{Reference Type}: Journal Article {Title}: Identifying causes of balance impairment and exploring sensory contributions to balance in pediatric oncology: A scoping review. {Author}: McCarthy E;Marchese VG;Shipper AG;Rock K;Felter C; {Journal}: Crit Rev Oncol Hematol {Volume}: 201 {Issue}: 0 {Year}: 2024 Jun 22 {Factor}: 6.625 {DOI}: 10.1016/j.critrevonc.2024.104425 {Abstract}: OBJECTIVE: To identify causes of balance impairment in children undergoing treatment for cancer and childhood cancer survivors.
METHODS: A systematic search was performed according to PRISMA guidelines. Studies were included if participants were 0-19 years of age with a current/past diagnosis of cancer, an objective balance measure was reported, and a cause of balance impairment was either stated or implied.
RESULTS: The 64 full text studies included identified balance impairments as sequelae secondary to CNS tumors, and/or as an effect of medical treatment including chemotherapy, radiation, and/or surgery. Cancer treatment can result in damage to the visual, vestibular and/or somatosensory systems which in turn can contribute to balance dysfunction.
CONCLUSIONS: Balance impairments were caused by the cancer itself or the result of medical treatment. Oncology professionals are integral in recognition and treatment of factors affecting balance impairments in childhood cancer; however, further research is needed to identify interventions targeting specific causes of balance impairment.