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Clinical and Autonomic Efficacy of Digital-Gamified Diaphragmatic Training in Pediatric Pulmonary Rehabilitation
Clinical and Autonomic Efficacy of Digital-Gamified Diaphragmatic Training in Pediatric Pulmonary Rehabilitation

NCT07765264

Active Not RecruitingNA

Sponsor: Delta University for Science and Technology

Conditions: Pediatric Asthma, Chronic Respiratory Diseases, Obstructive Airway Disease

Interventions: Digital-Gamified Diaphragmatic Training (DGDT), Standard Mechanical Incentive Spirometer

Countries: Egypt

Adherence to traditional pediatric pulmonary rehabilitation exercises is often low due to their repetitive nature, leading to poor respiratory outcomes. Digital-Gamified Diaphragmatic Training (DGDT) integrates real-time biofeedback into smartphone applications to turn breathing exercises into interactive games, encouraging children to practice more consistently. The purpose of this prospective, randomized controlled clinical trial is to evaluate the clinical efficacy of a 12-week home-based DGDT protocol compared to standard mechanical incentive spirometry among pediatric patients aged 6 to 14 years with chronic respiratory conditions. The primary goal is to assess changes in key spirometric parameters-specifically Forced Expiratory Volume in 1 Second (FEV1), Forced Vital Capacity (FVC), and the FEV1/FVC ratio-to determine if gamified digital training offers physiological benefits over standard rehabilitation methods.

Eligibility overview

Sex: ALL

Age: 6 Years to 14 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria
Inclusion Criteria:

* Pediatric patients aged 6 to 14 years at the time of screening.
* Documented clinical diagnosis of a chronic respiratory condition (e.g., bronchial asthma, post-inflammatory pulmonary conditions), stable under standard pharmacological management for at least 4 consecutive weeks.
* Household access to a functional smartphone (Android or iOS) capable of running mobile applications.
* Written informed consent provided by a parent or legal guardian, and child's verbal or written assent.

Exclusion Criteria:

\- Occurrence of an acute pulmonary exacerbation, status asthmaticus, or respiratory tract infection requiring hospitalization within the last 30 days.
Locations (1)
  • Damietta, Egypt