Identifying causes of balance impairment and exploring sensory contributions to balance in pediatric oncology: A scoping review.

Autor: McCarthy E; Department of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, 100 Penn Street, AHRB, Room 208, Baltimore, MD 21021, United States. Electronic address: emccarthy@som.umaryland.edu., Marchese VG; Department of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, United States., Shipper AG; Charles Library, Temple University, United States., Rock K; Department of Physical Therapy, University of Florida, United States., Felter C; Physician Assistant Leadership and Learning Academy, University of Maryland, Baltimore, United States.
Jazyk: angličtina
Zdroj: Critical reviews in oncology/hematology [Crit Rev Oncol Hematol] 2024 Sep; Vol. 201, pp. 104425. Date of Electronic Publication: 2024 Jun 22.
DOI: 10.1016/j.critrevonc.2024.104425
Abstrakt: Purpose: To identify causes of balance impairment in children undergoing treatment for cancer and childhood cancer survivors.
Methods: A systematic search was performed according to PRISMA guidelines. Studies were included if participants were 0-19 years of age with a current/past diagnosis of cancer, an objective balance measure was reported, and a cause of balance impairment was either stated or implied.
Results: The 64 full text studies included identified balance impairments as sequelae secondary to CNS tumors, and/or as an effect of medical treatment including chemotherapy, radiation, and/or surgery. Cancer treatment can result in damage to the visual, vestibular and/or somatosensory systems which in turn can contribute to balance dysfunction.
Conclusions: Balance impairments were caused by the cancer itself or the result of medical treatment. Oncology professionals are integral in recognition and treatment of factors affecting balance impairments in childhood cancer; however, further research is needed to identify interventions targeting specific causes of balance impairment.
Competing Interests: Declaration of Competing Interest The authors declare no conflicts or competing interests.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE