Core Components of Rehabilitating Children with Brain Cancer using Exergames: a Scoping Review
DOI:
https://doi.org/10.33194/rper.2024.36244Keywords:
Child, Exergaming, Brain Neoplasms, RehabilitationAbstract
Introduction: Child cancer is a rare phenomenon carrying alterations in physical condition, that influence the way they develop. Due to the implications resulting from brain tumors it is necessary to define, implement and evaluate interventions that minimize the functional impact on the child, specifically those that utilize exergames. So, the aim of this study is to map the literature related to the use of exergames in the motor rehabilitation of school-aged children with brain tumors.
Methodology: Scoping Review method, according to Joanna Briggs Institute. Two independent reviewers carried out the review which included studies incorporating school-aged children with a brain tumor, who resorted to exergames in motor rehabilitation programs. Research was carried out without a time limit, accessing to EBSCOHost, Web of Science, Scopus, and grey literature.
Results: Three publications were included. The intervention varied between 8 to 12 weeks including 3 to 5 sessions per week, with an estimated time of 30 to 45 minutes per session. The most used gaming platform was Nintendo® Wii. Several evaluation tools have been applied, to obtain data about physical fitness, functionality, quality of life, neuropsychological state, and self-concept.
Discussion: Intervention programs differ one from another, particularly in the criteria for their prescription, duration, and assessment tools, as well as the game platforms used. The programs are evaluated at an early stage and at the end and can be extended up to 3 months after the end of the program.
Conclusion: Further investigation should be carried to examine the characteristics of interventions aimed at children with cancer, namely the frequency, intensity, type, and duration of physical exercise, as well as the influence of exergames on the rehabilitation of children with brain tumors. The scarcity of research on this topic justifies investing in primary studies to clarify the impact of the intervention of specialist nurses in Rehabilitation Nursing in this field. The analysis of interventions that can be implemented by specialist nurses for children with cancer is an emerging issue, to promote informed decision-making in Rehabilitation Nursing, as well as to identify priority areas for research.
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References
Steliarova-Foucher E, Colombet M, Ries LAG, Moreno F, Dolya A, Bray F, et al. International incidence of childhood cancer, 2001-10: a population-based registry study. Lancet Oncol. 2017;18(6):719-31. DOI: 10.1016/S1470-2045(17)30186-9
Kaatsch P. Epidemiology of childhood cancer. Cancer Treat Rev. 2010;36(4):277-85. DOI: 10.1016/j.ctrv.2010.02.003
Kaatsch P, Spix C, Grabow D. German Childhood Cancer Registry-Annual Report 2017 (1980–2016). 2018. [cited 20 jun 2024] Available from: https://www.unimedizin-mainz.de/fileadmin/kliniken/dkkr/pdf/jb/jb2017/jb2017_s.pdf.
RON. Folha Informativa Pediatria (Factos e Números sobre Cancro Pediátrico em Portugal). 2022. [cited 20 jun 2024]. Available from: https://ron.min-saude.pt/pt/.
Antwi GO, Jayawardene W, Lohrmann DK, Mueller EL. Physical activity and fitness among pediatric cancer survivors: a meta-analysis of observational studies. Support Care Cancer. 2019;27(9):3183-94. DOI: https://doi.org/10.1007/s00520-019-04788-z
Braam KI, van Dijk-Lokkart EM, Kaspers GJL, Takken T, Huisman J, Bierings MB, et al. Cardiorespiratory fitness and physical activity in children with cancer. Support Care Cancer. 2016;24(5):2259-68. DOI: 10.1007/s00520-015-2993-1
Caru M, Curnier D, Levesque A, Sultan S, Marcil V, Laverdière C, et al. The impact of cancer on theory of planned behavior measures and physical activity levels during the first weeks following cancer diagnosis in children. Support Care Cancer. 2021;29(2):823-31. DOI: 10.1007/s00520-020-05541-7
Ness KK, Kaste SC, Zhu L, Pui CH, Jeha S, Nathan PC, et al. Skeletal, neuromuscular and fitness impairments among children with newly diagnosed acute lymphoblastic leukemia. Leuk Lymphoma. 2015;56(4):1004-11. DOI: 10.3109/10428194.2014.944519
Berkman AM, Lakoski SG. A Review of Cardiorespiratory Fitness in Adolescent and Young Adult Survivors of Childhood Cancer: Factors that Affect its Decline and Opportunities for Intervention. J Adolesc Young Adult Oncol. 2016;5(1):8-15. DOI: 10.1089/jayao.2015.0031
Badr H, Chandra J, Paxton RJ, Ater JL, Urbauer D, Cruz CS, et al. Health-related quality of life, lifestyle behaviors, and intervention preferences of survivors of childhood cancer. J Cancer Surviv. 2013;7(4):523-34. DOI: 10.1007/s11764-013-0289-3
Eime RM, Young JA, Harvey JT, Charity MJ, Payne WR. 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 Phys Act. 2013;10:98. DOI: 10.1186/1479-5868-10-135
Macedoni-Luksic M, Jereb B, Todorovski L. Long-term sequelae in children treated for brain tumors: impairments, disability, and handicap. Pediatr Hematol Oncol. 2003;20(2):89-101. DOI: 10.1080/0880010390158595
Ness KK, Morris EB, Nolan VG, Howell CR, Gilchrist LS, Stovall M, et al. Physical performance limitations among adult survivors of childhood brain tumors. Cancer. 2010;116(12):3034-44. DOI: 10.1002/cncr.25051
Söntgerath R, Eckert K. Impairments of Lower Extremity Muscle Strength and Balance in Childhood Cancer Patients and Survivors: A Systematic Review. Pediatr Hematol Oncol. 2015;32(8):585-612. DOI: 10.3109/08880018.2015.1079756
Morales JS, Valenzuela PL, Rincón-Castanedo C, Takken T, Fiuza-Luces C, Santos-Lozano A, et al. Exercise training in childhood cancer: A systematic review and meta-analysis of randomized controlled trials. Cancer Treat Rev. 2018;70:154-67. DOI: 10.1016/j.ctrv.2018.08.012
Scott JM, Li N, Liu Q, Yasui Y, Leisenring W, Nathan PC, et al. Association of Exercise With Mortality in Adult Survivors of Childhood Cancer. JAMA Oncol. 2018;4(10):1352-8. DOI: 10.1001/jamaoncol.2018.2254
Van Dijk-Lokkart EM, Steur LMH, Braam KI, Veening MA, Huisman J, Takken T, et al. Longitudinal development of cancer-related fatigue and physical activity in childhood cancer patients. Pediatr Blood Cancer. 2019;66(12). DOI: 10.1002/pbc.27949
Braam KI, van Dijk-Lokkart EM, van Dongen JM, van Litsenburg RRL, Takken T, Huisman J, et al. Cost-effectiveness of a combined physical exercise and psychosocial training intervention for children with cancer: Results from the quality of life in motion study. Eur J Cancer Care (Engl). 2017;26(6). DOI: 10.1111/ecc.12586
Timmons BW, Naylor PJ, Pfeiffer KA. Physical activity for preschool children-how much and how? Can J Public Health. 2007;98 Suppl 2:S122-34.
Chaput JP, Willumsen J, Bull F, Chou R, Ekelund U, Firth J, et al. 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5-17 years: summary of the evidence. Int J Behav Nutr Phys Act. 2020;17(1):141. DOI: 10.1186/s12966-020-01037-z
WHO. WHO guidelines on physical activity and sedentary behaviour. 2020. [cited 20 jun 2024] Available from: https://www.who.int/publications/i/item/9789240015128.
Children’s Oncology Group. Staying healthy through diet and physical activity. Diet and Physical Activity [Internet]. 2018. [cited 20 jun 2024] Available from: http://www.survivorshipguidelines.org/pdf/2018/English%20Health%20Links/13_diet_and_physical_activity%20(secured).pdf.
Götte M, Söntgerath R, Gauß G, Wiskemann J, Buždon M, Kesting S. A National Implementation Approach for Exercise as Usual Care in Pediatric and Adolescent Oncology: Network ActiveOncoKids. Pediatr Exerc Sci. 2022;34(4):219–26. DOI: 10.1123/pes.2021-0218
Wurz A, Daeggelmann J, Albinati N, Kronlund L, Chamorro-Viña C, Culos-Reed SN. Physical activity programs for children diagnosed with cancer: an international environmental scan. Support Care Cancer. 2019;27(4):1153-62. DOI: 10.1007/s00520-019-04669-5
Sveistrup H. Motor rehabilitation using virtual reality. J Neuroeng Rehabil. 2004;1(1):10. DOI: 10.1186/1743-0003-1-10
Information NCfB. National Library of Medicine 2022. [cited 20 jun 2024] Available from: https://www.ncbi.nlm.nih.gov.
Benzing V, Schmidt M. Exergaming for Children and Adolescents: Strengths, Weaknesses, Opportunities and Threats. J Clin Med. 2018;7(11). DOI: 10.3390/jcm7110422
Arksey H, O'Malley L. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology. 2005;8(1):19-32. DOI: 10.1080/1364557032000119616
Peters M, Godfrey C, McInerney P, Munn Z, Tricco A, Khalil H. Scoping reviews. 2020. In: JBI Manual for Evidence Synthesis [Internet]. JBI. [cited 20 jun 2024] Available from: https://synthesismanual.jbi.global.
Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-73. DOI: 10.7326/M18-0850
ÇAkir FB, Mutluay F, Tanriverdİ M. Effect of Virtual Reality Exergaming on Function in Children with Brain Tumors: 3 Months Follow Training in 5 Case Series. 2018. DOI: 10.1002/pbc.27455
Sabel M, Sjolund A, Broeren J, Arvidsson D, Saury JM, Gillenstrand J, et al., editors. Active Video Gaming Improves Motor And Process Skills In Survivors Of Childhood Brain Tumors.2015. DOI: 10.1002/pbc.25715
Benzing V, Spitzhüttl J, Siegwart V, Schmid J, Grotzer M, Heinks T, et al. Effects of Cognitive Training and Exergaming in Pediatric Cancer Survivors-A Randomized Clinical Trial. Med Sci Sports Exerc. 2020;52(11):2293-302. DOI: 10.1249/MSS.0000000000002386
Kopp LM, Gastelum Z, Guerrero CH, Howe CL, Hingorani P, Hingle M. Lifestyle behavior interventions delivered using technology in childhood, adolescent, and young adult cancer survivors: A systematic review. Pediatr Blood Cancer. 2017;64(1):13-7. DOI: 10.1002/pbc.26166
Levac DE, Galvin J. Facilitating clinical decision-making about the use of virtual reality within paediatric motor rehabilitation: Application of a classification framework. Developmental Neurorehabilitation. 2011;14(3):177-84. DOI: 10.3109/17518423.2011.554487
Sabel M, Sjölund A, Broeren J, Arvidsson D, Saury JM, Blomgren K, et al. Active video gaming improves body coordination in survivors of childhood brain tumours. Disabil Rehabil. 2016;38(21):2073-84. DOI: 10.3109/09638288.2015.1116619
Sabel M, Sjölund A, Broeren J, Arvidsson D, Saury JM, Gillenstrand J, et al. Effects of physically active video gaming on cognition and activities of daily living in childhood brain tumor survivors: a randomized pilot study. Neuro-oncology practice. 2017;4(2):98-110. DOI: 10.1093/nop/npw020
Valentin B, Noëmi E, Janine S, Valerie S, Manuela P-W, Claus K, et al. The Brainfit study: efficacy of cognitive training and exergaming in pediatric cancer survivors – a randomized controlled trial. BMC Cancer. 2018;18(1):1-10. DOI: 10.1186/s12885-017-3933-x
Rahmani E, Boren SA. Videogames and Health Improvement: A Literature Review of Randomized Controlled Trials. Games for Health Journal. 2012;1(5):331-41. DOI: 10.1089/g4h.2012.0031
Doi S, Isumi A, Fujiwara T. Association between Adverse Childhood Experiences and Time Spent Playing Video Games in Adolescents: Results from A-CHILD Study. Int J Environ Res Public Health. 2021;18(19). DOI: 10.3390/ijerph181910377
Vorderer P, Bryant J. Playing Video Games: Motives, Responses, and Consequences. 1st ed. New York: Routledge, Taylor & Francis Group; 2006.
Deutsch JE, Westcott McCoy S. Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation. Pediatr Phys Ther. 2017;29 Suppl 3: S23-s36. DOI: 10.1097/PEP.0000000000000387
Braam KI, van der Torre P, Takken T, Veening MA, van Dulmen-den Broeder E, Kaspers GJ. Physical exercise training interventions for children and young adults during and after treatment for childhood cancer. Cochrane Database Syst Rev. 2016;3(3). DOI: https://doi.org/10.1002/14651858.CD008796.pub3
American College of Sports & Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. 11th ed. Filadéfia: Wolters kluwer health; 2021.
Szulc-Lerch KU, Timmons BW, Bouffet E, Laughlin S, de Medeiros CB, Skocic J, et al. Repairing the brain with physical exercise: Cortical thickness and brain volume increases in long-term pediatric brain tumor survivors in response to a structured exercise intervention. Neuroimage Clin. 2018;18:972-85. DOI: 10.1016/j.nicl.2018.02.021
Berkman AM, Lakoski SG. A Review of Cardiorespiratory Fitness in Adolescent and Young Adult Survivors of Childhood Cancer: Factors that Affect its Decline and Opportunities for Intervention. Journal of Adolescent and Young Adult Oncology. 2015;5(1):8-15. DOI: 10.1089/jayao.2015.0031
Mizrahi D, Wakefield CE, Simar D, Ha L, McBride J, Field P, et al. Barriers and enablers to physical activity and aerobic fitness deficits among childhood cancer survivors. Pediatr Blood Cancer. 2020;67(7). DOI: 10.1002/pbc.28339
Stössel S, Neu MA, Wingerter A, Bloch W, Zimmer P, Paret C, et al. Benefits of Exercise Training for Children and Adolescents Undergoing Cancer Treatment: Results From the Randomized Controlled MUCKI Trial. Frontiers in Pediatrics. 2020. DOI: 10.3389/fped.2020.00243
Grimshaw SL, Taylor NF, Mechinaud F, Shields N. Assessment of physical function in children with cancer: A systematic review. Pediatr Blood Cancer. 2018;65(12). DOI: 10.1002/pbc.27369
Shank J, Chamorro-Viña C, Guilcher GMT, Langelier DM, Schulte F, Culos-Reed SN. Evaluation Tools for Physical Activity Programs for Childhood Cancer: A Scoping Review. J Pediatr Oncol Nurs. 2020;37(3):163-79. DOI: 10.1177/1043454219891987
Söntgerath R, Däggelmann J, Kesting SV, Rueegg CS, Wittke TC, Reich S, et al. Physical and functional performance assessment in pediatric oncology: a systematic review. Pediatr Res. 2022;91(4):743-56. DOI: 10.1038/s41390-021-01523-5
Meryk A, Kropshofer G, Hetzer B, Riedl D, Lehmann J, Rumpold G, et al. Use of Daily Patient-Reported Outcome Measurements in Pediatric Cancer Care. JAMA Netw Open. 2022;5(7):e2223701. DOI: 10.1001/jamanetworkopen.2022.23701
Meryk A, Kropshofer G, Hetzer B, Riedl D, Lehmann J, Rumpold G, et al. Bridging the gap in outpatient care: Can a daily patient-reported outcome measure help? Cancer Rep (Hoboken). 2022;5(1). DOI: 10.1002/cnr2.1421
Medeiros P, Felden ÉPG, Zequinão MA, Cordeiro PC, Dias de Freitas KT, Libardoni dos Santos JO, et al. Positive Effect of a Motor Intervention Program with Exergames: A Blind Randomized Trial. International Journal of Game-Based Learning. 2020;10(4):55-64. DOI: 10.4018/IJGBL.2020100104
Nani S, Matsouka O, Theodorakis Y, Antoniou P. Exergames and implications on quality of life in pediatric oncology patients: A preliminary qualitative study. Journal of Physical Education & Sport. 2019;19:262-7. DOI:10.7752/jpes.2019.s1039
Mustian KM, Sprod LK, Palesh OG, Peppone LJ, Janelsins MC, Mohile SG, et al. Exercise for the management of side effects and quality of life among cancer survivors. Curr Sports Med Rep. 2009;8(6):325-30. DOI: 10.1249/JSR.0b013e3181c22324
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