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B&G Bewegungstherapie und Gesundheitssport 2015; 31(03): 117-123
DOI: 10.1055/s-0035-1550108
Praxis
Haug Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG Stuttgart

Rahmenbedingungen individualisierter stationärer Bewegungsförderung in der kinderonkologischen Akutversorgung

M Götte
Pädiatrische Hämatologie und Onkologie, Universitätsklinikum Münster
,
S Kesting
Pädiatrische Hämatologie und Onkologie, Universitätsklinikum Münster
,
S Taraks
Pädiatrische Hämatologie und Onkologie, Universitätsklinikum Münster
,
J Boos
Pädiatrische Hämatologie und Onkologie, Universitätsklinikum Münster
› Author Affiliations
Further Information

Publication History

Publication Date:
26 June 2015 (online)

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Zusammenfassung

Während einer Krebserkrankung sind die betroffenen Kinder und Jugendlichen für lange Zeit körperlich inaktiv. Im Sinne einer frühzeitigen Bewegungsförderung wird schon während der Akuttherapie ein individualisiertes, angepasstes Sportprogramm empfohlen. Die Inhalte orientieren sich dabei an der jeweiligen Sportanamnese, den persönlichen Zielen, der aktuellen medizinischen Situation und den altersspezifischen Schulsportinhalten. Die Akzeptanz durch die Patienten ist hoch, doch die häufig auftretenden körperlichen Beschwerden betonen die Notwendigkeit einer breiten Spannweite von Trainingsmethoden, die auch mit schlechtem Allgemeinzustand ein Minimalprogramm erlauben. Zukünftige Bemühungen sollten sich auf den bundesweiten Ausbau der Versorgungsangebote konzentrieren, um jedem erkrankten Kind eine kindgerechte Bewegungsförderung zu ermöglichen.

Summary

Framework conditions of individualized exercise promotion during in-patient treatment in pediatric oncology

Levels of physical activity are highly reduced during cancer treatment. Therefore, individually-tailored exercise programs are recommended during intensive treatment and thereafter to promote child-oriented physical activity. Contents are adapted to sports history, personal targets, medical situation and age-related physical education. Patients show a high acceptance, but the frequent presence of physical complaints also underlines the need of a broad range of exercise methods that allow a minimum program even under poor general conditions. Future efforts should focus on the development of sport offers throughout Germany to provide child-oriented exercise support for every child suffering from cancer.

 

  • Literatur

  • 1 Barrera M, Shaw AK, Speechley KN et al. Educational and social late effects of childhood cancer and related clinical, personal, and familial characteristics. Cancer 2005; 104: 1751-1760
    CrossrefPubMedGoogle Scholar
  • 2 Baumann FT, Bloch W, Beulertz J. Clinical exercise interventions in pediatric oncology: a systematic review. Pediatr Res 2013; 74: 366-374
    CrossrefPubMedGoogle Scholar
  • 3 Baumann F, Schüle K. Bewegungstherapie und Sport bei Krebs. 1.. Aufl. Köln: Deutscher Ärzte-Verlag; 2008
    Google Scholar
  • 4 Beulertz J, Bloch W, Prokop A, Baumann FT. Specific deficit analyses in motor performance and quality of life of pediatric cancer patients – a cross-sectional pilot study. Pediatr Hematol Oncol 2013; 30: 336-347
    CrossrefPubMedGoogle Scholar
  • 5 Braam KI, der Torre P van, Takken T et al. Physical exercise training interventions for children and young adults during and after treatment for childhood cancer. Cochrane Database Syst Rev 2013; 4: CD008796
    PubMedGoogle Scholar
  • 6 Chamorro-Viña C, Ruiz JR, Santana-Sosa E et al. Exercise during hematopoietic stem cell transplant hospitalization in children. Med Sci Sports Exerc 2010; 42: 1045-1053
    PubMedGoogle Scholar
  • 7 Colella D, Morano M. Gross motor development and physical activity in kindergarten age children. Int J Pediatr Obes 2011; 6: 33-36
    CrossrefPubMedGoogle Scholar
  • 8 Cramp F, Byron-Daniel J. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev 2012; 11: CD006145
    PubMedGoogle Scholar
  • 9 Eime RM, Young JA, Harvey JT et al. A systematic review of the psychological and social benefits of participation in sport for children and adolescents: informing development of a conceptual model of health through sport. Int J Behav Nutr Act 2013; 10: 89
    PubMedGoogle Scholar
  • 10 Götte M, Kesting S, Albrecht C et al. MOON-test – determination of motor performance in the pediatric oncology. Klin Padiatr 2013; 225: 133-137
    Article in Thieme ConnectPubMedGoogle Scholar
  • 11 Götte M, Kesting S, Winter C et al. Experience of barriers and motivations for physical activities and exercise during treatment of pediatric patients with cancer. Pediatr Blood Cancer 2014; 61: 1632-1637
    CrossrefPubMedGoogle Scholar
  • 12 Götte M, Kesting S, Winter C et al. Comparison of self-reported physical activity in children and adolescents before and during cancer treatment. Pediatr Blood Cancer 2014; 61: 1023-1028
    CrossrefPubMedGoogle Scholar
  • 13 Götte M, Kesting SV, Winter CC et al. Motor performance in children and adolescents with cancer at the end of acute treatment phase. Eur J Pediatr 2014 [Epub ahead of print]
    PubMedGoogle Scholar
  • 14 Götte M, Taraks S, Boos J. Sports in pediatric oncology: the roles(s) of physical activity for children with cancer. J Pediatr Hematol Oncol 2014; 36: 85-90
    CrossrefPubMedGoogle Scholar
  • 15 Green JL, Knight SJ, McCarthy M et al. Motor functioning during and following treatment with chemotherapy for pediatric acute lymphoblastic leukemia. Pediatr Blood Cancer 2013; 60: 1261-1266
    CrossrefPubMedGoogle Scholar
  • 16 Hess V, Biedermann B, Herrmann R. Prinzipien der Chemotherapie, Chemotherapie-Nebenwirkungen und deren Behandlung. Schweiz Med Forum 2001; 43: 1081-1085
    PubMedGoogle Scholar
  • 17 Hinds P, Hockenberry M, Rai SN et al. Clinical field testing of an enhanced-activity intervention in hospitalized children with cancer. J Pain Symptom Manage 2007; 33: 686-697
    CrossrefPubMedGoogle Scholar
  • 18 Hudson MM, Ness KK, Gurney JG et al. Clinical ascertainment of health outcomes among adults treated for childhood cancer. JAMA 2013; 309: 2371-2381
    CrossrefPubMedGoogle Scholar
  • 19 Jones LW. Evidence-based risk assessment and recommendations for physical activity clearance: cancer. Appl Physiol Nutr Metab 2011; 36: 101-112
    CrossrefPubMedGoogle Scholar
  • 20 Jones LW, Liang Y, Pituskin EN et al. Effect of exercise training on peak oxygen consumption in patients with cancer: a meta-analysis. Oncologist 2011; 16: 112-120
    CrossrefPubMedGoogle Scholar
  • 21 Kager L, Langebrake C, Kastner U. Chemotherapie. In: Gadner H, Gaedicke G, Niemeyer C, Ritter J (Hg.). Pädiatrische Hämatologie und Onkologie. Heidelberg: Springer Medizin Verlag; 2006: 560-577
    CrossrefGoogle Scholar
  • 22 Keats MR, Culos-Reed SN, Courneya KS, McBride M. An examination of physical activity behavior in a sample of adolescent cancer survivors. J Pediatr Oncol Nurs 2006; 23: 135-142
    CrossrefPubMedGoogle Scholar
  • 23 Kelly AKW. Physical activity prescription for childhood cancer survivors. Curr Sports Med Rep 2011; 10: 352-359
    CrossrefPubMedGoogle Scholar
  • 24 Kesting S, Götte M, Winter C et al. Bewegung und Sport in der pädiatrisch-onkologischen Nachsorge am Universitätsklinikum Münster – Konzept zur Wiedereingliederung in Sportstrukturen. (Abstract) Monatsschr Kinderheilkd 2013; doi 10 1007/s00112-013-2993-5
    PubMedGoogle Scholar
  • 25 Ladehoff N, Koch U, Mehnert A. Körperliche und psychosoziale Belastung bei Jugendlichen und jungen Erwachsenen mit einer Krebserkrankung. Z Gesundheitspsychol 2011; 19: 43-64
    CrossrefPubMedGoogle Scholar
  • 26 Lughetti L, Bruzzi P, Predieri B, Paolucci P. Obesity in patients with acute lymphoblastic leukemia in childhood. Ital J Pediatr 2012; 38: 4
    PubMedGoogle Scholar
  • 27 Mishra SI, Scherer RW, Snyder C et al. Exercise interventions on health-related quality of life for people with cancer during active treatment. Cochrane Database Syst Rev 2012; 8: CD008465
    PubMedGoogle Scholar
  • 28 Nunan D, Mahtani KR, Roberts N, Heneghan C. Physical activity for the prevention and treatment of major chronic disease: an overview of systematic reviews. Syst Rev 2013; 2: 56
    PubMedGoogle Scholar
  • 29 Okada M, Meeske KA, Menteer J et al. Exercise recommendations for childhood cancer survivors exposed to cardiotoxic therapies: an institutional clinical practice initiative. J Pediatr Oncol Nurs 2012; 29: 246-252
    CrossrefPubMedGoogle Scholar
  • 30 Reinders-Messelink H, Schoemaker M, Snijders T et al. Motor performance of children during treatment for acute lymphoblastic leukemia. Med Pediatr Oncol 1999; 33: 545-550
    CrossrefPubMedGoogle Scholar
  • 31 Rosenhagen A, Bernhörster M, Vogt L et al. Implementation of structured physical activity in the pediatric stem cell transplantation. Klin Padiatr 2011; 223: 147-151
    Article in Thieme ConnectPubMedGoogle Scholar
  • 32 San Juan AF, Chamorro-Vina C, Maté-Munoz JL et al. Functional capacity of children with leukemia. Int J Sports Med 2008; 29: 163-167
    Article in Thieme ConnectPubMedGoogle Scholar
  • 33 Schoenmakers M, Takken T, Gulmans VAM et al. Muscle strength and functional ability in children during and after treatment for acute lymphoblastic leukemia or T-cell Non-Hodgkin lymphoma: a pilot study. Cancer Therapy 2006; 4: 241-248
    PubMedGoogle Scholar
  • 34 Speyer E, Herbinet A, Vuillemin A et al. Effect of adapted physical activity sessions in the hospital on health-related quality of life for children with cancer: a cross-over randomized trial. Pediatr Blood Cancer 2010; 55(6): 1160-1166
    CrossrefPubMedGoogle Scholar
  • 35 Stene GB, Helbostad JL, Balstad TR et al. Effect of physical exercise on muscle mass and strength in cancer patients during treatment-A systematic review. Crit Rev Oncol Hematol 2013; 88: 573-593
    CrossrefPubMedGoogle Scholar
  • 36 Strong WB, Malina RM, Blimkie CJ et al. Evidence based physical activity for school-age youth. J Pediatr 2005; 146: 732-737
    CrossrefPubMedGoogle Scholar
  • 37 Tan SY, Poh BK, Chong HX et al. Physical activity of pediatric patients with acute leukemia undergoing induction or consolidation chemotherapy. Leuk Res 2013; 37: 14-20
    CrossrefPubMedGoogle Scholar
  • 38 van Brussel M, der Net J van, Hulzebos E et al. The Utrecht approach to exercise in chronic childhood conditions: the decade in review. Pediatr Phys Ther 2011; 23: 2-14
    CrossrefPubMedGoogle Scholar
  • 39 Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ 2006; 174: 801-809
    CrossrefPubMedGoogle Scholar
  • 40 Ward-Smith P, Hamlin J, Bartholomew J, Stegenga K. Quality of life among children with cancer. J Pediatr Oncol Nurs 2007; 24: 166-171
    CrossrefPubMedGoogle Scholar
  • 41 Winter C, Müller C, Brandes M et al. Level of activity undergoing cancer treatment. Pediatr Blood Cancer 2009; 53: 438-443
    CrossrefPubMedGoogle Scholar
  • 42 Winter C, Müller C, Hardes J et al. The effect of individualized exercise interventions during treatment in pediatric patients with a malignant bone tumor. Support Care Cancer 2013; 21: 1629-1636
    CrossrefPubMedGoogle Scholar
  • 43 Zebrack BJ. Psychological, social, and behavioral issues for young adults with cancer. Cancer 2011; 117: 2289-2294
    CrossrefPubMedGoogle Scholar