Structured Wii Aerobic Protocol on Reaction Time and Pulmonary Functions in Over Weight School- Aged Children

Childhood overweight have emerged as major global health concerns and are linked to lower pulmonary functions and reaction time levels among school-aged children. Although exercise, particularly multicomponent training, effectively improves pulmonary functions, maintaining exercise adherence in children with overweight remains a significant challenge. As a result, there is a need for more engaging and motivating exercise options for this group, and active structured wii protocol, which involve full-body movement and boost energy expenditure, have been suggested as a promising alternative..

Study Overview

• Status: Recruiting
• Conditions: Over Weight; School Age Children
• Intervention / Treatment: Other: Chest physical therapy and diet therapy; Device: The Nintendo Wii Fit operates on the Wii system, produced by Nintendo Co., Ltd, based in Kyoto, Japan.

Detailed Description

Wii Fit aerobic training produces effects similar to standard rehabilitation treatments and requires low energy. This shows that it may be an effective rehabilitation technique for adults and older people with low energy levels. A review found that video games are safe and practicable in children with lung is sues. The principle of this training is that aerobic exercise en hances pulmonary adaptation by increasing the strength and endurance of the respiratory muscles. Altered aerobic training due to endurance training might diminish smooth muscle tone in the airways and enhance expiratory flow. Regular lung stretching caused by airway smooth muscle diminishes airway resistance during aerobic exercise. Reduced tone and smooth muscle contraction may reduce air resistance. As smooth mus cle tone diminishes, airway resistance decreases, and lung vol ume falls, these mechanisms are anticipated to enhance airflow

• Study Type: Interventional
• Enrollment (Estimated): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Cairo, Egypt, 11571
    • Recruiting
    • Outpatient Clinics of Universities and Private Medical Centers in Cairo
    • Contact: Mohamed Zidan; Phone Number: 01016469801; Email: drmohzidan2015@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• School age children 10-15 years.
• Both gender.
• Diagnosed with over weight with Body mass index (BMI) is at or above the 85th percentile but less than 95th percentile for age , gender and height.
• All participants and parents/guardians were familiar with possible risks associated with the experimental procedures and signed a consent form to participate in the study.

Exclusion Criteria:

• Dysfunction restricting activity, such as neurological disorders.
• Pulmonary disorders such as COPD and malignancy.
• Unstable vital signs.
• Orthopedic problems such as scoliosis and kyphosis.
• Visual and hearing impairments.
• Brain injury

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Chest physical therapy and diet therapy; School age children who will receive routine chest physical therapy and diet therapy	Other: Chest physical therapy and diet therapy; Chest Physiotherapy: Breathing exercises (diaphragmatic breathing, segmental breathing) Incentive spirometry (if applicable) Thoracic expansion exercises Diet therapy : Individualized calorie-controlled diet plan
Experimental: Chest physical therapy along with wii aerobic exercises and diet therapy; School age children who will receive routine chest physical therapy along with wii aerobic exercises and diet therapy	Other: Chest physical therapy and diet therapy; Chest Physiotherapy: Breathing exercises (diaphragmatic breathing, segmental breathing) Incentive spirometry (if applicable) Thoracic expansion exercises Diet therapy : Individualized calorie-controlled diet plan; Device: The Nintendo Wii Fit operates on the Wii system, produced by Nintendo Co., Ltd, based in Kyoto, Japan.; The Nintendo Wii Fit operates on the Wii system, produced by Nintendo Co., Ltd, based in Kyoto, Japan. Among its features is a collection of interactive video games that require players to embody their on-screen character using a compact, wireless controller capable of motion detection.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Forced vital capacity (FVC)	The maximum amount of air expired after the maximum Inspiration in liters.	pre and post 36 sessions ( 3 sessions/week ) for 3 months
Forced expiratory volume in 1 s (FEV1)	The air volume expired in the first second after maximal Inspiration in liters.	Pre and post 36 sessions ( 3 sessions/week) for 3 months
Peak expiratory flow (PEF)	Achieving maximum forced expiration without hesitation from the point of peak lung inflation yields the maximum expiratory flow	Pre and post 36 sessions ( 3 sessions /week ) for 3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Chest Expansion	Upper chest expansion (2nd intercostal space) & Lower chest expansion (xiphoid) were assessed from the reference point mentioned by using tab	Pre and post 36 sessions ( 3 sessions / week ) for 3 months

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
6-Minute Walk Test (6-MWT) ( To measure Functional Capacity )	The children's submaximal functional capacity was evaluated by measuring the maximum distance they could walk in 6 min	Pre and post 36 sessions ( 3 sessions / week ) for 3 months
Timed Up and Go test (TUG) ( To measure Functional Capacity )	This straightforward evaluation of a child's mobility includes static and dynamic balancing measures .It considers how long it takes for an individual to stand up from a chair, walk 3 m, turn around, and then sit back down	Pre and post 36 sessions ( 3 sessions / week ) for 3 months
Ruler Drop Test ( To measure reaction time )	The Ruler Drop Test is a simple clinical method used to assess reaction time. A ruler is held vertically between the participant's thumb and index finger without contact. The examiner releases the ruler unexpectedly, and the participant attempts to catch it as quickly as possible	pre and post 36 sessions ( 3 sessions / week ) for 3 months
Human Benchmark Reaction Time Test ( To measure reaction time )	The Human Benchmark Reaction Time Test is a computerized assessment that measures visual reaction time. Participants are instructed to click (or tap) the screen as quickly as possible when a visual stimulus changes color (typically from red to green). The reaction time is automatically recorded in milliseconds.	pre and post 36 sessions ( 3 sessions / week ) for 3 months

Collaborators and Investigators

• Sponsor: Al-Zaytoonah University of Jordan

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2026
• Primary Completion (Estimated): June 1, 2026
• Study Completion (Estimated): June 1, 2026

Study Registration Dates

• First Submitted: March 27, 2026
• First Submitted That Met QC Criteria: April 2, 2026
• First Posted (Actual): April 7, 2026

Study Record Updates

• Last Update Posted (Actual): April 7, 2026
• Last Update Submitted That Met QC Criteria: April 2, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Keywords: pulmonary functions; reaction time; over weight; school age children; Wii protocol
• Additional Relevant MeSH Terms: Therapeutics; Nutrition Therapy; Diet Therapy
• Other Study ID Numbers: Wii aerobic on reaction time

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No