Yoga as a Complementary and Alternative Therapy in Children with Hematologic and Oncologic Disease

Fukuhara, Julia S.; O’Haver, Judith; Proudfoot, James; Spies, Jeanie M.; Kuo, Dennis John

doi:10.1177/1043454220909787

Cited by 6 publications

(16 citation statements)

References 21 publications

(31 reference statements)

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“…The results of these eight nonrandomized studies are summarized in Table 1. All reports were pilot and/or feasibility single-arm studies, half of which were conducted entirely while the children were inpatients (Diorio et al, 2015; Fukuhara et al, 2020; Geyer et al, 2011; Thygeson et al, 2010). The sample size ranged from 6 to 29 participants.…”

Section: Resultsmentioning

confidence: 99%

“…The children ranged in age from 5 to 19 years and diagnoses included ALL, acute myelogenous leukemia, lymphoma, central nervous system (CNS) tumors, a mix of solid tumors, and one patient with Fanconi’s anemia requiring a bone marrow transplant. Four of the studies included a parent and/or caregiver and reported on one or more HRQL measures of those individuals, such as anxiety (Fukuhara et al, 2020; Geyer et al, 2011; Orsey et al, 2017; Thygeson et al, 2010). Five of the eight were U.S. studies, whereas the other three were conducted in Canada.…”

Section: Resultsmentioning

confidence: 99%

“…In all but one study (Wurz et al, 2014), it was reported that a combination of meditation and/or breathing exercises, physical poses, and final relaxation was included as part of the intervention. The intervention dose ranged from single sessions (Fukuhara et al, 2020; Thygeson et al, 2010) to twice-weekly yoga for 60 min for over 12 weeks (Wurz et al, 2014). Diorio et al (2015) did not report on the length of time for each yoga session, but they were offered 3 times/week for 3 weeks.…”

Section: Resultsmentioning

confidence: 99%

“…Diorio et al (2015) did not report on the length of time for each yoga session, but they were offered 3 times/week for 3 weeks. Among the studies conducted in the hospital setting, two were tailored and individually delivered with or without a parent/caregiver (Diorio et al, 2015; Fukuhara et al, 2020) and two were held in groups (Geyer et al, 2011; Thygeson et al, 2010). The study by Hooke et al (2016) included home sessions with the use of a recorded DVD by the same yoga instructor and Stein et al (2019) included individual virtual sessions (i.e., Skype).…”

Section: Resultsmentioning

confidence: 99%

“…With regard to outcome measures, the general Pediatric Quality of Life (PedsQL) questionnaire Acute Cancer Module and the PedsQL Multidimensional Fatigue Scale (MFS) were the most consistently utilized scales across studies. The State-Trait Anxiety Instrument (STAI), and/or the child version (STAIC) were used by three of the investigators (Fukuhara et al, 2020; Hooke et al, 2016; Thygeson et al, 2010). In addition to the use of the PedsQL, Stein et al (2019) used the Patient-reported Outcomes Measure Information System (PROMIS) short form to assess anxiety, depression, fatigue, and anger.…”

Section: Resultsmentioning

confidence: 99%

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Yoga in the Pediatric Oncology Population: A Review of the Literature

Spector

2021

J Pediatr Oncol Nurs

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Background: The purpose of this review was to evaluate the current body of literature on yoga in the pediatric oncology population. Considering the increasing number of studies on yoga indicating improvements in health-related quality of life (HRQL) among the adult oncology population, it is important to explore whether similar benefits have been found in pediatric oncology patients. Methods: CINAHL, Ovid MEDLINE, PsycINFO, PubMed, and Scopus were searched from the years 2010 through 2020 for studies assessing the use of yoga in children and adolescents affected by cancer. Considering the benefits of yoga on HRQL in the adult oncology population, the aim of this review was to evaluate the current body of literature on yoga in the pediatric cancer population. Results: Eight studies, all nonrandomized with single-arm designs, were reviewed. Five of the studies were designed as feasibility studies and while recruitment rates ranged from 34% to 55%, retention rates were ∼70%. Qualitative feedback from participants was very positive and themes related to both physical and psychological benefits. Certain measures of HRQL (i.e., anxiety, pain, and physical functioning) were found to be significantly improved following a yoga intervention. Discussion: Although no randomized clinical trials have been conducted to date on this important topic, the studies reviewed showed that delivering yoga to this population is feasible and safe. Additionally, preliminary findings on the impact of yoga for some of the common symptoms and treatment-related side effects experienced by children and adolescents affected by cancer are promising.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Yoga in the Pediatric Oncology Population: A Review of the Literature

Spector

2021

J Pediatr Oncol Nurs

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Yoga as a non‐pharmacologic therapy to reduce dinutuximab‐induced pain in patients with neuroblastoma

Parisio,

Kulp,

Heil

et al. 2024

Pediatric Blood & Cancer

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BackgroundAnti‐GD2 antibodies are key components of treatment for high‐risk neuroblastoma; however, they cause neuropathic pain. Yoga therapy may help reduce pain and distress associated with anti‐GD2 therapy.ProcedureChildren 3 years of age or older with neuroblastoma participated in individualized yoga therapy while receiving the anti‐GD2 antibody dinutuximab (DIN). Yoga therapy was deemed feasible if patients participated during 60% or more of DIN admissions. Patients and caregivers assessed pain/distress before and after yoga therapy with a distress thermometer (DT) and Wong‐Baker FACES pain rating scale and completed questionnaires regarding satisfaction with yoga therapy. Therapy was deemed efficacious if there was a ≥1 point pain score change and reduction in distress after yoga.ResultsEighteen patients were enrolled; 52 encounters (admissions for DIN) were evaluable. Ten of 18 were female, three of 18 were Hispanic, and 10/18 were White. Median age at enrollment was 5.5 years (range: 3–11). Yoga therapy was feasible in 39/52 (75%) encounters. Significant reductions in caregiver‐reported pain and distress and reductions in patient‐reported pain and distress after yoga therapy were reported. Twelve of 18 caregivers completed questionnaires: seven agreed/strongly agreed that yoga was valuable, and nine agreed/strongly agreed to continued participation in yoga. Thirty‐four of 36 clinicians reported that they would recommend yoga therapy for other patients receiving DIN.ConclusionsYoga therapy was feasible during DIN therapy and may be effective in reducing DIN‐associated pain and distress. Future studies are needed to evaluate changes in opioid usage with the addition of yoga therapy during anti‐GD2 antibody therapy.

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The effects of art therapy on quality of life and psychosomatic symptoms in adults with cancer: a systematic review and meta-analysis

Zhou,

Yu,

Zhou

et al. 2023

BMC Complement Med Ther

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Background Cancer-related psychological and physical disorders can mean stressful and painful experiences for patients. Art therapy, a form of complementary and alternative medicine, is an increasingly popular way to decrease emotional stress, alleviate somatic symptoms, and improve quality of life in patients with cancer. However, current systematic reviews have not explored the beneficial effects of art therapy. Moreover, there have been inconsistent findings on the effect of this therapy, and there is insufficient evidence to confirm the effects in adults with cancer. The objective of this study was to determine the efficacy of art therapy in improving quality of life and psychosomatic symptoms in adults with cancer. Methods This systematic review and meta-analysis included adults with all kinds of cancer. Six English-language and three large Chinese-language databases were comprehensively searched for relevant studies. Gray literature and references were also checked. The quality of the included studies was evaluated using the Cochrane risk-of-bias assessment tool. Results Eight eligible randomized controlled trials conducted in four countries were included. Art therapy improved overall quality of life, but had no significant effect on psychological health or physical health sub-dimensions in women with cancer. Moreover, art therapy alleviated anxiety and depression, but had only a tendency toward an effect on somatic symptoms. Conclusions Moderate-quality evidence shows that art therapy is beneficial for women with cancer in terms of improving the overall quality of life and alleviating emotional symptoms (anxiety and depression). However, more high-quality randomized controlled trials are needed to determine the efficacy of this therapy on somatic symptoms.

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Yoga as a Complementary and Alternative Therapy in Children with Hematologic and Oncologic Disease

Cited by 6 publications

References 21 publications

Yoga in the Pediatric Oncology Population: A Review of the Literature

Yoga in the Pediatric Oncology Population: A Review of the Literature

Yoga as a non‐pharmacologic therapy to reduce dinutuximab‐induced pain in patients with neuroblastoma

The effects of art therapy on quality of life and psychosomatic symptoms in adults with cancer: a systematic review and meta-analysis

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