Feasibility and benefits of a combined programme of exercise and play for paediatric cancer survivors: A pilot study

Eur J Cancer Care (Engl). 2019 Sep;28(5):e13111. doi: 10.1111/ecc.13111. Epub 2019 Jun 4.

Abstract

Objective: This study aimed to determine the feasibility and benefits of a combined programme of exercise and play for childhood cancer survivors on health-related quality of life (HRQOL), post-traumatic growth and physical strength levels.

Methods: Six childhood cancer survivors participated in the 8-week intervention consisting of supervised play and exercise sessions two times per week. The participants performed joint exercises, independently, at home, on the 5 days that they were unable to participate in group exercises. Participants completed measures assessing HRQOL, post-traumatic growth and physical strength levels at baseline and post-intervention.

Results: Recruitment, retention and attendance rates in the 8-week combined programme were 87.5%, 85.7% and 89.6%, respectively, with no adverse reactions. Statistically significant improvement was observed in post-traumatic growth (z = -2.20, p = 0.03), subscales of HRQOL school functioning (z = -2.06, p = 0.04) and total score (z = -2.0.3, p = 0.04). Moreover, physical strength measurements using the physical activity promotion system showed that, out of the five total categories, muscle strength (z = -2.02, p = 0.04) and total physical strength (z = -2.03, p = 0.04) scores were statistically significantly improved.

Conclusion: The 8-week combined programme of exercise and play was feasible and provided preliminary evidence for the benefits of exercise on HRQOL, post-traumatic growth and physical activity levels in childhood cancer survivors.

Keywords: childhood cancer survivors; exercise programme; physical activity; play; post-traumatic growth; quality of life.

MeSH terms

  • Adolescent
  • Antineoplastic Agents / therapeutic use
  • Cancer Survivors*
  • Child
  • Exercise*
  • Feasibility Studies
  • Female
  • Hematologic Neoplasms / rehabilitation*
  • Hematologic Neoplasms / therapy
  • Humans
  • Male
  • Muscle Strength*
  • Physical Fitness
  • Pilot Projects
  • Play and Playthings*
  • Posttraumatic Growth, Psychological*
  • Quality of Life*
  • Stem Cell Transplantation

Substances

  • Antineoplastic Agents