Physical activity and exercise in pediatric oncology: Conceptual distinctions and clinical implications


Berktas Y., Aydin A. R., Kebudi R.

TURKISH JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION, 2026 (SCI-Expanded, Scopus, TRDizin) identifier

Özet

Survival in childhood cancers has markedly improved in recent years; however, many children continue to experience treatmentrelated difficulties, such as persistent fatigue, muscle weakness, reduced endurance, and impaired quality of life. As interest in nonpharmacological rehabilitation grows, movement-based approaches, from general physical activity to structured exercise programs, have become increasingly prominent. This review examines the conceptual differences between these approaches and summarizes current evidence on interventions used during treatment and throughout survivorship in children and adolescents. Drawing on quantitative and qualitative studies published between 2000 and 2025, the review shows that priorities shift across treatment phases: safety and feasibility are emphasized during active therapy, whereas long-term health and functional recovery gain importance in survivorship. The findings highlight the need for clearer terminology, coordinated multidisciplinary practice, and meaningful family involvement in planning and sustaining movement-based rehabilitation, as well as the importance of consistent outcome measures and longer-term follow-up in future research.