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Effect of paediatric onco-rehabilitation on child with acute lymphoblastic leukaemia

Shrutika Sharad Khairnar1, Sharath Hullumani2, Pratiksha Warghat1

  • 1Paediatric and Neonatal Physiotherapy, Datta Meghe Institute of Higher Education and Research Deemed to be University, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India.

BMJ Case Reports
|July 14, 2025
PubMed

Insights

This case report highlights how aquatic rehabilitation significantly improved physical function and reduced fatigue in a child with acute lymphoblastic leukaemia (ALL). Hydrotherapy-based physiotherapy offers a promising approach for pediatric cancer recovery.

Area of Science:

  • Pediatric Oncology
  • Rehabilitation Medicine
  • Physiotherapy

Background:

  • Acute lymphoblastic leukaemia (ALL) is the most common childhood cancer, primarily affecting children aged 2-5 years.
  • While survival rates for ALL are high (80-90%), treatment side effects like fatigue and motor deficits significantly impair quality of life.

Purpose of the Study:

  • To describe the case of a South Asian child diagnosed with ALL presenting with fatigue and muscle weakness.
  • To evaluate the effectiveness of a hydrotherapy-based physiotherapy program in improving physical function and well-being in a pediatric ALL patient post-chemotherapy.

Main Methods:

  • Diagnosis of ALL was confirmed via complete blood count and bone marrow biopsy.
  • A physiotherapy program utilizing hydrotherapy was implemented following chemotherapy.
  • Standardized assessments including the Hospital Anxiety Depression Scale, WeeFIM/FIM, Paediatric Balance Scale, and timed up-and-go test were used for evaluation.

Main Results:

  • The child showed significant improvements in joint mobility and muscle strength post-intervention.
  • Reductions in fatigue levels were observed.
  • Functional assessments indicated positive gains in mobility and balance.

Conclusions:

  • Aquatic rehabilitation is an effective intervention for enhancing physical recovery in children with ALL.
  • Hydrotherapy-based physiotherapy can positively impact the overall well-being and functional status of pediatric cancer patients.

Keywords:
Cancer interventionPaediatrics (drugs and medicines)

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