Cognitive and emotional flexibility in sports: Volleyball as a neuropsychological training model in oncological care

  • Xuelian Dong School of Jiangsu Vocational College of Electronics and Information, Huai’an 223003, Jiangsu, China
  • Quan Zhou School of Primary Education, Huaihua Normal College, Huaihua City 418000, Hunan, China
  • Zifu Xu * College of Arts & Physical Education, Gangneung-Wonju National University, Gangneung-si 25457, Gangwon-do, Republic of Korea
Article ID: 5587
45 Views
Keywords: volleyball; cancer survivorship; cognitive rehabilitation; emotional regulation; psychoneuroimmunology; psychosocial oncology; team sport; quality of life

Abstract

Cancer rehabilitation increasingly integrates exercise to improve quality of life and psychological adjustment. Yet, few approaches emphasize the neuropsychological dimension of sport participation, especially cognitively engaging team sports such as volleyball. This review explores how volleyball functions as a neuropsychological training model in oncology care, promoting cognitive flexibility, emotional regulation, and social reintegration among cancer survivors. A systematic narrative review was conducted across PubMed, Scopus, Web of Science, and Cochrane databases (2010–2025), following PRISMA 2020 guidelines. Eight studies addressing volleyball or team-sport interventions in oncology populations were synthesized thematically. Evidence shows that volleyball participation improves executive function, attention, motivation, and resilience while reducing anxiety and depressive symptoms. The sport’s cooperative, strategic nature enhances cognitive stimulation, emotional confidence, and group belonging. Adapted formats, such as sitting volleyball, extend accessibility to frail or paediatric survivors. Volleyball represents a multidimensional intervention bridging cognitive rehabilitation, emotional stability, and psychosocial identity reconstruction in cancer recovery. Integrating such cognitively enriched sports into oncology rehabilitation can strengthen both neural and emotional resilience.

Published
2025-12-11
How to Cite
Dong, X., Zhou, Q., & Xu, Z. (2025). Cognitive and emotional flexibility in sports: Volleyball as a neuropsychological training model in oncological care. Psycho-Oncologie, 19(4), 5587. https://doi.org/10.18282/po5587
Section
Review

References

1. Sekse RJT, Dunberger G, Olesen ML, et al. Lived experiences and quality of life after gynaecological cancer—An integrative review. Journal of Clinical Nursing. 2019; 28(9-10): 1393-1421. doi: 10.1111/jocn.14721

2. Hojan K, Gerreth K. Can multidisciplinary inpatient and outpatient rehabilitation provide sufficient prevention of disability in patients with a brain tumor? International Journal of Environmental Research and Public Health. 2020; 17(18): 6488. doi: 10.3390/ijerph17186488

3. Alfano CM, Kent EE, Padgett LS, et al. Making cancer rehabilitation services work for cancer patients: Recommendations for research and practice to improve employment outcomes. PM&R. 2017; 9(S2): S398-S406. doi: 10.1016/j.pmrj.2017.06.019

4. Gross-King M, Booth-Jones M, Couluris M. Neurocognitive impairment in children treated for cancer: How do we measure cognitive outcomes? Journal of Pediatric Oncology Nursing. 2008; 25(4): 227-232. doi: 10.1177/1043454208321114

5. Lapshova N. Social status of a cancer patient: Predictors of loss and strategies for coping with psychotrauma. Perspectives and Innovations of Science. 2024; 6(40): 580-588. doi: 10.52058/2786-4952-2024-6(40)-580-588

6. Fleming J, Prescott S, Claridge L, et al. Capacity building for providers of cognitive rehabilitation in Queensland: A needs analysis survey. Brain Impairment. 2024; 25(1): 1-13. doi: 10.1071/IB23062

7. Dovigo L, Caprì T, Iannizzotto G, et al. Social and cognitive interactions through an interactive school service for RTT patients at the COVID-19 time. Frontiers in Psychology. 2021; 12: 676238. doi: 10.3389/fpsyg.2021.676238

8. Weyer-Jamora C, Brie MS, Luks TL, et al. Cognitive impact of lower-grade gliomas and strategies for rehabilitation. Neuro-Oncology Practice. 2021; 8(2): 117-128. doi: 10.1093/nop/npaa072

9. Liu Y, Tian S, Ning B, et al. Stress and cancer: The mechanisms of immune dysregulation and management. Frontiers in Immunology. 2022; 13: 1032294. doi: 10.3389/fimmu.2022.1032294

10. Torregrosa C, Chorin F, Beltran EEM, et al. Physical activity as the best supportive care in cancer: The clinician’s and the researcher’s perspectives. Cancers. 2022; 14(21): 5402. doi: 10.3390/cancers14215402

11. Pariante CM. Psychoneuroimmunology or immunopsychiatry? The Lancet Psychiatry. 2015; 2(3): 197-199. doi: 10.1016/S2215-0366(15)00042-5

12. Misiąg W, Piszczyk A, Szymańska-Chabowska A, et al. Physical activity and cancer care—A review. Cancers. 2022;14(17):4154. doi: 10.3390/cancers14174154

13. Colato A, Abreu F, Medeiros N, et al. Effects of concurrent training on inflammatory markers and expression of CD4, CD8, and HLA-DR in overweight and obese adults. Journal of Exercise Science and Fitness. 2014; 12(2): 55-61. doi: 10.1016/j.jesf.2014.06.002

14. Comen EA, Bowman RL, Kleppe M. Underlying causes and therapeutic targeting of the inflammatory tumor microenvironment. Frontiers in Cell and Developmental Biology. 2018; 6: 56. doi: 10.3389/fcell.2018.00056

15. Morales JS, Padilla JR, Valenzuela PL, et al. Inhospital exercise training in children with cancer: Does it work for all? Frontiers in Pediatrics. 2018; 6: 404. doi: 10.3389/fped.2018.00404

16. Nilsson J, Ekblom M, Moberg M, et al. The role of acute changes in mBDNF, cortisol and proBDNF in predicting cognitive performance in old age. Scientific Reports. 2023; 13(1): 9418. doi: 10.1038/s41598-023-35847-5

17. Furzer BJ, Ackland TR, Wallman KE, et al. A randomised controlled trial comparing the effects of a 12-week supervised exercise versus usual care on outcomes in haematological cancer patients. Supportive Care in Cancer. 2016; 24(4): 1697-1707. doi: 10.1007/s00520-015-2955-7

18. Håkansson K, Ledreux A, Daffner K, et al. BDNF responses in healthy older persons to physical exercise, cognitive training, and mindfulness. Journal of Alzheimer’s Disease. 2016; 55(2): 645-657. doi: 10.3233/JAD-160593

19. Dao AT, Zagaar MA, Levine AT, et al. Treadmill exercise prevents learning and memory impairment in Alzheimer’s disease-like pathology. Current Alzheimer Research. 2013; 10(5): 507-515. doi: 10.2174/1567205011310050006

20. Winters-Stone KM. Tai Ji Quan for the aging cancer survivor: Mitigating disability and cardiovascular decline from cancer treatment. Journal of Sport and Health Science. 2014; 3(1): 52-57. doi: 10.1016/j.jshs.2013.11.003

21. Lee HS, Amarakoon D, Wei CI, et al. Adverse effect of polystyrene microplastics on tube formation and viability of human umbilical vein endothelial cells. Food and Chemical Toxicology. 2021; 154: 112356. doi: 10.1016/j.fct.2021.112356

22. Manzo C, Torreno-Pina JA, Massignan P, et al. Weak ergodicity breaking of receptor motion in living cells stemming from random diffusivity. Physical Review X. 2015; 5(1): 011021. doi: 10.1103/PhysRevX.5.011021

23. Vinogradov S, Fisher M, Holland C, et al. Is serum brain-derived neurotrophic factor a biomarker for cognitive enhancement in schizophrenia? Biological Psychiatry. 2009; 66(6): 549-553. doi: 10.1016/j.biopsych.2009.02.017

24. Holmes MD. Physical activity and survival after breast cancer diagnosis. JAMA. 2005; 293(20): 2479-2486. doi: 10.1001/jama.293.20.2479

25. Lubarsky K, Coira D, Spariosu M, et al. A unique case of paraneoplastic extra-limbic encephalitis presenting with neuropsychiatric symptoms. European Psychiatry. 2013; 28(S1): E456. doi: 10.1016/S0924-9338(13)76168-6

26. Ladha AB, Courneya KS, Bell GJ, et al. Effects of acute exercise on neutrophils in pediatric acute lymphoblastic leukemia survivors. Journal of Pediatric Hematology/Oncology. 2006; 28(10): 671-677. doi: 10.1097/01.mph.0000243644.20993.54

27. Cohen L. Yoga with a capital Y: The benefits of yoga as a lifestyle intervention. Alternative and Complementary Therapies. 2015; 21(3): 106-110. doi: 10.1089/act.2015.29004.lc

28. de Matos-Neto EM, Lima JDCC, Pereira WO, et al. Systemic inflammation in cachexia: Is tumor cytokine expression profile the culprit? Frontiers in Immunology. 2015; 6: 629. doi: 10.3389/fimmu.2015.00629

29. Jeon BY, Yun SJ, Kim HY. Factors influencing job stress in pediatric nurses during the pandemic period: Fatigue and the pediatric nurse–parent partnership. Journal for Specialists in Pediatric Nursing. 2024; 29(4): e12437. doi: 10.1111/jspn.12437

30. Brattico E, Bonetti L, Ferretti G, et al. Putting cells in motion: Advantages of endogenous boosting of BDNF production. Cells. 2021; 10(1): 183. doi: 10.3390/cells10010183

31. Whittemore R, Knafl K. The integrative review: Updated methodology. Journal of Advanced Nursing. 2005; 52(5): 546-553. doi: 10.1111/j.1365-2648.2005.03621.x

32. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021; 372: n71. doi: 10.1136/bmj.n71

33. Bock C, Schmidt ME, Vrieling A, et al. Walking, bicycling, and sports in postmenopausal breast cancer survivors. Psycho-Oncology. 2013; 22(6): 1291-1298. doi: 10.1002/pon.3134

34. Sebri V, Savioni L, Triberti S, et al. How to train your health: Sports as a resource to improve cognitive abilities in cancer patients. Frontiers in Psychology. 2019; 10: 2096. doi: 10.3389/fpsyg.2019.02096

35. Baker K, Caru M, Sandvik J, et al. The challenges experienced by collegiate athlete cancer survivors. Supportive Care in Cancer. 2025; 33(1): 68. doi: 10.1007/s00520-024-09121-x

36. Kahán Z, Szántó I, Dudás R, et al. Breast cancer survivorship programme: Follow-up, rehabilitation, psychosocial oncology care. Pathology and Oncology Research. 2022; 28: 1610391. doi: 10.3389/pore.2022.1610391

37. Schwartz AL, Terry CM. Returning to sport: Female athletes living with and beyond cancer. International Journal of Environmental Research and Public Health. 2021; 18(15): 8151. doi: 10.3390/ijerph18158151

38. Spreafico F, Nigro O, Gattuso G, et al. Recommending exercise and sports for children and adolescents with a solitary kidney after a renal tumor. EJC Paediatric Oncology. 2023; 1: 100003. doi: 10.1016/j.ejcped.2023.100003

39. Baker K, Caru M, Sandvik J, et al. The successes experienced by collegiate athlete cancer survivors. Supportive Care in Cancer. 2025; 33(2): 135. doi: 10.1007/s00520-025-09194-2

40. Belanger LJ, Plotnikoff RC, Clark AM, et al. Prevalence, correlates, and psychosocial outcomes of sport participation in young adult cancer survivors. Psychology of Sport and Exercise. 2013; 14(2): 298-304. doi: 10.1016/j.psychsport.2012.10.010