Implementing exercise interventions in pediatric oncology: an expert consensus framework from the FORTEe project - Scorecard - MDSpire

Implementing exercise interventions in pediatric oncology: an expert consensus framework from the FORTEe project

  • By

  • Marie A. Neu

  • Elias Dreismickenbecker

  • Lena Wypyrsczyk

  • Filippo Spreafico

  • Adriana Balduzzi

  • Barbara Heißerer

  • Hayley Marriott

  • Norbert W. Paul

  • Eila Watson

  • Wilhelm Bloch

  • Martin Kaj Fridh

  • Miriam Götte

  • Lidija Kitanovski

  • Barbara Konda

  • Alejandro Lucia

  • Rodolf Mongondry

  • Katie Rizvi

  • Hanne Bækgaard Larsen

  • Nikolai Bauer

  • Ronja Beller

  • Carmen Fiuza-Luces

  • Gabriele Gauß

  • Mareike Kühn

  • Tommaso P. Moriggi

  • Olivia Pérol

  • Franziska Olivier

  • Domen Ravnik

  • Meta Rovan

  • Elena Santana-Sosa

  • Milica Stefanović

  • Peter Wright

  • William Zardo

  • Francesca Lanfranconi

  • Joachim Wiskemann

  • Joerg Faber

  • July 8, 2026

  • 0 min

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Clinical Scorecard: Establishing a Framework for Exercise Interventions in Pediatric Cancer Care: Insights from the FORTEe Project Expert Consensus

At a Glance

CategoryDetail
ConditionPediatric Oncology
Key MechanismsExercise therapy as supportive care to improve physical function and reduce treatment-related symptoms.
Target PopulationChildren and adolescents undergoing cancer treatment.
Care SettingMultidisciplinary healthcare settings across Europe.

Key Highlights

  • Exercise programs are not yet standard care in pediatric oncology across Europe.
  • Structured exercise interventions can improve physical and psychosocial outcomes.
  • Recommendations provide guidance for implementing exercise therapy in diverse resource settings.
  • Professional supervision enhances the effectiveness of exercise programs.
  • Clear frameworks are needed to support the translation of exercise interventions into routine care.

Guideline-Based Recommendations

Diagnosis

  • Exercise programs should be prescribed by qualified professionals with pediatric oncology expertise.

Management

  • Incorporate exercise therapy into routine childhood cancer care, considering individual factors.

Monitoring & Follow-up

  • Monitor exercise-related complications and ensure medical clearance before initiating programs.

Risks

  • Address potential risks associated with exercise in children undergoing cancer treatment.

Patient & Prescribing Data

Children and adolescents with cancer.

Exercise interventions should be tailored to individual age, diagnosis, treatment phase, and personal preferences.

Clinical Best Practices

  • Facilitate close communication between exercise and healthcare teams.
  • Implement hybrid models combining supervised and unsupervised exercise training.
  • Adapt exercise programs to local resource availability and infrastructure.

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