‘Running and agility and manual dexterity are most affected, even when overall scores look normal after ALL’
‘Running and agility and manual dexterity are most affected, even when overall scores look normal after ALL’
Filip Jevič, Alena Kobesová, Robert Andel, Marie Hrdoušková | Annals of Medicine | March 2025 | IF = 4.3 | doi
Abstract
Purpose: To assess motor performance among Czech paediatric off therapy patients of acute lymphoblastic leukaemia (ALL) and to compare their data with normative data.
Methods: Thirty-nine off therapy patients (21 girls, 18 boys; aged 4-21 years) were evaluated using the Complete Form of the Bruininks-Oseretsky Test Second Edition (BOT-2 CF) approximately 1.5 years post-therapy cessation. Gross and fine motor skills were assessed. Normative data from BOT-2 CF served as the basis for comparison.
Results: The total motor composite (p = .381, Cohen's d = 0.14) and overall fine (p = .743; Cohen's d = 0.05) and gross (p=.312; Cohen's d = 0.16) motor performance were similar to the normative data. Motor deficits in manual coordination (p = .018; Cohen's d = 0.45), strength and agility (p = .012; Cohen's d = 0.51), manual dexterity (p < .001; Cohen's d = 0.59) and running speed and agility (p < .001; Cohen's d = 0.97) were identified, along with performance better than the established norms on fine motor integration (p = .048; Cohen's d = 0.33) and bilateral coordination (p = .018; Cohen's d = 0.47).
Conclusion: The findings suggest nuanced motor skill outcomes in ALL off therapy patients, with both deficits and strengths observed. Comprehensive assessments are vital for tailoring rehabilitation strategies to address the varied impacts of ALL and its treatment on motor skills.
Recommended
Vidíme systémové zlepšení ve fyzioterapii onkologických dětí. Je krásné, když se problém podaří pacientovi vysvětlit
Rozhovor s Mgr. Filipem Jevičem, dětským fyzioterapeutem (klinika rehabilitace), hercem a režisérem.
