The Effect of Different Virtual Reality-Based Exercise Trainings on Pulmonary Function, Respiratory and Peripheral Muscle Strength, Functional Capacity and Balance in Children With Bronchiectasis

Not Applicable

Completed

• Conditions: Bronchiectasis
• Interventions: Other: Conventional Chest Physiotherapy; Other: Nintendo Wii Fit Based Exercise Training; Other: BreathingLabs Breathing Games Based Exercise Training

• Registration Number: NCT04038892
• Lead Sponsor: Bezmialem Vakif University

Brief Summary

Bronchiectasis is defined as abnormal, chronic and permanent enlargement of one or more bronchi. Disease symptoms; often productive cough, dyspnea, fatigue and wheezing. Changing pulmonary mechanics, inadequate gas exchange, decreased muscle mass and associated psychological problems may cause dyspnea, decreased exercise capacity and health-related quality of life. Exercise training as a part of pulmonary rehabilitation is used to reduce the severity of symptoms; is an effective treatment to improve exercise capacity and health status. Virtual reality based exercise training has taken its place in many areas of rehabilitation as a current and new approach. In the studies in the literature, Nintendo Wii Fit games are an effective, motivating, entertaining and clinically useful method for reducing symptoms in the rehabilitation of chronic lung diseases. Wii Fit games generally include strengthening, aerobics and balance exercises. Developed by BreathingLabs, Breathing Games, which is based on breathing exercises, are a new product, a virtual reality application that has been included in a limited number of studies, has shown its effect on reducing respiratory problems and is open to research effects for many patient groups. The importance of this study is that it will be the first study on Nintendo Wii Fit games based exercise training and Breathing Games based breathing exercises training in children with bronchiectasis.

The aim of this study is to investigate the effect of different virtual reality-based exercise trainings on pulmonary function, respiratory and peripheral muscle strength, functional capacity and balance in children with bronchiectasis.

Detailed Description

Not available

Study Timeline

• Study Start: 2019-07-27
• Study First Submitted: 2019-07-27
• Study First Submitted QC: 2019-07-27
• Study First Posted: 2019-07-31
• Status Verified: 2021-02
• Primary Completion: 2021-02-06
• Study Completion: 2021-02-06
• Last Update Submitted: 2021-02-06
• Last Update Posted: 2021-02-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 39

Inclusion Criteria

• Bronchiectasis diagnosis
• Stable clinical condition (no exacerbation in last 4 weeks)

Exclusion Criteria

• Documented diagnosis of vestibular, neurological or orthopedic disorders which may affect balance and mobility
• Subjects previously involved in exercise training or physiotherapy programs
• Previous history of lung or liver transplantation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Nintendo Wii Fit Training Group	Conventional Chest Physiotherapy	In addition to conventional chest physiotherapy programme, patients in this group will also receive Nintendo Wii Fit based exercise training for 40 minutes, 2 times in a week for 8 weeks. All exercise sessions will be supervised by physiotherapist in a clinic per week.
Control Group	Conventional Chest Physiotherapy	Patients in this group will receive conventional chest physiotherapy, two times a day, 7 days a week for 8 weeks. After the training given by the physiotherapist, all exercise sessions will be performed at home.
BreathingLabs Breathing Games Training Group	Conventional Chest Physiotherapy	In addition to conventional chest physiotherapy programme, patients in this group will also receive BreathingLabs Breathing Games based exercise training for 40 minutes, 2 times in a week for 8 weeks. All exercise sessions will be supervised by physiotherapist in a clinic per week.
Nintendo Wii Fit Training Group	Nintendo Wii Fit Based Exercise Training	In addition to conventional chest physiotherapy programme, patients in this group will also receive Nintendo Wii Fit based exercise training for 40 minutes, 2 times in a week for 8 weeks. All exercise sessions will be supervised by physiotherapist in a clinic per week.
BreathingLabs Breathing Games Training Group	BreathingLabs Breathing Games Based Exercise Training	In addition to conventional chest physiotherapy programme, patients in this group will also receive BreathingLabs Breathing Games based exercise training for 40 minutes, 2 times in a week for 8 weeks. All exercise sessions will be supervised by physiotherapist in a clinic per week.

Primary Outcome Measures

Name	Time	Method
Respiratory Function Test	Eight weeks	Change from baseline Peak Expiratory Flow (PEF) at 8 weeks
Respiratory Muscle Strength	Eight weeks	Change from baseline maximum expiratory pressure (MEP) at 8 weeks
Balance	Eight weeks	Change from baseline sensory integriation and balance test score in Biodex Balance System SD at 8 weeks
Peripheral Muscle Strength	Eight weeks	Change from baseline handgrip strength at 8 weeks
Functional Capacity	Eight weeks	Change from baseline distance covered in six-minute walk test at 8 weeks

Trial Locations

Locations (1)

Bezmialem Vakif Universitesi, Department of Physiotherapy and Rehabilitation; 🇹🇷 Istanbul, Turkey