Department of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, 100 Penn Street, AHRB, Room 208, Baltimore, MD 21021, United States.
Department of Physical Therapy and Rehabilitation Science, University of Maryland, School of Medicine, United States.
Crit Rev Oncol Hematol. 2024 Sep;201:104425. doi: 10.1016/j.critrevonc.2024.104425. Epub 2024 Jun 22.
To identify causes of balance impairment in children undergoing treatment for cancer and childhood cancer survivors.
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.
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.
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.
确定正在接受癌症治疗的儿童和癌症幸存者出现平衡障碍的原因。
根据 PRISMA 指南进行系统检索。如果参与者为 0-19 岁,目前/过去有癌症诊断,报告了客观的平衡测量结果,并且平衡障碍的原因明确或暗示,那么研究将被纳入。
64 篇全文研究确定平衡障碍是由于中枢神经系统肿瘤的后遗症,和/或由于化疗、放疗和/或手术等医学治疗的影响。癌症治疗可能导致视觉、前庭和/或躯体感觉系统受损,从而导致平衡功能障碍。
平衡障碍是由癌症本身或治疗的结果引起的。肿瘤学专业人员是识别和治疗儿童癌症中影响平衡障碍因素的重要组成部分;然而,需要进一步的研究来确定针对特定平衡障碍原因的干预措施。