The rehabilitation including structured active play (RePlay) model: A conceptual model for organizing physical rehabilitation sessions based on structured active play for preschoolers with cancer

Anti-cancer treatments, as well as cancer itself, reduce children’s cardiorespiratory fitness, muscle strength, and gross motor functions. Early rehabilitation programs, including physical activity for childhood cancer patients, can counteract these adverse effects. Previous studies of school-aged c...

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Main Authors: Anna Pouplier, Hanne Baekgaard Larsen, Jan Christensen, Peter Schmidt-Andersen, Helle Winther, Martin Kaj Fridh
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.980257/full
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author Anna Pouplier
Anna Pouplier
Hanne Baekgaard Larsen
Hanne Baekgaard Larsen
Jan Christensen
Peter Schmidt-Andersen
Peter Schmidt-Andersen
Peter Schmidt-Andersen
Helle Winther
Martin Kaj Fridh
author_facet Anna Pouplier
Anna Pouplier
Hanne Baekgaard Larsen
Hanne Baekgaard Larsen
Jan Christensen
Peter Schmidt-Andersen
Peter Schmidt-Andersen
Peter Schmidt-Andersen
Helle Winther
Martin Kaj Fridh
author_sort Anna Pouplier
collection DOAJ
description Anti-cancer treatments, as well as cancer itself, reduce children’s cardiorespiratory fitness, muscle strength, and gross motor functions. Early rehabilitation programs, including physical activity for childhood cancer patients, can counteract these adverse effects. Previous studies of school-aged children (6–18 years old) indicate that physical activity, including aerobic and resistance training, is safe, feasible, and effective. The goal of structured physical activity rehabilitation for preschool children (1–5 years old) is to support gross motor development and opportunities to move freely in various ways. Specific rehabilitation for preschoolers diagnosed with cancer is needed to promote physical-, social-, and personal development. This paper introduces a conceptual model—The RePlay (Rehabilitation including structured active play) Model—for organizing physical rehabilitation sessions based on structured active play for preschoolers with cancer. The theory and empirically based model combine knowledge of early childhood development, play, physical activity and rehabilitation for children with cancer, and cancer treatment. With this model, we propose how to structure rehabilitation sessions, including goal-oriented, age-sensitive, fun movement activities that facilitate preschoolers to develop gross motor skills while enhancing their social and personal skills, through four core principles: (1) ritual practices, (2) reinforcement of movement through repetition, (3) development through appropriate challenge, and (4) adjusting activities to accommodate treatment-related side effects. This model holds promise for use with preschoolers diagnosed with cancer, as it is scalable and pragmatic and accounts for the children’s fluctuating physical capacity and daily wellbeing during cancer treatment.
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spelling doaj.art-65302f6c569b485ba72b70fa092836982022-12-22T03:50:31ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-09-011010.3389/fped.2022.980257980257The rehabilitation including structured active play (RePlay) model: A conceptual model for organizing physical rehabilitation sessions based on structured active play for preschoolers with cancerAnna Pouplier0Anna Pouplier1Hanne Baekgaard Larsen2Hanne Baekgaard Larsen3Jan Christensen4Peter Schmidt-Andersen5Peter Schmidt-Andersen6Peter Schmidt-Andersen7Helle Winther8Martin Kaj Fridh9Department of Pediatric and Adolescent Medicine, Juliane Marie Centre, Copenhagen University Hospital - Rigshospitalet, Copenhagen, DenmarkDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, DenmarkDepartment of Pediatric and Adolescent Medicine, Juliane Marie Centre, Copenhagen University Hospital - Rigshospitalet, Copenhagen, DenmarkDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, DenmarkDepartment of Occupational Therapy and Physiotherapy, Center of Head and Orthopedic Surgery, Copenhagen University Hospital - Rigshospitalet, Copenhagen, DenmarkDepartment of Pediatric and Adolescent Medicine, Juliane Marie Centre, Copenhagen University Hospital - Rigshospitalet, Copenhagen, DenmarkDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, DenmarkDepartment of Occupational Therapy and Physiotherapy, Center of Head and Orthopedic Surgery, Copenhagen University Hospital - Rigshospitalet, Copenhagen, DenmarkDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, DenmarkDepartment of Pediatric and Adolescent Medicine, Juliane Marie Centre, Copenhagen University Hospital - Rigshospitalet, Copenhagen, DenmarkAnti-cancer treatments, as well as cancer itself, reduce children’s cardiorespiratory fitness, muscle strength, and gross motor functions. Early rehabilitation programs, including physical activity for childhood cancer patients, can counteract these adverse effects. Previous studies of school-aged children (6–18 years old) indicate that physical activity, including aerobic and resistance training, is safe, feasible, and effective. The goal of structured physical activity rehabilitation for preschool children (1–5 years old) is to support gross motor development and opportunities to move freely in various ways. Specific rehabilitation for preschoolers diagnosed with cancer is needed to promote physical-, social-, and personal development. This paper introduces a conceptual model—The RePlay (Rehabilitation including structured active play) Model—for organizing physical rehabilitation sessions based on structured active play for preschoolers with cancer. The theory and empirically based model combine knowledge of early childhood development, play, physical activity and rehabilitation for children with cancer, and cancer treatment. With this model, we propose how to structure rehabilitation sessions, including goal-oriented, age-sensitive, fun movement activities that facilitate preschoolers to develop gross motor skills while enhancing their social and personal skills, through four core principles: (1) ritual practices, (2) reinforcement of movement through repetition, (3) development through appropriate challenge, and (4) adjusting activities to accommodate treatment-related side effects. This model holds promise for use with preschoolers diagnosed with cancer, as it is scalable and pragmatic and accounts for the children’s fluctuating physical capacity and daily wellbeing during cancer treatment.https://www.frontiersin.org/articles/10.3389/fped.2022.980257/fullpediatric oncologypreschoolersrehabilitationstructured active playphysical activitygross motor skills
spellingShingle Anna Pouplier
Anna Pouplier
Hanne Baekgaard Larsen
Hanne Baekgaard Larsen
Jan Christensen
Peter Schmidt-Andersen
Peter Schmidt-Andersen
Peter Schmidt-Andersen
Helle Winther
Martin Kaj Fridh
The rehabilitation including structured active play (RePlay) model: A conceptual model for organizing physical rehabilitation sessions based on structured active play for preschoolers with cancer
Frontiers in Pediatrics
pediatric oncology
preschoolers
rehabilitation
structured active play
physical activity
gross motor skills
title The rehabilitation including structured active play (RePlay) model: A conceptual model for organizing physical rehabilitation sessions based on structured active play for preschoolers with cancer
title_full The rehabilitation including structured active play (RePlay) model: A conceptual model for organizing physical rehabilitation sessions based on structured active play for preschoolers with cancer
title_fullStr The rehabilitation including structured active play (RePlay) model: A conceptual model for organizing physical rehabilitation sessions based on structured active play for preschoolers with cancer
title_full_unstemmed The rehabilitation including structured active play (RePlay) model: A conceptual model for organizing physical rehabilitation sessions based on structured active play for preschoolers with cancer
title_short The rehabilitation including structured active play (RePlay) model: A conceptual model for organizing physical rehabilitation sessions based on structured active play for preschoolers with cancer
title_sort rehabilitation including structured active play replay model a conceptual model for organizing physical rehabilitation sessions based on structured active play for preschoolers with cancer
topic pediatric oncology
preschoolers
rehabilitation
structured active play
physical activity
gross motor skills
url https://www.frontiersin.org/articles/10.3389/fped.2022.980257/full
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