The Italian consensus conference on the role of rehabilitation for children and adolescents with leukemia, central nervous system, and bone tumors, part 1: Review of the conference and presentation of consensus statements on rehabilitative evaluation of motor aspects

Abstract

Because of increasing survival rates in pediatric oncology, attention is focusing on cancer and its treatment-related side effects. Rehabilitation may reduce their impact. However, the literature does not provide strong evidence regarding rehabilitation pathways. Therefore,

Rehabilitation in children and adolescents undergoing stem cell transplantation: A pilot study focused on motor performance

“…Since already being under the charge of the rehabilitation service was an exclusion criterion, this means that subjects whose motor performance was compromised did not receive support to counteract these side effects. This suggests the need to create a standardised process that allows early detection (Gohar et al, 2010) and for which some authors propose using a checklist to perform a clinical evaluation in rehabilitation (Rossi et al, 2020).…”

“…This suggests the need to create a standardised process that allows early detection (Gohar et al, 2010) and for which some authors propose using a checklist to perform a clinical evaluation in rehabilitation (Rossi et al, 2020). Considering the feasibility of RCI, the acceptability threshold was reached in both groups only for staying sitting on the bed and for walking inside the room.…”

Clinical practice guideline and expert consensus recommendations for rehabilitation among children with cancer: A systematic review

“…The included reports identified the need for rehabilitation involvement both on and off cancer treatment. Nine guidelines and two expert consensus reports provided recommendations for ontreatment and off-treatment phases 39,[42][43][44][45][46][47][48][49][50][51] ; five guidelines and two expert consensus reports addressed the off-treatment phase only [34][35][36]40,[52][53][54] ; one expert consensus provided recommendations for the on-treatment phase only 55 ; four guidelines and five expert consensuses provided rehabilitation recommendations for children with cancer but did not clearly specify the timing/phase of treatment. 37,38,41,[56][57][58][59][60][61]…”

“…59 The only report identified that aimed specifically to outline rehabilitation recommendations for children with cancer was the result of an Italian consensus conference on the role of rehabilitation among children and adolescents with leukemia, CNS tumors, and bone tumors. 51 Rossi et al provided several recommendations, primarily in the area of rehabilitation assessment-when assessment should/should not occur and domains to evaluate. 51 This rehabilitation consensus report included numerous strong recommendations, but they were based on evidence of low or very low quality.…”

“…51 Rossi et al provided several recommendations, primarily in the area of rehabilitation assessment-when assessment should/should not occur and domains to evaluate. 51 This rehabilitation consensus report included numerous strong recommendations, but they were based on evidence of low or very low quality.…”