Wii Aerobic Training in Inhalation-injury Children Post-thermal Burn

NCT06326593 | Completed

• 1 other identifier: P.T.REC/012/005049
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 2

Brief Summary

Inhalation injury is a composite of multiple insults including: supra glottic thermal injury, subglottic airway and alveolar poisoning, and systemic poisoning from absorbed small molecule toxins. These contaminant insults independently affect each of the pulmonary functions as well as having a direct effect on systemic physiology. Further, anatomic characteristics can predispose patients to inhalation injury. For example, an infant will develop airway obstructions much faster than an adult due to reduced airway diameter. Understanding the contributions of each of these pathologies to the patient's disease is critical to managing inhalation injury. Wii fit aerobic training gives similar results with traditional rehabilitation practices, it causes less energy costs. This suggests that it can be a suitable rehabilitation tool for adult and elderly people with low energy levels. A review showed that video games are safe and feasible in the children with lung complications. Children' balance, aerobic and cognitive functions, quality of life improved and depressive mood decreased. WII aerobic games also make children to communicate better with other family members.

Conditions

Inhalation Injury

Outcome Measures

Primary Outcomes (3)

• Forced vital capacity (FVC)

  Forced vital capacity (FVC) will be measured by using spirometer (SP - 10 electronic hand held spirometer ) with the subject upright sitting or lying in the supine posture

  base line and 12 weeks.

• forced expiratory volume in 1 second (FEV1)

  forced expiratory volume in 1 second (FEV1) will be measured by using spirometer(SP - 10 electronic hand held spirometer) with the subject upright sitting or lying in the supine posture

  base line 12 weeks

• peak expiratory flow (PEF)

  peak expiratory flow (PEF) will be measured by using spirometer(SP - 10 electronic hand held spirometer ) with the subject upright sitting or lying in the supine posture

  base line 12 weeks

Secondary Outcomes (3)

• Upper and lower chest expansion (2nd intercostal space, xiphoid)])

  base line 12 weeks

• Functional capacity 6-Minute Walk Test (6-MWT)

  base line 12 weeks

• Timed Up and Go test (TUG)

  base line 12 weeks

Study Arms (2)

Group (A): Wii aerobic training

EXPERIMENTAL

This group included 38 children with inhalation injury post thermal burn; they will receive Wii aerobic training and conservative chest care.

Other: Wii aerobic training; Other: conservative chest care

Group (B): control group

SHAM COMPARATOR

This group included 38 children with inhalation post thermal burn; they will receive conservative chest care.

Other: conservative chest care

Interventions

Wii aerobic training OTHER

Nintendo Wii Fit Wii console (Nintendo Co., Ltd, Kyoto, Japan) is the main power unit of Nintendo Wii Fit. Its software includes an interactive video games that is played with a handheld, wireless remote that senses motion and requires the participant to mimic the action of their on - screen character

Group (A): Wii aerobic training

conservative chest care OTHER

Diaphragmatic deep breathing exercises Bronchial hygiene techniques Assisted cough Stretching exercises and ROM exercises for both upper and lower limbs

Group (A): Wii aerobic training; Group (B): control group

Eligibility Criteria

• Age: 12 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Six weeks after deep second-degree thermal burn with inhalation injury (until complete healing) with 35%-40% total body surface area (TBSA), Burn size was measured using modified Lund and Browder charts.
• Years to 17 Years (Child )
• Inhalation injury.
• All children suffering from retained secretions which did not respond to medical treatment.
• All children should be clinically and medically stable.
• All children should have the same medical treatment.

You may not qualify if:

• Children with any dysfunction that limit physical activity such as neurological disorders, chronic obstructive pulmonary disease, malignancy, cardiovascular diseases, orthopedic problems, such as fracture on the pelvic or limbs, a visual impairment, brain injury or hearing impairments and contractures.
• Children use non-invasive mechanical ventilation and intubation or need for intensive clinical support and/or transfer to the Intensive Care Unit.
• Children with other hormonal diseases

Sponsors & Collaborators

• MTI University: lead

Study Sites (2)

Heba Elfeky

Cairo, 6347113, Egypt

Location

Ahmed Mohamed Ahmed Abdelhady

Cairo, Egypt

Location

Related Publications (3)

• Ferguson GD, Jelsma D, Jelsma J, Smits-Engelsman BC. The efficacy of two task-orientated interventions for children with Developmental Coordination Disorder: Neuromotor Task Training and Nintendo Wii Fit Training. Res Dev Disabil. 2013 Sep;34(9):2449-61. doi: 10.1016/j.ridd.2013.05.007. Epub 2013 Jun 7.

  PMID: 23747936 BACKGROUND

• Mombarg R, Jelsma D, Hartman E. Effect of Wii-intervention on balance of children with poor motor performance. Res Dev Disabil. 2013 Sep;34(9):2996-3003. doi: 10.1016/j.ridd.2013.06.008. Epub 2013 Jul 2.

  PMID: 23827983 BACKGROUND

• Elfahl AM, Elfeky HM. Wii Aerobic Training in Inhalation-Injury Children Post-Thermal Burn: A Randomized Controlled Trial. Physiother Res Int. 2025 Apr;30(2):e70052. doi: 10.1002/pri.70052.

  PMID: 40156880 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lectrurer of physical therapy for general surgery and dermatology

Study Record Dates

• First Submitted: March 14, 2024
• First Posted: March 22, 2024
• Study Start: February 22, 2024
• Primary Completion: May 25, 2024
• Study Completion: May 28, 2024
• Last Updated: May 29, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

EG (2)