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The study was planned to examine the effects of technology-supported yoga and exercise on chemotherapy-induced peripheral neuropathy and pain in children aged 5-18 years with leukemia.
The research will be carried out in Marmara University Istanbul Pendik Training and Research Hospital Pediatric Hematology and Oncology Service, and Dokuz Eylul University Pediatric Hematology and Oncology Service. It was planned to include all patients who were selected by the block randomization method, and who met the sampling criteria, in the study. Yoga will be given to the intervention group online. The control group will not be interfered with. Follow-up will be made using data collection tools after taking the study, 3 months later, and 6 months later.
Before starting yoga, "How are you feeling today?" will be asked to child. The yoga session will be individualized according to how the child feels. The content of the yoga sessions will progress in the form of warm-up exercises - breathing work - yoga postures (asana) - meditation - and progressive muscle relaxation exercises. Yoga sessions will be scheduled for 30 minutes. Yoga sessions and progressive muscle relaxation exercises will be held online once a week for eight weeks, then every two weeks for four months.
All yoga sessions will pay attention to the following items:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Yoga and exercise group | Experimental | Before starting yoga, "How are you feeling today?" will be asked to child. The yoga session will be individualized according to how the child feels. The content of the yoga sessions will progress in the form of warm-up exercises - breathing work - yoga postures (asana) - meditation - and progressive muscle relaxation exercises. Yoga sessions will be scheduled for 30 minutes. Yoga sessions and progressive muscle relaxation exercises will be held online once a week for eight weeks, then every two weeks for four months. |
|
| control group | No Intervention | no yoga or excersize intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| yoga and exercise | Behavioral | Technology-Assisted Yoga and Exercise Intervention during 6 months |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pediatric Modified Total Neuropathy Scale and Total Neuropathy Score-Pediatric Vincristine (TNS-PV) for peripheral neuropathy | Pediatric Modified Total Neuropathy Scale and Total Neuropathy Score-Pediatric Vincristine (TNS-PV) assessment tools will be used. They determine Chemotherapy-induced Peripheral Neuropathy and its severity in children receiving cancer treatment. Each category is scored between 0-4. The highest 32 points are obtained from the scale. The higher the score, the worse the neuropathy. TNS-PV is based on adding constipation and hoarseness to the Pediatric Modified Total Neuropathy Scale. | during 6 months (at the beginning of the study, 3rd month and 6th month) |
| Adolescent Pediatric Pain Scale for pain | Adolescent Pediatric Pain Scale: This scale consists of three independent parts;
| during 6 months (at the beginning of the study, 3rd month and 6th month) |
| Measure | Description | Time Frame |
|---|---|---|
| Pediatric Symptom Screening Scale for chemotherapy related symptoms | Pediatric Symptom Screening Scale: It was developed to evaluate the symptoms experienced by children. The scale consists of a total of 15 items and is Likert type. The scale score ranges from 0 to 60. The overall score increases as the symptoms worsen. | during 6 months (at the beginning of the study, 3rd month and 6th month) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gülçin Özalp Gerçeker, Assoc. Prof. | Dokuz Eylul University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gülçin Özalp Gerçeker | Izmir | 35100 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D007938 | Leukemia |
| D009443 | Neuritis |
| D010146 | Pain |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| ID | Term |
|---|---|
| D015013 | Yoga |
| D015444 | Exercise |
| ID | Term |
|---|---|
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026443 | Spiritual Therapies |
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| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D026241 |
| Exercise Movement Techniques |
| D026741 | Physical Therapy Modalities |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |