Comparison of the Effectiveness of Virtual Reality and Video Assisted Exercises in Pediatric Chronic Kidney Disease.

Acibadem University

Status: Completed

Conditions: Physical Activity; Pediatric Kidney Disease; Exercise Addiction

Treatments: Other: control group; Other: study group

Study type: Interventional

Funder types: Other

Identifiers

NCT04010981

10840098-604.01.01-E.30224

Details and patient eligibility

About

In this study, we aim to improve respiratory function and balance of decreased muscle strength, decrease fatigue values, improve quality of life, improve inflammation findings and GFR ( Glomerular filtration rate) values in pediatric chronic kidney patients with virtual reality exercise applications.

Full description

1.Group - Working group: Virtual reality technology (Nintendo Wii Fit Plus) exercise group 2.Group-Control group: home-based video games will be divided into groups that exercise.

Measurements of functional capacity, muscle strength, quality of life, depression, fatigue and physical activity levels, medical values (pulmonary function test values, inflammation level values, glomerular filtration rate level values) of both groups will be recorded before and after treatment.

In the study group treatment protocol; patients will complete 12 sessions of virtual reality exercise application-Nintendo Wii Fit Plus 30-minute training sessions with strengthening exercises for the lower extremities and upper extremities, aerobic and balance exercises. They will do 5 minutes warm-up exercises before the session and 5 minutes cool-down exercises as well as breathing exercises at the end of the session and will participate in a 50-minute treatment session in total.

In the control group treatment protocol, patients will follow the 30-minute video exercise practices for the lower and upper extremities that are similar to Nintendo Wii Fit exercises for the control group at home two days a week. exercises will complete the 50-minute training session. Apart from exercise sessions, patients will record their activities (walking, cycling, swimming...) in daily life forms with their own pedometers. Thus, changes in physical activity levels will be monitored.

Enrollment: 16 patients

Sex: All

Ages: 6 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 6-18 years of age
• to be chronic kidney disease,
• to have chronic kidney disease at least 6 months
• to have no visual hearing impairment

Exclusion criteria

• Attending another exercise program,
• to have severe infection (sepsis, peritonitis)
• Having anorexia or other growth retardation,
• Mental retardation,
• Inadequate communication in Turkish,
• Failure to communicate,
• Cardiomyopathy,
• presence of angina pectoris,
• Standing and walking obstacle
• Presence of orthopedic problem
• Cerebrovascular disease
• Patients with lower limb amputation and not using orthosis-prosthesis,
• patients with metastatic carcinoma will not be included in the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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16 participants in 2 patient groups

study grup-Virtual reality- Nintendo Wii Fit exercise group

Experimental group

Description:

in this group patients will complete 12 sessions of virtual reality exercise - Nintendo Wii Fit Plus, 30-minute training sessions with strengthening exercises for the lower extremities and upper extremities, aerobic and balance exercises, two days a week. They will do 5 minute warm-up exercises before stretching, stretching exercises and 5 minute cooling exercises at the end of the session, as well as breathing exercises and will attend a total of 50 minutes of treatment.

Treatment:

Other: study group

control group-home based video exercise group

Active Comparator group

Description:

Patients will be join home based exercises two days a week during 12 sessions .we will prepare for the lower and upper extremity features similar to Nintendo Wii Fit exercises 30 minutes of video game exercise practices, 5 minutes warm-up exercises, 5 minutes cooling exercises and complete the 50-minute training session with the breathing exercises we will teach them. In addition to exercise sessions, patients will record their activities (walking, cycling, swimming ına) in daily life schedules with their pedometers. Thus, changes in physical activity levels will be monitored.

Treatment:

Other: control group