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  • Reinhardt, Dirk  (4)
  • 1
    Online Resource
    Online Resource
    Georg Thieme Verlag KG ; 2022
    In:  B&G Bewegungstherapie und Gesundheitssport Vol. 38, No. 05 ( 2022-10), p. 235-240
    In: B&G Bewegungstherapie und Gesundheitssport, Georg Thieme Verlag KG, Vol. 38, No. 05 ( 2022-10), p. 235-240
    Abstract: Kinder und Jugendliche sollten während ihrer gesamten Krebstherapie einschließlich der palliativ-medizinischen Versorgung Zugang zu Bewegungsprogrammen haben. Für die Phase am Lebensende gibt es nur sehr wenige Erfahrungen und Daten. Am Universitätsklinikum Essen wurde ein Bewegungsprojekt für onkologische Patienten im fortgeschrittenen Tumorstadium initiiert. Teilnehmende haben die Diagnose einer fortgeschrittenen Krebserkrankung, sind mindestens 3 Jahre alt, haben zuvor schon an der Bewegungstherapie der Akutklinik teilgenommen und dadurch eine Bindung zu ihren Bewegungstherapeuten aufgebaut und wohnen in der Umgebung des Krankenhauses ( 〈 60 Minuten Autofahrt/Strecke). Die Aufnahme wird mit dem Team der Spezialisierten Ambulanten Palliativversorgung (SAPV) der Klinik abgestimmt, um den Gesundheitszustand sowie familiäre Besonderheiten berücksichtigen zu können. Nach der Entscheidung über die Durchführ-barkeit und die Einwilligung der Familien bieten die Bewegungstherapeuten einmal pro Woche eine 30–90-minütige Bewegungseinheit an. Die Einheiten finden in der Regel bei den Patienten zu Hau-se statt, aber auch ambulant oder stationär, wenn die Patienten Termine oder Komplikationen haben. Inhaltlich bestehen die Einheiten aus einer Kombination von Kraft-, Ausdauer-, Koordinations-, Körperwahrnehmungs- und Mobilitätstraining, welche ressourcenorientiert, interessensorientiert und an die jeweilige Tagesform angepasst sind. Eine freiwillige Datenerfassung zu motorischen und psychologischen Parametern erfolgt alle vier bis sechs Wochen. Das Bewegungskonzept für palliative pädiatrische Patienten berücksichtigt die individuellen Möglichkeiten, Ziele und Interessen der Betroffenen. Da das Projekt aktuell noch nicht Teil der Regel-versorgung ist, sollte es evaluiert und ausgebaut werden. Pädiatrische onkologische Patienten im fortgeschrittenen Stadium sollten die Möglichkeit haben, an Bewegungsprogrammen teilzunehmen und von der Bewegungsförderung zu profitieren.
    Type of Medium: Online Resource
    ISSN: 1613-0863 , 1613-3269
    Language: German
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2022
    SSG: 31
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  • 2
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2023
    In:  Journal of Cancer Research and Clinical Oncology Vol. 149, No. 8 ( 2023-07), p. 4719-4729
    In: Journal of Cancer Research and Clinical Oncology, Springer Science and Business Media LLC, Vol. 149, No. 8 ( 2023-07), p. 4719-4729
    Abstract: Sufficient physical activity (PA) has the potential to mitigate late effects of cancer, but objective data of PA levels in adolescents are scarce. The aim of this study was to investigate differences in PA behavior between childhood cancer survivors (CCS) and healthy peers. Methods PA levels of n  = 74 CCS and n  = 1304 healthy peers from the MoMo study aged 9–15 years were assessed with validated objective accelerometry and group means were compared. A binary multiple logistic regression was performed to investigate the potential predictors of PA. Results CCS spent significantly more time sedentary ( p   〈  0.001) and less time in moderate-to-vigorous physical activity ( p  = 0.002) compared to the healthy cohort . Subgroup analysis revealed the largest deviations of PA levels for CCS aged 9–11 years who fulfilled international PA recommendations on significantly fewer days than MoMo ( p   〈  0.01). Health conditions seem to be a predictor concerning the fulfillment of international PA recommendations by the WHO ( p  = 0.015). Conclusions Our study identified vulnerable groups which seem to require targeted exercise and health behavior change programs to increase physical activity and reduce sedentary time. The presence of treatment sequelae as a significant predictor of insufficient physical activity underlines the need of multidisciplinary supportive care approaches.
    Type of Medium: Online Resource
    ISSN: 0171-5216 , 1432-1335
    RVK:
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 1459285-X
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  • 3
    In: Children, MDPI AG, Vol. 9, No. 8 ( 2022-07-27), p. 1117-
    Abstract: Exercise programs for young people after cancer are not part of regular oncological care. This study describes and evaluates a regional outdoor exercise program and presents data with regard to the promoting and inhibiting factors for participation among pediatric cancer survivors. Exercise options, number of participants, and the cohort were evaluated descriptively for one year. A self-developed questionnaire was used to evaluate satisfaction, mood, motivations, and barriers to exercise. Overall N = 26 survivors (14.6 ± 5.5 years) participated in at least one activity in 2019 including try-out days (N = 10) and active weekend camps (N = 2). No adverse events occurred in 302 physical activity hours. Twenty-one survivors participated in the survey. The largest motivational aspect to participate was “to try out a new sport” (83.9%). Survivors reported “good mood”, and ‘being happy’ after exercising. The largest barrier was concern about ‘not being able to keep up with others’ (38.1%). Around one-third (try-out day) and 50% (active weekend camp) of survivors did not feel confident to continue exercising outside the supervised exercise oncology program. This survey shows high enthusiasm for this exercise program with different outdoor activities and suggests that similar interventions may be accepted by this population.
    Type of Medium: Online Resource
    ISSN: 2227-9067
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2732685-8
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  • 4
    In: Children, MDPI AG, Vol. 10, No. 2 ( 2023-02-07), p. 318-
    Abstract: (1) Background: Growing evidence indicates benefits through exercise programs in pediatric oncology throughout the whole cancer trajectory. This should include palliative care, too. This project analyzes the feasibility of a supervised exercise program offered during hospital and home-based care for children with advanced cancer diagnoses. (2) Methods: Four children (7–13 years old) with advanced cancer diagnoses participated in this project. It consisted of supervised exercise sessions offered once a week (30–90 min), mainly home-based, but also on an in- and outpatient basis. Regular data assessments included psychological and physical capacity-related endpoints and body composition. Details and contents of exercise sessions and adverse events were recorded. (3) Results: Exercise was feasible with 73 ± 9% adherence to the minimum number of planned sessions. The exercise offer was accepted until shortly before death. Effects on fatigue, quality of life and muscular endurance were noted. Participants showed major deviations from age-specific reference values. No exercise-related adverse events occurred. (4) Conclusions: The exercise program was safe, feasible, and might have served as a supportive tool to reduce overall burden. Evaluation of exercise as usual palliative care should be assessed by further studies.
    Type of Medium: Online Resource
    ISSN: 2227-9067
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 2732685-8
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