A Scoping Review of Chemotherapy-induced Peripheral Neuropathy-Related Gait Abnormalities in Children With Cancer

Pediatr Phys Ther. 2025 Jan 1;37(1):57-63. doi: 10.1097/PEP.0000000000001156. Epub 2024 Dec 24.

Abstract

Purpose: Chemotherapy-induced peripheral neuropathy (CIPN) with associated weakness, areflexia, neuropathic pain, and sensory loss, is a common occurrence in children treated for cancer. However, accurate, quantifiable descriptions of gait deviations due to CIPN are lacking. This scoping review explores common gait abnormalities in children with CIPN.

Methods: Using extensive database and manual literature reviews, 3 relevant studies were identified that assessed CIPN-related gait changes in children.

Results: Though each study used different methods to analyze gait patterns, decreased ankle dorsiflexion with slower and shorter gait were common findings across the studies. Changes to ankle dorsiflexion range of motion can lead to slower walking speeds and compensatory changes that can cause developmental effects on a child's gait.

Conclusions: Relevant research on the topic of CIPN-related gait abnormalities in children with cancer identifies knowledge gaps and the need for more studies on the effects of CIPN on children.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Antineoplastic Agents* / adverse effects
  • Child
  • Gait / physiology
  • Gait Disorders, Neurologic* / chemically induced
  • Gait Disorders, Neurologic* / etiology
  • Humans
  • Neoplasms* / complications
  • Neoplasms* / drug therapy
  • Peripheral Nervous System Diseases* / chemically induced
  • Range of Motion, Articular

Substances

  • Antineoplastic Agents