PERCEPTION OF PHYSIOTHERAPY STUDENTS ABOUT PHYSIOTHERAPEUTIC INTERVENTIONS IN CHILDREN WITH ACUTE LYMPHOID LEUKEMIA
DOI:
https://doi.org/10.36557/pbpc.v4i1.352Keywords:
Neoplasia, Pediatric oncology, Physiotherapy, Teaching, ResearchAbstract
Introduction: Acute Lymphoid Leukemia (ALL) is the most common type of childhood cancer and is one of the leading causes of death in children. With advances in treatments and increased survival, the need for rehabilitation to improve functionality and quality of life is reinforced, in which physiotherapy plays a key role.Objectives: To evaluate the perception and level of knowledge of physiotherapy students about physiotherapeutic interventions in the integrated treatment of children with acute lymphoblastic leukemia. Methods: An observational cross-sectional study using an online questionnaire with physiotherapy students enrolled in the final year of the course (7th and 8th semesters) at Universidade Cidade de São Paulo UNICID, aged over 18 years, of both sexes, and who agreed to sign the informed consent form. The questionnaire included personal information, assertions about pediatric oncology, acute lymphoblastic leukemia, treatment and physiotherapeutic interventions in children with ALL, formulated with answers on a Likert scale (1 to 5 points). To analyze the questions, the Average Ranking (MR) was calculated. Results: Of the 80 responding students, 59 (74%) were female and 42 (52.5%) were in the seventh semester. The average age of the students was ± 27.5 years. The average MR regarding the items related to pediatric oncology was 4.04. For the items related to acute lymphoblastic leukemia, the average MR was 3.9. Regarding physiotherapy in children with acute lymphoblastic leukemia, the average MR was 4.07. Conclusion: Students have basic knowledge about physiotherapeutic interventions in the integrated treatment of children with acute lymphoblastic leukemia (ALL).
Downloads
References
World Health Organization. Cancer in Children [Internet]. Who.int. World Health Organization: WHO; 2025 [citado 8 de maio de 2025].Disponível em: https://www.who.int/news-room/fact-sheets/detail/cancer-in-children
Câncer IN de. Estimativa 2023: incidência de câncer no Brasil. Rio de Janeiro, RJ: Instituto Nacional De Câncer; 2023. 160 p.
Alves B / O / OM. 23/11 – Dia Nacional de Combate ao Câncer Infantil | Biblioteca Virtual em Saúde MS [Internet]. [citado citado 8 de maio de 2025]. Disponivel em: https://bvsms.saude.gov.br/23-11-dia-nacional-de-combate-ao-cancer-infantil-3/
Dizon DS, Kamal AH. Cancer statistics 2024: All hands on deck. CA A Cancer J Clinicians [Internet]. janeiro de 2024 [citado 19 de novembro de 2024];74(1):8–9. Disponível em: https://acsjournals.onlinelibrary.wiley.com/doi/10.3322/caac.21824
Kaplan JA. Leukemia in children. Pediatrics In Review [Internet]. 1o de julho de 2019 [citado 8 de maio de 2025];40(7):319-31. Disponível em: https:https://publications.aap. org/pediatricsinrevie w/article/40/7/319/35294/Leukemia-in-Children
Brown P, Inaba H, Annesley C, Beck J, Colace S, Dallas M, et al. Pediatric acute lymphoblastic leukemia, version 2. 2020, nccn clinical practice guidelines in oncology. Journal of the National Comprehensive Cancer Network [Internet]. janeiro de 2020 [citado 19 de novembro de 2024];18(1):81–112. Disponível em: https://jnccn.org/view/journals /jnccn/18/1/article-p81.xml
Amaral CM, Juvenale M. Leucemia linfóide aguda em pacientes infanto-juvenis. Brazilian Journal of Health Review [Internet]. 2020 [citado 19 de novembro de 2024];3(3):4770–84. Disponível em: http://www.brazilianjournals.com/index.php/BJHR/article/ view/1029 5/8621
Rodwin RL, Ma X, Ness KK, Kadan-Lottick NS, Wang R. Physical therapy utilization among hospitalized patients with pediatric acute lymphoblastic leukemia. JCO Oncology Practice [Internet]. julho de 2022 [citado 19 de novembro de 2024];18(7):e1060–8. Disponível em: https://ascopubs.org/doi/10.1200/OP.21.00796
Rapti C, Dinas PC, Chryssanthopoulos C, Mila A, Philippou A. Effects of exercise and physical activity levels on childhood cancer: an umbrella review. Healthcare [Internet]. 10 de março de 2023 [citado 19 de novembro de 2024];11(6):820. Disponível em: https://www.mdpi.com/2227-9032/11/6/820
Souza BRSE, Barbosa CL, Cajado DCDS, Rezende GDO. Leucemia linfoblástica aguda em crianças, avanços no diagnóstico, tratamento e os aspectos epidemiológicos no estado do amazonas. Revft [Internet]. 5 de novembro de 2024 [citado 8 de maio de 2025];29(140):54–5. Disponível em: https://revistaft.com.br/leucemia-linfoblastica-aguda-em-criancas-avancos-no-diagnostico-tratamento-e-os-aspectos-epidemiologicos-no-estado-do-amazonas/
Ribeiro D, Silva IE da, Ferro TN de L, Monteiro FT. The importance of pediatric physiotherapy in children with cancer (leukemia): a review study. RSD [Internet]. 2023Jun.8 [citado 8 de maio de 2025];12(6):e6812641955. Disponível em: https://rsdjournal.org/index.php/ rsd/article/view/41955
Granger CL. Physiotherapy management of blood cancers. Journal of Physiotherapy [Internet]. abril de 2023 [citado 8 de maio de 2025];69(2):70–8. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S1836955323000164
National Cancer Institute. Adult Acute Lymphoblastic Leukemia Treatment (PDQ®)–Health Professional Version [Internet]. National Cancer Institute. Cancer.gov; 2019. [atualizado em 24 de junho de 2024; citado em 8 de maio de 2025] Disponível em: https://www.cancer.gov/types/leukemia/hp/adult-all-treatment-pdq
Morales JS, Valenzuela PL, Velázquez-Díaz D, Castillo-García A, Jiménez-Pavón D, Lucia A, et al. Exercise and childhood cancer—a historical review. Cancers [Internet]. 24 de dezembro de 2021 [citado 8 de maio de 2025];14(1):82. Disponível em: https://www.mdpi.com/2072-6694/14/1/82
Coombs A, Schilperoort H, Sargent B. The effect of exercise and motor interventions on physical activity and motor outcomes during and after medical intervention for children and adolescents with acute lymphoblastic leukemia: A systematic review. Critical Reviews in Oncology/Hematology [Internet]. agosto de 2020 [citado 8 de maio de 2025];152:103004. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S1040842 820301426
Liu H, Yin J, Wang K, Liu S, Yang Y, Song Z, et al. Efficacy of physical exercise intervention on children with acute lymphoblastic leukemia during treatment and rehabilitation: a systematic review and meta-analysis. Support Care Cancer [Internet]. março de 2024 [citado 8 de maio de 2025];32(3):177. Disponível em: https://link.springer.com/10.1007/s00520-024-08355-z
Marchese V, Rock K, York T, Ruble K, Gray VL. The efficacy of targeted exercise on gross motor and neuromuscular performance in survivors of childhood leukemia: a pilot study. Front Pediatr [Internet]. 11 de maio de 2022 [citado 8 de maio de 2025];10:891650. Disponível em: https://www.frontiersin.org/articles/10.3389/fped.2022.891650/full
Andrade MCG, Lima HSS, Reis JRG. A fisioterapia na oncologia pediátrica. Anais do COMCISA [Internet]. 2015 [citado 8 de maio de 2025];8:58–58. Disponível em: https://anais.unipam.edu.br/index.php/comcisa/article/view/3646
Rustler V, Hagerty M, Daeggelmann J, Marjerrison S, Bloch W, Baumann FT. Exercise interventions for patients with pediatric cancer during inpatient acute care: A systematic review of literature. Pediatric Blood & Cancer [Internet]. novembro de 2017 [citado 14 de maio de 2025];64(11):e26567. Disponível em: https://onlinelibrary.wiley.com/doi/10.10 02/pbc.26567
Gauß G, Beller R, Boos J, Däggelmann J, Stalf H, Wiskemann J, et al. Adverse events during supervised exercise interventions in pediatric oncology—a nationwide survey. Front Pediatr [Internet]. 19 de agosto de 2021 [citado 14 de maio de 2025];9:682496. Disponível em: https://www.frontiersin.org/articles/10.3389/fped.2021.682496/full
Elnaggar RK, Mahmoud WS, Abdrabo MS, Elfakharany MS. Effect of adaptive variable-resistance training on chemotherapy-induced sarcopenia, fatigue, and functional restriction in pediatric survivors of acute lymphoblastic leukemia: a prospective randomized controlled trial. Support Care Cancer [Internet]. março de 2025 [citado 14 de maio de 2025];33(3):214. Disponível em: https://link.springer.com/10.1007/s00520-025-09250
Manchola-González JD, Bagur-Calafat C, Girabent-Farrés M, Serra-Grima JR, Pérez RÁ, Garnacho-Castaño MV, et al. Effects of a home-exercise programme in childhood survivors of acute lymphoblastic leukaemia on physical fitness and physical functioning: results of a randomised clinical trial. Support Care Cancer [Internet]. julho de 2020 [citado 14 de maio de 2025];28(7):3171–8. Disponível em: http://link.springer.com/10.1007/ s00520-019-05131-2
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Fernanda Vieira Rett, Maria Elisabete Salina Saldanha

This work is licensed under a Creative Commons Attribution 4.0 International License.
Você tem o direito de:
- Compartilhar — copiar e redistribuir o material em qualquer suporte ou formato para qualquer fim, mesmo que comercial.
- Adaptar — remixar, transformar, e criar a partir do material para qualquer fim, mesmo que comercial.
- O licenciante não pode revogar estes direitos desde que você respeite os termos da licença.
De acordo com os termos seguintes:
- Atribuição — Você deve dar o crédito apropriado , prover um link para a licença e indicar se mudanças foram feitas . Você deve fazê-lo em qualquer circunstância razoável, mas de nenhuma maneira que sugira que o licenciante apoia você ou o seu uso.
- Sem restrições adicionais — Você não pode aplicar termos jurídicos ou medidas de caráter tecnológico que restrinjam legalmente outros de fazerem algo que a licença permita.