Self-management support in chronic hand eczema needs to be individualized in order to provide specific knowledge relevant to the patient, so that the patient has realistic expectations concerning the course of disease and can adopt new habits that minimize effort in preventive behaviour.

There is consistent evidence that participation in a team sport is associated with improved social and psychological health independent of the type of team sport, age, somatic, or mental health problems. The findings indicate that team sport could be more efficient in promoting health and ensuring exercise participation and continuation than individual sport. However, when utilising team sports for health purposes, precautions must be taken with regard to their inherent competitive nature.

The article takes as its starting point the lived experiences of female sports patients in rehabilitation. The research data are semi-structured qualitative interviews (N=17) with non-professional female players as patients, having anterior cruciate ligament injuries (ACL-injuries). Injury narratives have been conducted, with a focus upon how female handball players managed the injured situation. Ethnographic research was taken in a private physiotherapy clinic over a period of more than 1 (1/2) years. The narratives show the impact of risk management - the individual coping strategy of the players. The handball her-player has choices to make regarding the resumption of the career. The options and possibilities of playing or not playing after an ACL-injury are connected to the trust in the capacity of the body. The concept of bodily risk reflexive coping strategy is constructed to understand the question of the resumption of the career. The individualistic self-care management indicates a manageable body with a desire to act as worthy of being a full part of the sporting society. This strategy is adding to the sense of accomplishment and to the continuing development of self-identity. The study shows that there is a need for guidance in the injury process. Playing is connected with pleasurable feelings and excitements, but the her-player does care for the bodily self and her risk assessment is so far not a "misuse" or a consumption of sports medicine in the name of sporting achievements.

Introduction Children with cancer experience reduced physical fitness and compromised social relationships during and following intensive treatment. This may negatively impact their quality of life. As part of the RESPECT study, we explored the motivations for participation in a physical activity programme during treatment. Methods Thirteen semi‐structured interviews were conducted with seven boys and six girls, diagnosed with paediatric cancer in 2013 and treated with chemotherapy (age 8–16 years; time from diagnosis to interview 6–16 months). Interviews were conducted in the children's homes. Results The qualitative analysis showed that children's motivations for engaging in the physical activity programme during intensive medical treatment were primarily influenced by (a) opportunity for physical activity with a classmate; (b) participation in group physical activity sessions; (c) support from significant others; and (d) improvement of physical well‐being. Main barriers included (a) poor physical well‐being; (b) compliance with medical procedures and being treated in protective isolation; and (c) limited physical activity facilities. Conclusion Despite barriers, it is possible to motivate and engage children with cancer in physical activity during intensive treatment in a paediatric oncology ward. Physical exercise and activity should be recommended and promoted from diagnosis throughout the treatment period and should include psychosocial and professional support.

BackgroundChildren with cancer experience severe reductions in physical fitness and functionality during and following intensive treatment. This may negatively impact their quality of life.PurposeTo describe the physical capacity and functionality of children with cancer during and after treatment as well as the feasibility of physical activity intervention in the Rehabilitation including Social and Physical activity and Education in Children and Teenagers with Cancer study.Patients and methodsThe study included children diagnosed from January 2013 to April 2016 with paediatric cancer or Langerhans cell histiocytosis, all treated with chemotherapy. Seventy-five of 78 consecutively eligible children (96.2%) were included. Median age was 11 years (range 6‒18). The physical capacity and function were assessed based on testing of physical strength, balance and cardiorespiratory fitness. Children were tested at diagnosis, 3 and 6 months after diagnosis and 1 year after cessation of treatment. The feasibility evaluation was inspired by the criteria for reporting the development and evaluation of complex interventions in healthcare.ResultsAll children participated in the physical intervention programme with no dropouts. Strenuous physical exercise and physiological testing during paediatric cancer treatment was safe and feasible, with only five minor adverse events during the intervention. Cardiorespiratory fitness was significantly lower in children with cancer than norms for healthy age-matched children at diagnosis (difference 19.1 mL/kg/min, 95% CI 15.4 to 22.7; p <0.0001), during treatment 3 and 6 months from diagnosis (difference 21.0 mL/kg/min, 95% CI 17.4 to 24.6; p <0.0001 and difference 21.6 mL/kg/min, 95% CI 17.3 to 25.8; p <0.0001, respectively) and 1 year after cessation of treatment (difference 6.9 mL/kg/min, 95% CI 1.1 to 12.7; p <0.0072). Furthermore, children with cancer experienced a pronounced decline in physical function.ConclusionThis study shows that it is safe and feasible to perform strenuous physical exercise and testing during paediatric cancer treatment and that children with cancer have significantly lower physical capacity and functionality than healthy age-matched norms.Trial registration numberClinicalTrials.gov: NCT01772862.