Sport as Therapy

Abstract

Problem: Due to physical performance limitations and inactivity after pediatric oncological treatment there is a strong need for childhood cancer-specific exercise opportunities. However, only few sustainable programs have been described in the literature. This article aims to provide an example of implementing an exercise opportunity in pediatric oncology.Methods: Five-year data (May 2012 to May 2017) have been analyzed on adverse events, attendance rates and barriers to attendance of a group-based exercise program designed for childhood cancer patients after inpatient medical treatment. The exercise sessions included endurance, strength, coordination exercises, as well as relaxation and cooperative games and were offered once a week for 45-60 minutes. In addition, aspects of reintegration into non-cancer-specific PA were explored.Results: Over 5 years, 32 patients and 14 healthy siblings/friends between 3 and 18 years of age were included. Most patients joined the program for 6-18 months with an average attendance rate of the exercise sessions of 60.28 12.62%. Main reasons for non-attendance of single exercise sessions were medical issues and holidays. No severe adverse events occurred. At program completion, most patients participated in physical education at school/kindergarten and engaged in leisure-time PA.Discussion: While key aspects for the establishment of sustainable exercise opportunities are highlighted, reintegration into non-cancer-specific PA must be improved and home-based alternatives could be a beneficial complement to the program.Key Words:Childhood, Children, Cancer, Sports, Physical Performance