Wii Aerobic Training in Inhalation-injury Children Post-thermal Burn

MTI University

Status: Completed

Conditions: Inhalation Injury

Treatments: Other: conservative chest care; Other: Wii aerobic training

Study type: Interventional

Funder types: Other

Identifiers

NCT06326593

P.T.REC/012/005049

Details and patient eligibility

About

Inhalation injury is a composite of multiple insults including: supra glottic thermal injury, subglottic airway and alveolar poisoning, and systemic poisoning from absorbed small molecule toxins. These contaminant insults independently affect each of the pulmonary functions as well as having a direct effect on systemic physiology. Further, anatomic characteristics can predispose patients to inhalation injury. For example, an infant will develop airway obstructions much faster than an adult due to reduced airway diameter. Understanding the contributions of each of these pathologies to the patient's disease is critical to managing inhalation injury.

Wii fit aerobic training gives similar results with traditional rehabilitation practices, it causes less energy costs. This suggests that it can be a suitable rehabilitation tool for adult and elderly people with low energy levels. A review showed that video games are safe and feasible in the children with lung complications. Children' balance, aerobic and cognitive functions, quality of life improved and depressive mood decreased. WII aerobic games also make children to communicate better with other family members.

Full description

This study will investigate the effects of Wii aerobic training in Inhalation-injury Children post-thermal burn. To assign patients to different treatment groups, a table of random numbers generated by a computer was used. Patients were allocated randomly into one of three groups using this method. This study will be carried out at the outpatient clinic of the faculty of physical therapy, modern university for technology and information, Om El masryeen hospital and Embaba general hosbital after referral from dermatologist. Children will perform these exercises in a room supervisor physiotherapist.

All parents of children will sign a written consent form after receiving full information about the purpose of the study, procedure, possible benefits, privacy, and use of data.

Enrollment: 80 patients

Sex: All

Ages: 12 to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Six weeks after deep second-degree thermal burn with inhalation injury (until complete healing) with 35%-40% total body surface area (TBSA), Burn size was measured using modified Lund and Browder charts.
• 12 Years to 17 Years (Child )
• Inhalation injury.
• All children suffering from retained secretions which did not respond to medical treatment.
• All children should be clinically and medically stable.
• All children should have the same medical treatment.

Exclusion criteria

• Children with any dysfunction that limit physical activity such as neurological disorders, chronic obstructive pulmonary disease, malignancy, cardiovascular diseases, orthopedic problems, such as fracture on the pelvic or limbs, a visual impairment, brain injury or hearing impairments and contractures.
• Children use non-invasive mechanical ventilation and intubation or need for intensive clinical support and/or transfer to the Intensive Care Unit.
• Children with other hormonal diseases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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80 participants in 2 patient groups

Group (A): Wii aerobic training

Experimental group

Description:

This group included 38 children with inhalation injury post thermal burn; they will receive Wii aerobic training and conservative chest care.

Treatment:

Other: Wii aerobic training

Other: conservative chest care

Group (B): control group

Sham Comparator group

Description:

This group included 38 children with inhalation post thermal burn; they will receive conservative chest care.

Treatment:

Other: conservative chest care