Motion for Recovery: The Impact of Gyrokinesis on Childhood Cancer-Related Fatigue.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Pediatric quality of life multidimensional fatigue scale (peds QLMFS):
研究概览
简要总结
CRF influences engagement in everyday activities, mood, sleep, social relations, school attendance, academic achievement, and quality of life . It was significantly associated with low health-related quality of life in pediatric cancer patients including leukemia . Since attention to managing cRF has been drawn, only a few non-pharmacological strategies were tested for their effectiveness in reducing cRF among children. Physical activity (Pa) has been proven to be the most effective strategy . Yet adherence to Pa remains problematic.
详细描述
Childhood cancer-related fatigue (CCRF) is a prevalent condition that affects the quality of life in pediatric cancer patients. Gyrokinesis, a holistic exercise method that incorporates principles from yoga, tai chi, and dance, offers potential benefits in managing fatigue through gentle movement and breath work.
According to The American Cancer Society (ACS) provides comprehensive guidelines for cancer training load .The intensity of the exercise refers to the amount of energy expended when performing the activity4. It can be measured subjectively with a self-reported estimate of effort called the rate of perceived exertion on a scale of 1-10. Low-intensity exercise refers to physical activity or effort performed at 1-3 times the intensity of baseline resting energy expenditure (<3 mets-for example, walking). Moderate-intensity exercise refers to physical activity 3-6 times the intensity of baseline, which requires a moderate amount of effort and noticeably accelerates the heart rate (3-6 mets-for example, brisk walking or cycling). Vigorous-intensity exercise refers to physical activity 6 or more times baseline, which requires a large amount of effort and causes rapid breathing and a substantial increase in heart rate (>6 mets-for example, running or jumping rope)
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 12 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed and treated for a brain tumor during childhood or adolescence (0-≤18 years).
- •Treated for a PBT during the previous 10 years, starting from date of diagnosis.
- •Aged ≥6 years 0 months at the start of the trial.
- •Off therapy/active treatment for pediatric brain tumor (PBT) for 12 months at the start of the trial.
- •No known signs of clinical or radiological tumor progression at last follow-up.
- •Danish is the sole or primary language (enabling provision of validated assessment tools).
- •Patient and family have provided consent for inclusion in the trial.
排除标准
- •History of recent poorly controlled seizures.
- •Motor tics or Tourette syndrome (including family history of tic disorder).
- •Known diagnosis of Attention Deficit/Hyperactivity Disorder or Autism Spectrum Disorder.
- •Known diagnosis of Full Scale Intelligence Quotient (FSIQ) of <
- •Pregnancy. Participants known to be pregnant or breastfeeding at screening/registration will not enrolled
研究组 & 干预措施
Gyrokinesis exercise
Structure of a Gyrokinesis Session
- Warm-Up:
- Begin with gentle seated movements to prepare the body.
- Focus on awakening the spine with small circles and undulating motions, coordinating with deep breathing.
- Seated Exercises:
- Perform a series of exercises on a stool or chair.
- Emphasize spinal articulation, pelvic tilts, and side bends while maintaining rhythmic breathing.
- Floor Work:
- Transition to mat-based exercises focusing on core strength and flexibility.
- Incorporate movements like leg lifts, spirals, and arching motions to engage different muscle groups.
- Standing Series:
- Conclude with standing exercises to enhance balance and full-body integration.
- Use spiral movements and weight shifts to energize the body and improve posture.
干预措施: Gyrokinesis exercise (Other)
control group
No intervention
结局指标
主要结局
Pediatric quality of life multidimensional fatigue scale (peds QLMFS):
时间窗: at baseline and at 8 weeks
CRF was measured using the valid and reliable Arabic version of peds QlMFs . It is an 18-item questionnaire including 'general fatigue', 'sleep/rest fatigue', and 'cognitive fatigue'. The three child self-report versions were used depending on the child's age: 5-7 years (young child), 8-12 years (child), and 13-18 years (adolescent). Higher scores indicate less intense fatigue symptoms . Before the cOViD-19 pandemic, a paper-based appropriate version of the scale was completed by children. During the pandemic, the questionnaires were offered to the participants through a link sent to the parent's phones to eliminate cross-infection.
次要结局
- The six-minute walk test (6-MWT)(at baseline and at 8 weeks)
- Emotional Well-Being(at baseline and at 8 weeks)
- Blood panel test(at baseline and at 8 weeks)
研究者
Ahmed Mohamed Ahmed Abd El hady El Fahl,ph.d
Assisstant professor
MTI University