RecruitingNot ApplicableNCT07185178

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

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

Sponsor

Istinye University

Enrollment

40 participants

Start Date

Aug 4, 2025

Study Type

INTERVENTIONAL

Conditions

Pulmonary Rehabilitation Asthma-COPD Overlap Syndrome Video Games

Summary

Asthma and COPD are significant respiratory diseases that can coexist, referred to as Asthma-COPD Overlap Syndrome (ACOS). Patients with ACOS experience more severe clinical outcomes, including rapid decline in lung function, increased symptom burden, and reduced quality of life. Pulmonary rehabilitation-particularly breathing exercises-is a core non-pharmacological intervention recommended for this patient group. In recent years, video game-based applications have emerged as innovative tools that enhance motivation and participation in exercise programs. However, studies investigating the effects of video game-based breathing exercises in ACOS patients are extremely limited. Additionally, although dysfunctional breathing patterns are common in this group, few studies have addressed targeted interventions. The objective of the present study is to evaluate the effects of video game-based breathing exercises on dysfunctional breathing in ACOS patients.

Eligibility

Min Age: 40 YearsMax Age: 80 Years

Inclusion Criteria7

Aged between 40 and 80 years
Diagnosed with Asthma-COPD Overlap Syndrome (ACOS)
Nijmegen Questionnaire score ≥ 23
No severe asthma
No severe COPD
In a stable condition (no acute exacerbation in the last 4 weeks)
To have the cognitive level suitable to adapt to video games

Exclusion Criteria7

Contraindicated for pulmonary rehabilitation
Diagnosed with cancer
Having severe cardiovascular disease
History of thoracic surgery
Presence of acute infectious disease
Cognitive impairment
Presence of vertigo, epilepsy, or visual impairment

Interventions

OTHERVideo game-based breathing exercises

Twenty individuals will be enrolled in the video game-based breathing exercise program. Participants in the study group will undergo the "Breathing Games" exercise program twice a week for 8 weeks, with each session lasting approximately 50 minutes. This video game-based breathing exercise program includes warm-up, cool-down, and five breathing games designed for the target patients.From the second week onward, posture exercises combined with the breathing games will be added.Thus, the exercise program will consist of a warm-up phase lasting approximately 10 minutes, including breathing control, stretching exercises, and rest; 25-30 minutes of five breathing games combined with posture exercises; followed by a cool-down phase of about 10 minutes with breathing control, stretching exercises, and rest.Additionally, participants will be provided with a home exercise program to be performed twice daily for 30 minutes, three days a week, over 8 weeks.

OTHERControl group

Participants in the control group will receive a 30-45 minute patient education session after the assessment. The content of the education will include: Providing general information about Asthma-COPD Overlap Syndrome (ACOS) Teaching dyspnea-relieving positions Instruction in diaphragmatic breathing techniques Teaching secretion clearance methods (Active Cycle of Breathing Techniques - ACBT) Educating on energy conservation strategies Providing information on correct posture Counseling on lifestyle modifications (e.g., smoking cessation, physical activity recommendations) To maintain and improve physical activity levels, patients will be advised to engage in walking activities for 30 minutes, twice a week After covering these topics, participants will be given brochures containing this information. Additionally, follow-up will be conducted by phone every two weeks. All assessments will be repeated at the end of the 8-week period.