Table 3.
Description of occurred Adverse Events with consequences during supervised exercise interventions in pediatric oncology.
| Patient characteristics | Cause of the event | Consequences und procedures | Grading | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No. |
Age,
years |
Medical
background |
Training
status |
Sport
background |
What
happened |
External
influence |
Ratio
(trainer : child) |
Type of
injury |
Consequences | Procedures | Other remarks |
CTCAE
Grading |
| 1 | 15–18 | Endoprosthetic device knee (MUTARS), Off-treatment | Below average | Recreational athlete, experienced skier before cancer treatment | Fall while skiing during supervised cancer skiing course on the slope | No visible cause or external influence | 1:4–1:6 | Contusion | Clinical diagnostic and limitations in some instrumental ADLs | 2 days rest | On-site treating surgeon only suggests cycling/swimming as appropriate sports with prosthesis, which confused the teenager | 2 |
| 2 | >18 | Endoprosthetic device knee/femoral (MUTARS), Off-treatment | Average | Recreational athlete | Walking accident during skiing camp (tumble on a frozen trail), not during skiing lesson, but in the surrounding area of the sports activity |
Snowy and sloping path, limited visibility | 1:4–1:6 | Heavy pain and ROM limitations | Limitations in instrumental ADLs |
14 days of work exemption | Spikes would have been available and recommended by skiing team leader | 2 |
| 3 | 10–14 | Off-treatment | Average | Recreational athlete | Fall while skiing during supervised skiing course on the slope (last descent) | Pre-riding assistant ski instructor falls; teenager falls down herself while swerving | 1:4–1:6 | Clavicular fracture and pain | Limitations in instrumental and self-care ADLs (e.g., eating, dressing), prescription of pain medication | Conservative treatment (immobilization arm), no surgery | Incident did not disrupt interest in skiing and sports; re-participation in skiing in the following year | 3 |
| 4 | 10–14 | Off-treatment | Below average | Without intrinsic motivation for sports, but extrinsic motivation possible | Leg twist on a trampoline during supervised outpatient rehabilitation sports group | No visible cause or external influence | 1:4–1:6 | Fracture of the lower leg and pain | Limitations in instrumental and self-care ADLs | Plaster cast lower leg, some outpatient clinic visits | Teenager has returned to sports after plaster cast; no longer likes to go on the trampoline (is afraid of twisting again) | 3 |
| 5 | 15–18 | Off-treatment | Below average | Recreational athlete | Foot twist playing soccer during an inpatient rehabilitation course | No visible cause or external influence | 1:7–1:10 | Ankle sprain | Limitations in instrumental ADLs, prescription of pain medication |
1 week limited participation in activities | Teenager participated in sport activities with modifications the day after the incidence | 2 |
| 6 | 6–9 | Off-treatment | Average | Recreational athlete | Jumping over a box as part of a sports game during an inpatient rehabilitation course | Time pressure caused by rules of the game, child showed signs of exhaustion previously | 1:4–1:6 | Straining of ischiocrural muscles | Clinical diagnostic and limitations in some instrumental ADLs |
No continuation of the current sport lesson | – | 2 |
CTCAE, Common Terminology Criteria for Adverse Events; ADL, activities of daily living.