Physical therapy for deficits associated with chemotherapy induced peripheral neuropathy in children with cancer: a systematic review
Notice bibliographique
Résumé
Background: Chemotherapy-induced peripheral neuropathy (CIPN) is a frequent side effect in children undergoing chemotherapy, causing impairments that often lead to limitations in daily activities and restrictions in participation. Physical therapy (PT) may help maintain and restore the physical function impaired by CIPN, as well as maximize independence in daily life activities. Although, there is a paucity of high-quality studies evaluating PT interventions for CIPN as a clinical entity in the pediatric population, some studies have examined PT interventions for impairments and symptoms resulting from CIPN. This review aims to synthesize the evidence on PT interventions for CIPN symptoms and deficits in children with cancer. Methods: A systematic review was conducted with the following PICOS (population, intervention, comparison intervention, outcomes, study design) approach: children with cancer, PT interventions, control group or standard care, and randomized controlled trials (RCTs) and controlled clinical trials (CCTs) comprising CIPN symptoms and deficits, range of motion, muscle strength, motor function, balance, gait, functional mobility, foot posture, pain, and adverse events outcomes. Searches were conducted in five electronic databases (Medline, Embase, CINAHL, CENTRAL, and Scopus), reference lists, grey literature, and clinical trial websites in February 2024. Two authors reviewed the studies, extracted information, and appraised the quality using the Cochrane risk-of-bias tool for randomized trials (RoB-2). Outcomes were analyzed descriptively. Results: Nine full-text studies met the inclusion criteria, including a total of 439 participants. Six studies were RCTs, one was a pilot RCT with preliminary results only, one was a CCT, and one was a pilot CCT. The quality appraisal revealed that all studies had a high risk of bias. None of the studies included a measure of CIPN symptoms and deficits (primary outcome); however, all studies included at least one outcome that assessed an impairment resulting from CIPN. Although we found benefits for some physical function outcomes, given the heterogeneity of interventions, the evidence is not at a stage to provide recommendations for clinical practice. Conclusions: There is a lack of high-quality research focused on CIPN in children living with, and beyond cancer. Consensus on a core outcome set to measure CIPN in children would allow for comparison of findings across future studies.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,007 | 0,000 |
| Bibliométrie | 0,000 | 0,002 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».