Actively Recruiting

Phase Not Applicable
Age: 40Years - 80Years
All Genders
Healthy Volunteers
ID07185178

Investigation of the Effect of Video Game-Based Breathing Exercises on Dysfunctional Respiration in Patients With Asthma-COPD Overlap Syndrome (ACOS)

Led by Istinye University · Updated on 2025-09-22

40

Participants Needed

1

Research Sites

44 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Asthma-COPD Overlap Syndrome (ACOS) is a condition where asthma and chronic obstructive pulmonary disease coexist, causing more severe symptoms, faster lung function decline, and lower quality of life than either disease alone. This study aims to evaluate the effects of video game-based breathing exercises on dysfunctional breathing patterns in ACOS patients, which are common but under-researched. Pulmonary rehabilitation, especially breathing exercises, is recommended to improve symptoms and function in these patients, but the use of video game-based programs is new and not well studied in this group. Participants will be randomly assigned to either a study group or a control group. The study group will take part in the "Breathing Games" program twice weekly for 8 weeks, with each 50-minute session including warm-up, five breathing games with posture exercises, and cool-down. They will also perform a home exercise program twice daily, three days a week for 8 weeks. The control group will receive a single 30-45 minute patient education session covering ACOS information, breathing techniques, posture, lifestyle advice, and activity recommendations, with follow-up calls every two weeks. Participants will undergo various assessments at the start and after 8 weeks, including capnography, respiratory movement, posture evaluation, and questionnaires measuring dysfunctional breathing and quality of life. Additional tests include lung function, breath-holding time, walking tests, sleep quality, anxiety, and depression scales. The study will monitor how these measures change over the 8-week intervention to understand the impact of video game-based breathing exercises on dysfunctional breathing in ACOS patients.

CONDITIONS

Brief Title

Effect of Video Game-Based Breathing Exercises on Respiratory Dysfunction in ACOS

Who Can Participate

Age: 40Years - 80Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged between 40 and 80 years
  • Diagnosed with Asthma-COPD Overlap Syndrome (ACOS)
  • Nijmegen Questionnaire score �3e�3d 23
  • No severe asthma
  • No severe COPD
  • Stable condition with no acute exacerbation in the last 4 weeks
  • Cognitive level suitable to adapt to video games
Not Eligible

You will not qualify if you...

  • Contraindicated for pulmonary rehabilitation
  • Diagnosed with cancer
  • Severe cardiovascular disease
  • History of thoracic surgery
  • Acute infectious disease
  • Cognitive impairment
  • Presence of vertigo, epilepsy, or visual impairment

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 8 weeks

Participants receive their assigned intervention for 8 weeks. Those in the video game-based breathing exercise group attend sessions twice a week, each lasting about 50 minutes, with additional home exercises. Participants in the control group receive patient education and follow-up by phone every two weeks.

Twice-weekly exercise sessions for the study group; 1 education session and biweekly phone follow-ups for the control group

Follow-up Assessments

Duration - 1 to 2 days

Participants complete assessments to evaluate the effects of the interventions after 8 weeks.

1 visit (in-person) for post-intervention assessments

Trial Site Locations

Total: 1 location

1

Kocaeli University Training and Research Hospital

Kocaeli, Izmit, Turkey (Türkiye), 41000

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Research Team

H

HÜSNA GÜZEL, PT,PhD (c)

N

NURGÜL DÜRÜSTKAN ELBASI, asst. prof

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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