Video Based Breathing Exercise Rehabilitation
Condition: Autism Spectrum Disorder; Down Syndrome
MeSH terms: Down Syndrome; Autism Spectrum Disorder
Study type: Interventional

Summary: 
      The aim of the study was to investigate the effect of video game-based lung volume increasing
      training on respiratory mechanics in children with developmental delays. Individuals with
      special needs are people who, for various reasons, show significant awareness at the level
      expected from their peers in terms of their individual characteristics and educational
      qualifications. Individuals with special needs constitute an important part of our country.
      Children with special needs may have respiratory problems that may or may not be recognized
      because they are not diagnosed, as well as decreases in respiratory capacity. Decrease in
      lung volumes may be encountered in children with special needs with various diagnoses such as
      neuromuscular diseases, cerebral palsy, cystic fibrosis, autism, and Down syndrome.

      Pulmonary rehabilitation is a multidisciplinary program that balances or reverses the
      physiopsychopathology of pulmonary disorders and tries to help the patient reach high
      functional capacity as much as his physical condition and pulmonary disability allow. Chest
      physiotherapy, which is an important step of pulmonary rehabilitation, is a rehabilitation
      intervention used to reduce airway resistance, improve gas exchange and facilitate breathing
      in children. Active video game systems produced with the development of new technologies are
      used for the positive progression of rehabilitation, especially in young individuals who are
      extensive users of digital devices. For children who need a pulmonary rehabilitation program,
      active video game systems are preferred in the clinic as they increase the compatibility of
      the sessions and ensure continuity.
    

Detailed description: 
      It seems that there are insufficient studies in the literature on the effects of exercises
      that increase lung capacity on children with special needs. To the best of our knowledge,
      there is no study investigating the effects of programs to increase lung volumes in children
      with special needs in a randomized controlled study design. With this project, we aimed to
      reveal the effects of a lung volume-increasing exercise program performed with a video-based
      game system applied for 6 weeks in children with special needs, by comparing it with the
      control group that received only conventional rehabilitation. The duration of the treatment
      program in our study is also one of our unique values. According to our literature research,
      the implementation of a lung capacity-increasing rehabilitation program in children with
      special needs in the form of supervision twice a week and a home program once a week for 6
      weeks is the first.
    

Intervention name(s): Experimental: Study Group (SGr); Sham Comparator: Control Group (CGr)
Intervention type(s): Other; Other
Intervention description(s): For 6 weeks, in addition to institutional conventional exercise 2 days a week, one day a week of home exercise, breathing exercises to increase lung volumes and 7 sets of video-based breathing exercises were applied, each set consisting of 2 minutes of performance and 1 minute of rest.; Only institutional conventional rehabilitation was implemented.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized controlled trial
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: breathing exercise; video based game; biofeedback