Knee?

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