title: Development, feasibility and efficacy of a community-based exercise training program in pediatric cancer survivors.
abstract: OBJECTIVE
  The aim of this study was to develop a 12-week exercise training program (comprising aerobic and strength exercises), and to study the feasibility and efficacy of this exercise program in children who survived acute lymphoblastic leukemia.
  
  
  METHODS
  A 12-week exercise program was developed and tested for feasibility in nine children who survived cancer.
  
  
  RESULTS
  From the 16 eligible children for the intervention, 9 participated, while 4 were able to complete the entire program. Feasibility of the program was scored by five children, two of them reported the program as being too demanding. The participating physiotherapists were satisfied with training methodology and training progress. The efficacy of the program on muscle strength, exercise capacity, functional mobility and fatigue showed no significant differences between pre and post training.
  
  
  CONCLUSIONS
  In designing a community-based exercise training program, not only the stage of the disease needs to be considered, but more so the age of the children, the variety of exercises, the location of implementation and even more importantly the views and motivation of the parents concerning the execution of an exercise training program. A careful balance between these parameters could lead to a greater adherence and by that, to a better outcome of these programs.
authors.affiliation: Department of Pediatric Physical Therapy and Exercise Physiology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands. t.takken@umcutrecht.nl
authors.forename: Tim
authors.initials: T
authors.lastname: Takken
authors.forename: Patrick
authors.initials: P
authors.lastname: van der Torre
authors.forename: Marlies
authors.initials: M
authors.lastname: Zwerink
authors.forename: Erik H
authors.initials: EH
authors.lastname: Hulzebos
authors.forename: Marc
authors.initials: M
authors.lastname: Bierings
authors.forename: Paul J M
authors.initials: PJ
authors.lastname: Helders
authors.forename: Janjaap
authors.initials: J
authors.lastname: van der Net
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D003153:Community Health Services; D015444:Exercise; D005221:Fatigue / Q000453:epidemiology; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D053580:Muscle Strength; D009369:Neoplasms / Q000453:epidemiology*; D016730:Program Development; D017741:Survivors / Q000706:statistics & numerical data*