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Klin Padiatr 2024; 236(06): 331-338
DOI: 10.1055/a-2319-2561
Original Article

Balance training during acute medical treatment for pediatric cancer – subjective benefits and preliminary effects on selected physical abilities

Gleichgewichtstraining während der kinderonkologischen Akuttherapie – Subjektive und erste objektive Effekte auf ausgewählte körperliche Fähigkeiten
Sarah Otten 
1   Institute of Cardiology and Sport Medicine, Department of Molecular and Cellular Sport Medicine, German Sport University Cologne, Cologne, Germany
,
Julia Daeggelmann
1   Institute of Cardiology and Sport Medicine, Department of Molecular and Cellular Sport Medicine, German Sport University Cologne, Cologne, Germany
,
Vivien Loesse
2   Clinic for Children and Youth Medicine, Department for Pediatric Hematology/Oncology, Children’s Hospital Amsterdamer Straße, Cologne, Germany
,
Theresa Koempel
1   Institute of Cardiology and Sport Medicine, Department of Molecular and Cellular Sport Medicine, German Sport University Cologne, Cologne, Germany
,
Melanie Reitz
1   Institute of Cardiology and Sport Medicine, Department of Molecular and Cellular Sport Medicine, German Sport University Cologne, Cologne, Germany
,
Meinolf Siepermann
2   Clinic for Children and Youth Medicine, Department for Pediatric Hematology/Oncology, Children’s Hospital Amsterdamer Straße, Cologne, Germany
,
Volker Maas
2   Clinic for Children and Youth Medicine, Department for Pediatric Hematology/Oncology, Children’s Hospital Amsterdamer Straße, Cologne, Germany
,
Wilhelm Bloch
1   Institute of Cardiology and Sport Medicine, Department of Molecular and Cellular Sport Medicine, German Sport University Cologne, Cologne, Germany
,
Vanessa Oschwald
1   Institute of Cardiology and Sport Medicine, Department of Molecular and Cellular Sport Medicine, German Sport University Cologne, Cologne, Germany
› Author Affiliations Fundings Information This project was funded by the Internal Research Funds of the German Sport University Cologne, grant agreement number L-11–10011–256–102000
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Abstract

Background As balance training seems to be a promising training method to improve physical limitations of the lower limbs, this study aims to evaluate feasibility, subjective benefits and preliminary effects on physical abilities of balance training in pediatric cancer patients.

Patients 11 pediatric cancer patients (5–21 years) undergoing acute medical treatment were included in the study.

Method Participants took part in a 4-week balance training intervention. 3 trainings/week were conducted either supervised or self-administered. Subjective benefits were evaluated using a questionnaire, effects on selected physical abilities were assessed using functional-motor assessments.

Results Participants completed 71.21+37.34% of balance training sessions, no adverse events occurred. Participants were satisfied with the intervention and described various subjective benefits. Significant improvements were found in functional strength of the lower limbs as well as positive trends in balance.

Discussion Balance training seems feasible with pediatric cancer patients undergoing acute medical treatment potentially improving functions of the lower limbs relevant for daily physical activity.

Conclusion Balance training can be a valuable conjunct to general exercise programs in pediatric oncology.

Zusammenfassung

Hintergrund Da ein Gleichgewichtstraining eine vielversprechende Trainingsmethode zur Verbesserung körperlicher Beeinträchtigungen der unteren Extremitäten darstellt, untersucht die vorliegende Studie die Machbarkeit, subjektive und erste objektive Effekte eines Gleichgewichtstrainings auf körperliche Fähigkeiten bei onkologisch erkrankten Kindern.

Patienten 11 Kinder und Jugendliche (5–21 Jahre) während der akutmedizinischen Behandlung einer onkologischen Erkrankung wurden in die Studie eingeschlossen.

Methodik Die Patient*innen nahmen an einem 4-wöchigen Gleichgewichtstraining teil. 3 Trainingseinheiten/Woche wurden entweder supervidiert oder selbstständig umgesetzt. Subjektive Effekte wurden mit einem Fragebogen und die Effekte auf ausgewählte körperliche Fähigkeiten mittels funktionell-motorischer Testungen evaluiert.

Ergebnisse Die Teilnehmer*innen absolvierten 71.21+37.34% der Trainingseinheiten und es traten keine trainingsbedingten Zwischenfälle auf. Die Kinder waren zufrieden mit der Intervention und beschrieben verschiedene subjektive Effekte. Positive Veränderungen zeigten sich im Bereich der funktionellen Kraft der unteren Extremitäten und des Gleichgewichts.

Diskussion Ein Gleichgewichtstraining während der akutmedizinischen Behandlung in der Kinderonkologie scheint machbar und zeigt potenziell positive Effekte auf relevante Funktionen der unteren Extremitäten.

Schlussfolgerung Ein Gleichgewichtstraining kann eine wertvolle Ergänzung allgemeiner Bewegungsprogramme in der pädiatrischen Onkologie darstellen.

Keywords

balance training - sensorimotor training - physical activity - pediatric oncology - childhood cancer

Schlüsselwörter

Gleichgewichtstraining - Sensomotoriktraining - körperliche Aktivität - pädiatrische Onkologie - Krebs im Kindesalter

Supplementary Material



Publication History

Article published online:
20 June 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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