Bronchiectasis
Conditions
Keywords
Bronchiectasis, Virtual Reality, Exercise Training, Pulmonary Function, Functional Capacity, 6 Minute Walk Test, Balance, Muscle Strength
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.
Interventions
Programme will include diaphragmatic breathing exercise, thoracic expansion exercises, incentive spirometer exercise (Triflo), oscillatory PEP (Flutter), postural drainage, coughing techniques and teaching respiratory control.
OTHERNintendo Wii Fit Based Exercise Training
Nintendo Wii Fit based exercise training will be given under the supervision of a physiotherapist. The one session will be included: warm-up exercises for 5 minutes (yoga games; deep breathing and half moon etc.), aerobic exercises for 30 minutes (aerobic games; Twisting and Squat, Step Plus, Jogging Plus and Hula Hoop etc.) and cooling exercises in 5 minutes (yoga games; deep breathing and half moon etc.).
OTHERBreathingLabs Breathing Games Based Exercise Training
BreathingLabs Breathing Games based exercise training will be given under the supervision of a physiotherapist. The one session will be included: warm-up exercises for 5 minutes (respiratory control exerice and coughing techniques), breathing games exercises for 30 minutes (breathing games; Kite, Balloon, Pluto, Butterflies and Plane etc.) and cooling exercises in 5 minutes (respiratory control exerice and coughing techniques).
Sponsors
Bezmialem Vakif University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
8 Years to 18 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Peripheral Muscle Strength | Eight weeks | Change from baseline M. Quadriceps strength at 8 weeks |
| Respiratory Function Test | Eight weeks | Change from baseline Forced Vital Capacity (FVC) at 8 weeks |
| Respiratory Muscle Strength | Eight weeks | Change from baseline maximum inspiratory pressure (MIP) at 8 weeks |
| Functional Capacity | Eight weeks | Change from baseline distance covered in six-minute walk test at 8 weeks |
| Balance | Eight weeks | Change from baseline postural stability test score in Biodex Balance System SD at 8 weeks |
Countries
Turkey (Türkiye)
Outcome results
None listed