MOON-test – Determination of Motor Performance in the Pediatric Oncology

Abstract

Background:

Pediatric cancer patients suffer from various negative consequences due to the disease, the medical therapy and the inactivity during the intensive treatment. Only few studies have systematically identified the adverse effects of cancer on motor performance in childhood.

Methods:

To determine the motor performance of pediatric cancer patients, a motor performance test was developed which is applicable for this specific patient group. Eight test items with reference values for healthy children were merged to the MOON-test (test for motor performance in the oncology).

Results:

MOON was tested for feasibility and acceptance in 33 patients aged 4–18 years. Feasibility was confirmed for children with different types of cancer (hematological malignancies and solid tumors) and with amputation, endoprosthesis, during aplasia as well as reduced general condition. Furthermore the patients showed a broad acceptance.

Conclusion:

Based on the study findings, the use of MOON-test as a standardized motor performance diagnostic tool in clinical routine of oncological acute clinics as well as rehabilitation clinics can be recommended.·

Zusammenfassung

Hintergrund:

Krebskranke Kinder leiden auf­grund der Grunderkrankung, der medizinischen Therapie und der Inaktivität während der intensiven Behandlung unter diversen negativen ­Konsequenzen. Nur wenige Studien haben die konkreten Auswirkungen einer Krebserkrankung auf die kindliche Motorik systematisch untersucht.

Methode:

Um die sportmotorische Leistungsfähigkeit onkologisch erkrankter Kinder und Jugendlicher zu bestimmen, wurde ein speziell für diese Zielgruppe angepasster Motorik-Test entwickelt. 8 Testitems mit Referenzwerten für gesunde Kinder wurden zu dem MOON-Test (Motorik-Test in der Onkologie) zusammengeführt.

Ergebnisse:

MOON wurde mit 33 Patienten zwischen 4 und 18 Jahren auf Durchführbarkeit und Akzeptanz getestet. Der Test ist durchführbar bei diversen Krebserkrankungen (hämatologische und solide Tumore) und bei Amputationen, Endoprothesen, in Aplasie und reduziertem Allgemeinzustand. Darüber hinaus zeigten die Patienten eine große Akzeptanz.

Schlussfolgerung:

Basierend auf den Ergeb­nissen kann der MOON-Test als geeignetes Instrument zur einheitlichen Diagnostik der sportmotorischen Leistungsfähigkeit in onkologischen Akutkliniken und Rehabilitationseinrichtungen empfohlen ­werden.

Key words

pediatric cancer patients - pediatric oncology - motor abilities - motor performance ­diagnostic tool - physical activity - MOON

Schlüsselwörter

krebskranke Kinder - pädiatrische Onkologie - motorische Fähigkeiten - Motorik-Test - körperliche Aktivität - MOON

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