Structure of a Gyrokinesis Session

1. Warm-Up:

   • Begin with gentle seated movements to prepare the body.
   • Focus on awakening the spine with small circles and undulating motions, coordinating with deep breathing.

2. Seated Exercises:

   • Perform a series of exercises on a stool or chair.
   • Emphasize spinal articulation, pelvic tilts, and side bends while maintaining rhythmic breathing.

3. Floor Work:

   • Transition to mat-based exercises focusing on core strength and flexibility.
   • Incorporate movements like leg lifts, spirals, and arching motions to engage different muscle groups.

4. Standing Series:

   • Conclude with standing exercises to enhance balance and full-body integration.
   • Use spiral movements and weight shifts to energize the body and improve posture.

No intervention

1. Warm-Up:

   • Begin with gentle seated movements to prepare the body.
   • Focus on awakening the spine with small circles and undulating motions, coordinating with deep breathing.

2. Seated Exercises:

   • Perform a series of exercises on a stool or chair.
   • Emphasize spinal articulation, pelvic tilts, and side bends while maintaining rhythmic breathing.

3. Floor Work:

   • Transition to mat-based exercises focusing on core strength and flexibility.
   • Incorporate movements like leg lifts, spirals, and arching motions to engage different muscle groups.

4. Standing Series:

   • Conclude with standing exercises to enhance balance and full-body integration.
   • Use spiral movements and weight shifts to energize the body and improve posture.

CRF was measured using the valid and reliable Arabic version of peds QlMFs . It is an 18-item questionnaire including 'general fatigue', 'sleep/rest fatigue', and 'cognitive fatigue'. The three child self-report versions were used depending on the child's age: 5-7 years (young child), 8-12 years (child), and 13-18 years (adolescent). Higher scores indicate less intense fatigue symptoms . Before the cOViD-19 pandemic, a paper-based appropriate version of the scale was completed by children. During the pandemic, the questionnaires were offered to the participants through a link sent to the parent's phones to eliminate cross-infection.

The 6-MWt is a functional test that measures the functional capacity/endurance and submaximal or maximal effort needed to perform activities of daily living . The primary outcome of this test is the distance covered in meters. a lower score reflects less functional capacity conceptualizing the child's inability to actively participate in functional activities due to cRF .the test is valid and reliable for children with cancer. Two small cones were placed to mark the starting and end points for a 25-meter-long corridor. The heart rate (hR) and oxygen saturation (spO2) were measured 10 min before and one minute after the 6-MWt according to the guidelines of the American thoracic society (ats).