Making guidelines for recovering decreased physical fitness of children receiving cancer treatment.

根据我们的研究结果和运动处方的原则，我们出版了2本小册子;一个是家长如何协助接受癌症治疗的儿童恢复体能的指引及例子，另一个是住院儿童体能活动的例子。体能对46名癌症治疗或非治疗儿童的握力、背力、纵跳、立屈等运动能力和日常活动能力进行了调查。家长问卷调查结果显示：1）住院期间有39例（84.8%）出现身体素质下降。2)他们中的一些人在离开医院后几乎没有走动或上下楼梯。3)20名儿童的体能未恢复到发病前的各个水平，我们对他们的体能进行了检查，发现：1）8名（17.4%）儿童的握力处于低水平（低于-2SD）。2)10例（21.7%）背部力量水平较低（低于-2SD）。3)17例（37.0%）垂直跳跃水平较低（低于-2SD）。4)10例（21.7%）具有低水平（-2SD）的站立躯干屈曲。5)造血干细胞移植组患儿的握力、背力、立位躯干屈曲度明显低于化疗组和化疗组（P<0.05）。6)横断面分析显示，治疗后很长一段时间内体能水平难以恢复。需要纵向分析和其他调查来验证我们的发现。

We have published 2 brochures based on our findings and principles of exercise prescription ; the one shows the guidelines and some examples for parents to help their children receiving cancer treatment recover their physical fitness, the other shows some examples of physical activities for hospitalized children.Physical fitness (grasp strength, back strength, vertical jump, and standing trunk flexion) and daily activities of 46 children who were receiving cancer treatment or in off therapy were investigated. The results of questionnaire for parents showed as follows : 1) 39 (84.8%) experienced decrease of physical fitness during their hospitalization. 2) Some of them hardly walked around or went up and down stairs immediately after leaving their hospitals. 3) Physical fitness of 20 children did not recover to each level before onset.When we examined their physical fitness, we had some findings as follows : 1) 8 (17.4%) had low levels (below -2SD) of grip strength. 2) 10 (21.7%) had low levels (below -2SD) of back strength. 3) 17 (37.0%) had low levels (below -2SD) of vertical jump. 4) 10 (21.7%) had low levels (-2SD) of standing trunk flexion. 5) Children who received blood stem cell transplantation significantly showed lower levels of grip strength, back strength and standing trunk flexion than those who received or were receiving chemotherapy (P< 05). 6) Cross-sectional analysis showed physical fitness levels hardly recover for a long time after treatment. Longitudinal analysis and other investigations are needed for verification of our findings.