Motor Performance in Children Diagnosed with Cancer: A Longitudinal Observational Study

Hamari, Lotta; Lähteenmäki, Päivi; Pukkila, Heidi; Arola, Mikko; Axelin, Anna; Salanterä, Sanna; Järvelä, Liisa S.

doi:10.3390/children7080098

Cited by 9 publications

(5 citation statements)

References 37 publications

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“…Our study showed lower scores in girls in upper limb coordination, which are relevant skills for catching and throwing objects; however, this finding differs from that reported by Hamari L et al (2020), [ 29 ] who described better scores in girls in manual dexterity and coordination of upper limbs when they were evaluated at 6, 12, and 30 months (p > 0.05). An explanation for these differences is that, in our study, most of the affected girls were classified as high-risk.…”

Section: Discussioncontrasting

confidence: 99%

“…In addition, the children evaluated in our study were older than those included by Hamari et al [ 29 ], who included children aged 5.62 ± 1.11 years. This aspect is relevant since school-age children, like those in our research, perform tasks that require more complex manual and upper limb coordination than younger children, which, in addition to making these motor deficiencies more evident, could explain the negative correlation found in our study between older age and lower manual dexterity.…”

Section: Discussionmentioning

confidence: 99%

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Impairments in fine motor skills in children with Acute Lymphoblastic Leukaemia. A cross-sectional study

Tejeda-Castellanos,

Sánchez-Medina,

Márquez-González

et al. 2023

BMC Pediatr

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Aim We evaluated fine motor skills; precision, motor integration, manual dexterity, and upper-limb coordination according to sex and risk stratification in children with Acute Lymphoblastic Leukaemia (ALL). Methods We evaluated twenty-nine children in the maintenance phase aged 6 to 12 years with the Bruininks-Oseretsky Test of Motor Proficiency-second edition (BOT-2), and sex and age-specific norm values of BOT-2 were used to compare our results. Results We found lower scores on the upper-limb coordination subtest, p = 0.003 and on the manual coordination composite, p = 0.008, than normative values. Most boys performed “average” on both the subtests and the composites, but girls showed lower scores with a mean difference of 7.69 (95%CI; 2.24 to 3.14), p = 0.009. Girls’ scale scores on the upper-limb coordination subtest were lower than normative values, with mean difference 5.08 (95%CI; 2.35 to 7.81), p = 0.006. The mean standard score difference in high-risk patients was lower than normative on the manual coordination composite, 8.18 (95%CI; 2.26 to 14.1), p = 0.015. High-risk children also performed below the BOT-2 normative on manual dexterity 2.82 (95%CI; 0.14 to 5.78), p = 0.035 and upper limb coordination subtest 4.10 (95%CI; 1.13 to 7.05), p = 0.028. We found a decrease in fine motor precision in children with a higher BMI, rho= -0.87, p = 0.056 and a negative correlation between older age and lower manual dexterity, r= -0.41 p = 0.026; however, we did not find any correlation with the weeks in the maintenance phase. Conclusions Fine motor impairments are common in children with ALL in the maintenance phase; it is important to identify these impairments to early rehabilitation.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impairments in fine motor skills in children with Acute Lymphoblastic Leukaemia. A cross-sectional study

Tejeda-Castellanos,

Sánchez-Medina,

Márquez-González

et al. 2023

BMC Pediatr

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“…The need for this kind of exercise program for pediatric advanced cancer patients is underlined by major deviations from age-specific reference values. These differences were much higher compared to other studies with children at the end of acute treatment phase [16,17]. Although it was not the goal to reach reference fitness levels, better physical capacity enabled mobility and self-reliance in everyday life.…”

Section: Discussionmentioning

confidence: 64%

Is an Exercise Program for Pediatric Cancer Patients in Palliative Care Feasible and Supportive?—A Case Series

et al. 2023

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(1) Background: Growing evidence indicates benefits through exercise programs in pediatric oncology throughout the whole cancer trajectory. This should include palliative care, too. This project analyzes the feasibility of a supervised exercise program offered during hospital and home-based care for children with advanced cancer diagnoses. (2) Methods: Four children (7–13 years old) with advanced cancer diagnoses participated in this project. It consisted of supervised exercise sessions offered once a week (30–90 min), mainly home-based, but also on an in- and outpatient basis. Regular data assessments included psychological and physical capacity-related endpoints and body composition. Details and contents of exercise sessions and adverse events were recorded. (3) Results: Exercise was feasible with 73 ± 9% adherence to the minimum number of planned sessions. The exercise offer was accepted until shortly before death. Effects on fatigue, quality of life and muscular endurance were noted. Participants showed major deviations from age-specific reference values. No exercise-related adverse events occurred. (4) Conclusions: The exercise program was safe, feasible, and might have served as a supportive tool to reduce overall burden. Evaluation of exercise as usual palliative care should be assessed by further studies.

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“…Given the cross‐sectional design of this research, it is impossible to determine the directionality of this finding. Certainly, increasing physical activity can improve motor proficiency 42 ; however decreased motor proficiency after treatment may be associated with decreased physical activity 43 . In either scenario, regular, ongoing assessment of motor proficiency and rehabilitative interventions are necessary for the significant subset of young CCS with poor motor proficiency.…”

Section: Discussionmentioning

confidence: 99%

Health behavior profiles in young survivors of childhood cancer: Findings from the St. Jude Lifetime Cohort Study

Webster

Dhaduk

Gordon

et al. 2023

Cancer

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Background There is limited understanding of associations between a combination of health behaviors (physical activity, sedentary/screen‐time, diet) and cardiometabolic health risk factors, physical performance, and emotional health among young (<18) childhood cancer survivors (CCS). The aims of this research were to address this gap by 1) deriving health behavior adherence profiles among CCS, and 2) examining associations among demographic, diagnosis and/or treatment exposures, cardiometabolic, physical performance, and emotional functioning with health behavior profile membership. Methods Participants included 397 CCS (≥5 years post‐diagnosis; 10–17 years old) enrolled in the St. Jude Lifetime Cohort Study who completed physical health evaluations and questionnaires assessing health behaviors and psychological functioning. Latent profile analysis was used to derive profiles of health behavior adherence. Logistic regression and t‐tests were used to examine mean‐level differences and associations between profile membership with demographic, diagnosis, treatment exposures, cardiometabolic health, psychological functioning, and physical performance. Results Two profiles emerged: inactive‐unhealthy‐diet (“IU”) and active‐sedentary‐unhealthy‐diet (“ASU”) to guidelines. More participants in IU demonstrated higher resting heart rate (mean [M], 76.54; SD = 12.00) and lower motor proficiency scores (M = 34.73; SD = 29.15) compared to ASU (resting heart rate, M = 71.95, SD = 10.74; motor proficiency, M = 50.40, SD = 31.02). Conclusions CCS exhibited low adherence to multiple health behavior guidelines, with adherence patterns differentially associated with cardiometabolic health (i.e., resting heart rate) and physical performance. However, robust protection against all health variables was not observed. Findings suggest interventions designed to improve health outcomes should target multiple health behaviors simultaneously. Plain Language Summary Pediatric cancer survivors are at‐risk for detrimental health outcomes associated with cancer and treatment. Engagement in healthy lifestyle behaviors serves to reduce health vulnerabilities among adult survivors but less is known about associations with lifestyle behaviors on young survivors. This study documents patterns of lifestyle behaviors among survivors of pediatric cancer, factors that increase susceptibility to nonadherence, and associations among lifestyle behaviors and health indicators.

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Motor Performance in Children Diagnosed with Cancer: A Longitudinal Observational Study

Cited by 9 publications

References 37 publications

Impairments in fine motor skills in children with Acute Lymphoblastic Leukaemia. A cross-sectional study

Impairments in fine motor skills in children with Acute Lymphoblastic Leukaemia. A cross-sectional study

Is an Exercise Program for Pediatric Cancer Patients in Palliative Care Feasible and Supportive?—A Case Series

Health behavior profiles in young survivors of childhood cancer: Findings from the St. Jude Lifetime Cohort Study

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