QOL-44. NEW APPROACHES OF ONCOLOGY REHABILITATION IN CHILDREN: TECHNOTHERAPY – SYSTEMATIC LITERATURE REVIEW

Abstract PURPOSE Oncology rehabilitation improves health outcomes variety in survivors. Less is known about the components of rehabilitation essential for improving outcomes. Study purpose was to update evidence based technotherapy in pediatric oncology rehabilitation by systematically examining literature. METHOD PRISMA statement conduct review was followed. Two authors (IK, MT) independently conducted systematic literature searches January 2018, using electronic databases: PubMed, Cochrane, PEDro, published 1982-2018. Keywords/Mesh terms: “pediatric, childhood, neurooncology, brain tumors, central nervous system tumors, glioma, astrocytic tumors, medulloblastoma, posterior fossa tumors, technotherapy, physiotherapy, rehabilitation, augmented reality-virtual reality (VR), exergaming, Nintendo, Xbox, active video gaming”. Randomized controlled English clinical trials are included; Studies that were published as “review”, “protocol”, “books”, “news”, not reach full text and not related physiotherapy excluded. After articles had been reached, used QUADAS-2 checklist for methodological quality. RESULTS 96 articles were identified, 4 (published 2014-2018) met eligibility criteria, selected for present systematic review: physical activity, body coordination, psychosocial intervention and cognitive efficacy. Evaluation methods; Movement Assessment Battery for Children, German motor performance, Grooved Pegboard, PedsQL Multidimensional Fatigue Scale, Kidscreen-Health Related Quality of Life, Short version of physical self-description and Behavior Rating Inventory of Executive Function. “Nintendo Wii” and “X-Box Kinect” were used in treatments. Treatments; 30-47minutes, 24-60sessions, 8-12weeks. CONCLUSIONS VR exercises have similar functional development effects with conventional, more useful than biopsychosocial with motivational effects. Guideline for subject, evaluation and treatment methods not clearly expressed. Methodological work homogeneous participants, which exercises can chosen specific way. Now very few intervention studies with pediatric cancer survivors have been published. Investigation of different training methods in a group of children in need of support is major importance.