Physical Therapist Coaching to Improve Physical Activity in Children With Brain Tumors: A Pilot Study

Pediatr Phys Ther. 2018 Oct;30(4):310-317. doi: 10.1097/PEP.0000000000000531.

Abstract

Purpose: Children with brain tumors (BTs) experience fatigue and decreased quality of life (QOL). Physical activity (PA) is recommended during and after cancer treatment. We explored whether a fitness tracker intervention combined with tailored coaching by a physical therapist (PT) increased PA and QOL and decreased fatigue in children with BTs.

Methods: Participants were 7 to 18 years' old, within 2 years of diagnosis, and received a 12-week PA intervention using a fitness tracker combined with 5 PT coaching sessions. Steps/day measured by Fitbit and self-reports of QOL, fatigue, and PA were evaluated at baseline, 12 weeks, and 24 weeks.

Results: Participants had nonsignificant increase in steps/day. Total fatigue, general, and sleep/rest subscales improved while cognitive fatigue and QOL remained unchanged. Higher steps/day were associated with lower fatigue.

Conclusion: This is a feasible intervention that may contribute to an increase in PA and improve fatigue in children with BTs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Brain Neoplasms / complications
  • Brain Neoplasms / physiopathology
  • Brain Neoplasms / rehabilitation*
  • Child
  • Exercise / physiology*
  • Exercise Therapy / education*
  • Exercise Therapy / methods
  • Fatigue / etiology
  • Fatigue / physiopathology
  • Fatigue / rehabilitation*
  • Female
  • Humans
  • Male
  • Mentoring / methods*
  • Physical Therapists / education*
  • Pilot Projects
  • Quality of Life*