Short-term Pediatric Rehabilitation Intensive Therapy (SPRINT) Pilot
Study: functional inpatient outcomes in pediatric hematologic and
oncologic disorders
Abstract
Background Pediatric patients with oncologic and hematologic diagnoses
who experience functional decline during a hospitalization may benefit
from intensive therapies. However, acute medical issues or disease
treatment plans may prevent a safe transfer to the inpatient
rehabilitation unit. Accordingly, an alternative inpatient
rehabilitation program was developed. Procedure Short-term Pediatric
Rehabilitation Intensive Therapy (“SPRINT”) is a 2-week inpatient
intensive therapy program developed for pediatric patients on
hematology-oncology and bone marrow transplant units at a pediatric
tertiary care hospital. This pilot study evaluates functional outcomes
of SPRINT participants measured by the Caregiver Assistance section of
the Pediatric Evaluation of Disability Inventory (PEDI) and differences
in participants’ symptoms with a questionnaire. Results Eighteen
pediatric patients (50% female, age 1.9-17.8 years) participated in
SPRINT, and 11 parents and 4 children completed questionnaires. Common
diagnoses included leukemia and lymphoma (N=9, 50%) and central nervous
system tumor (N=6, 33%). Deconditioning (N=18, 100%) and peripheral
neuropathy (N=8, 44.4%) were common rehabilitation diagnoses.
Significant gains were found in tasks in self-care and mobility domains
of PEDI (all p<0.05), as well as functional expression in
social function domain (p=0.03). No adverse events related to SPRINT
participation were identified. There was no significant difference
between pre- and post-SPRINT questionnaire responses. Conclusion SPRINT
is an alternative model for intensive rehabilitation care delivery. Data
suggest that SPRINT participation can result in significant functional
gains in mobility, self-care, and functional expression for pediatric
patients with hematologic and oncologic diagnoses during
hospitalizations. No difference was found in questionnaire responses
after SPRINT participation.