Therapies

Physiotherapy for Children with Cancer

Physiotherapists treat children with different types of cancer, both in hospital and at home. As with most conditions though, there is no set treatment pattern and it very much depends upon the symptoms that present. For example children may experience muscle weakness either related to the cancer itself or the chemotherapy. This may mean simple tasks like walking or climbing stairs can be very difficult. Therefore each child will have a detailed assessment to identify the causes of these problems, to find the most suitable solution. We try to make joint goals with the child so that our aims are the same and the most relevant for the child.
Generally however, as the children we see are either having chemotherapy or have had chemotherapy, we aim to improve strength and fitness, possibly working on walking, balance and co-ordination. Unlike other conditions we encounter, we do need to closely monitor blood test results when children are having chemotherapy. If their platelet count drops below a certain level, we are unable to do any resisted activity, for example exercising with a weight as this can cause further muscle damage. If the platelet count drops further, then no exercise can be done until this level has returned to normal.
We will also provide walking aids if we feel they are necessary for example, crutches, or walking frames. We aim to make therapy as much fun as possible and work on the child’s goals through games and play. We have a variety of equipment we can use, in health centres or in patients’ homes, including large therapy balls, theraband, wobbleboards and other games.
Hydrotherapy can also be useful as this provides a safe environment whilst working on strength and fitness. Hydrotherapy can be fun whilst the warmth of the water induces relaxation and pain relief.
Enjoying fun activities and working towards goals also has psychological benefits, providing a sense of achievement and moving the focus away from their illness.

Claire Lecarpentier - Physiotherapist