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Childhood overweight have emerged as major global health concerns and are linked to lower pulmonary functions and reaction time levels among school-aged children. Although exercise, particularly multicomponent training, effectively improves pulmonary functions, maintaining exercise adherence in children with overweight remains a significant challenge. As a result, there is a need for more engaging and motivating exercise options for this group, and active structured wii protocol, which involve full-body movement and boost energy expenditure, have been suggested as a promising alternative..
Wii Fit aerobic training produces effects similar to standard rehabilitation treatments and requires low energy. This shows that it may be an effective rehabilitation technique for adults and older people with low energy levels. A review found that video games are safe and practicable in children with lung is sues. The principle of this training is that aerobic exercise en hances pulmonary adaptation by increasing the strength and endurance of the respiratory muscles. Altered aerobic training due to endurance training might diminish smooth muscle tone in the airways and enhance expiratory flow. Regular lung stretching caused by airway smooth muscle diminishes airway resistance during aerobic exercise. Reduced tone and smooth muscle contraction may reduce air resistance. As smooth mus cle tone diminishes, airway resistance decreases, and lung vol ume falls, these mechanisms are anticipated to enhance airflow
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chest physical therapy and diet therapy | Active Comparator | School age children who will receive routine chest physical therapy and diet therapy |
|
| Chest physical therapy along with wii aerobic exercises and diet therapy | Experimental | School age children who will receive routine chest physical therapy along with wii aerobic exercises and diet therapy |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The Nintendo Wii Fit operates on the Wii system, produced by Nintendo Co., Ltd, based in Kyoto, Japan. | Device | The Nintendo Wii Fit operates on the Wii system, produced by Nintendo Co., Ltd, based in Kyoto, Japan. Among its features is a collection of interactive video games that require players to embody their on-screen character using a compact, wireless controller capable of motion detection. |
| Measure | Description | Time Frame |
|---|---|---|
| Forced vital capacity (FVC) | The maximum amount of air expired after the maximum Inspiration in liters. | pre and post 36 sessions ( 3 sessions/week ) for 3 months |
| Forced expiratory volume in 1 s (FEV1) | The air volume expired in the first second after maximal Inspiration in liters. | Pre and post 36 sessions ( 3 sessions/week) for 3 months |
| Peak expiratory flow (PEF) | Achieving maximum forced expiration without hesitation from the point of peak lung inflation yields the maximum expiratory flow | Pre and post 36 sessions ( 3 sessions /week ) for 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Chest Expansion | Upper chest expansion (2nd intercostal space) & Lower chest expansion (xiphoid) were assessed from the reference point mentioned by using tab | Pre and post 36 sessions ( 3 sessions / week ) for 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| 6-Minute Walk Test (6-MWT) ( To measure Functional Capacity ) | The children's submaximal functional capacity was evaluated by measuring the maximum distance they could walk in 6 min | Pre and post 36 sessions ( 3 sessions / week ) for 3 months |
| Timed Up and Go test (TUG) ( To measure Functional Capacity ) |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Outpatient Clinics of Universities and Private Medical Centers in Cairo | Recruiting | Cairo | 11571 | Egypt |
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| Chest physical therapy and diet therapy | Other | Chest Physiotherapy: Breathing exercises (diaphragmatic breathing, segmental breathing) Incentive spirometry (if applicable) Thoracic expansion exercises Diet therapy : Individualized calorie-controlled diet plan |
|
This straightforward evaluation of a child's mobility includes static and dynamic balancing measures .It considers how long it takes for an individual to stand up from a chair, walk 3 m, turn around, and then sit back down |
| Pre and post 36 sessions ( 3 sessions / week ) for 3 months |
| Ruler Drop Test ( To measure reaction time ) | The Ruler Drop Test is a simple clinical method used to assess reaction time. A ruler is held vertically between the participant's thumb and index finger without contact. The examiner releases the ruler unexpectedly, and the participant attempts to catch it as quickly as possible | pre and post 36 sessions ( 3 sessions / week ) for 3 months |
| Human Benchmark Reaction Time Test ( To measure reaction time ) | The Human Benchmark Reaction Time Test is a computerized assessment that measures visual reaction time. Participants are instructed to click (or tap) the screen as quickly as possible when a visual stimulus changes color (typically from red to green). The reaction time is automatically recorded in milliseconds. | pre and post 36 sessions ( 3 sessions / week ) for 3 months |
| ID | Term |
|---|---|
| D004035 | Diet Therapy |
| ID | Term |
|---|---|
| D044623 | Nutrition Therapy |
| D013812 | Therapeutics |
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