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All Journal Nurse Media Journal of Nursing MEDISAINS Nursing News : Jurnal Ilmiah Keperawatan Belitung Nursing Journal JURNAL TEKNIK INFORMATIKA DAN SISTEM INFORMASI Proceedings of the International Conference on Applied Science and Health Jurnal E-Komtek Pediomaternal Nursing Journal Indonesian Journal of Global Health research Jurnal Ilmiah Keperawatan Altruistik Jurnal Menara Medika Advance Sustainable Science, Engineering and Technology (ASSET) An Idea Health Journal Nursing Information Journal Jurnal Keperawatan dan Kebidanan Nasional Jurnal Kesehatan dr. Soebandi International Journal of Nursing Information Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Jurnal Ilmiah Keperawatan Altruistik Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Mega Hasanul Huda
Universitas Indonesia
Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Control & Systems Engineering Dentistry Education Electrical & Electronics Engineering Energy Health Professions Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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Journal : Nursing Information Journal

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Prevalence of Motor Impairments in Children with Acute Lymphoblastic Leukemia during Chemotherapy: A Systematic Review Muslimah, Desti Elza; Huda, Mega Hasanul; Allenidekania, Allenidekania; Lestari, Ayu Widya
Nursing Information Journal Vol. 5 No. 2 (2026): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

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Abstract

Motor impairments are a frequent and disabling consequence of vincristine‑based chemotherapy in children with acute lymphoblastic leukemia (ALL). These deficits can compromise daily functioning and long‑term quality of life. This systematic review aimed to synthesize evidence on the prevalence and characteristics of motor impairments among pediatric ALL patients undergoing chemotherapy.  A comprehensive search was conducted across PubMed, ScienceDirect, Scopus, ClinicalKey, and ClinicalKey Nursing, supplemented by citation tracking. Observational studies published up to May 2025 were screened using the PEOS framework. Ten eligible studies involving 580 children were included. Outcomes assessed encompassed fine motor precision, manual dexterity, coordination, balance, agility, and strength. Motor impairments were consistently reported across all studies, with prevalence varying by treatment phase and country. During induction, prevalence ranged from 48% (USA) to 62.5% (Netherlands). In consolidation, rates reached 75.5% (Colombia). The highest prevalence was observed in the maintenance phase, with Turkey reporting 83.9% overall impairment and specific deficits in fine motor integration (70.6%), strength (74.4%), and upper‑limb coordination (61.1%). Finland showed the lowest overall prevalence (31.8%). Motor impairments are common and persistent in children with ALL receiving vincristine‑based chemotherapy, particularly during the maintenance phase. These findings underscore the need for standardized monitoring protocols, early detection, and timely rehabilitation strategies to mitigate long‑term functional decline and optimize quality of life in pediatric oncology care.
Co-Authors Abram Babakal Adawiyah, Robiyatul Ade Handayani Ade Silvia Handayani Alfanira Setiawan Allenidekania Allenidekania Anisah Fadhilah Argarini, Diah Astuti Astuti Astuti Yuni Nursasi Atun Roudatul Ma’rifah Ayuni Rizka Utami Azizah, Latifah Fajri Nur Azkiyati, Ade Maya Chodidjah, Siti Christanty, Christanty Defi Efendi Dessirya, Endah Desy Rasmiyani Dewi Hayati, Dewi Dewi Irianti Elisa Islami Putri Ening Wahyuni Fajar Listya Ayuningtyas Fajar Tri Waluyanti Gita Sari Aryani Gustika Arnils Happy Hayati Hasanah, Kusnul Herry Susanto Hertani Indah Lestari Hertanti Indah Lestari Husni, Nyayu Latifah Ibnu Ziad, Ibnu Intan Asri Nurani Irianti, Dewi Islamia, Ina Jojor Sihotang Juli Widiyanto Kherunnisa Kherunnisa Khodijah Alkaff Lestari, Ayu Widya Linda Setyowati Linda Wati Luluk Khusnul Dwihestie M. Zakuan Agung Marita, Zadam Mieska Despitasari Moh. Heri Kurniawan Mohammad Heri Kurniawan Mohammad Heri Kurniawan Muhammad Fauzi Rahman Muhammad Fauzi Rahman Muslimah, Desti Elza Mutiara Amanda Nani Nurhaeni Nina Dwi Putri Ningsih, Risna Novia Pratiwi, Novia Nugroho, Alfin Nur Agustini Nurani, Intan Asri Nurrohmah, Azizah Nursanti Christianingsih Nyayu Latifah Husni Okinarum, Giyawati Yulilania Pande Lilik Lestari Pricilia Mais Putra, Hasriza Eka R. Rr Maria Dyah Kurniasari Rahmadhani, Dewi Astika Rahmasari, Syifa Widya Ramadhani, Dewi Astika Raudha Ilmi Farid Riswal Hanafi Siregar Roselyn Chipojola SANTOSO SANTOSO Setiawati, Atik Shahylannanda Tito Yuwono Sri Agustin Tabara Sri Chodidjah Surwaningsih Suryani Hartati Syaiful, Afifah Ayu Syifa Widya Rahmasari Titik Ambar Asmarini Wahyuni, Rita Wanda , Dessie Wati, Alfah Ratna Widhiastuti, Erma Yeni Rustina Yeni Yarnita Yogi Prawira Yohanes Andy Rias Yuhendri Putra