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Updated: Jun 25, 2025

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Comparing the Effects of Virtual Reality Breathing Exercise and Incentive Spirometry Exercise on Improving Pulmonary
Rajesh S1, Vadivelan Kanniappan1, B S Santhosh Kanna2
1Physiotherapy, SRM (Sri Ramaswamy Memorial) College of Physiotherapy, SRM Institute of Science and Technology, Chengalpattu, IND.
Insights
Virtual reality breathing training (VRBT) shows significant benefits for improving pulmonary functions in children with cerebral palsy (CP). This therapy offers advantages over traditional incentive spirometry (IST) for respiratory rehabilitation.
Area of Science:
- Pediatric Rehabilitation
- Assistive Technology
- Pulmonary Function Testing
Background:
- Children with cerebral palsy (CP) experience higher rates of respiratory dysfunction.
- Virtual reality breathing therapy (VRBT) is an emerging assistive technology for CP rehabilitation.
Purpose of the Study:
- To compare the effectiveness of VRBT versus incentive spirometry (IST) in improving pulmonary functions in children with CP.
Main Methods:
- An experimental study involving 32 children with spastic diplegic CP (GMFCS levels I-III).
- Participants were randomly assigned to either a VRBT group or an IST group.
- Key pulmonary function parameters measured included forced vital capacity (FVC), forced expiratory volume at one second (FEV1), and peak expiratory flow (PEF).
Main Results:
- Significant differences were observed in FVC and FEV1 between the VRBT and IST groups.
- VRBT demonstrated superior improvements in FVC and FEV1 compared to IST.
- No significant difference was found in peak expiratory flow (PEF) between the two groups.
Conclusions:
- VRBT provides significant benefits for enhancing pulmonary functions in children with CP.
- VRBT is a valuable therapeutic option for improving respiratory health in this population.
Introduction:
Children with cerebral palsy (CP) have a higher incidence of respiratory dysfunction than healthy children. Virtual reality breathing therapy is an assistive technology that is becoming popular in the rehabilitation of children with CP.
Methods:
This experimental study included a total of 32 children with spastic diplegic CP who were divided into two groups: the virtual reality breathing training (VRBT) group and the incentive spirometry (IST) group. Individuals classified as levels I to III on the gross motor function classification system (GMFCS) were recruited using the simple random sampling method.
Result:
The results of comparing the values of forced vital capacity (FVC), forced expiratory volume at one second (FEV1), and the ratio of FVC/FEV1 showed a significant difference between groups. A significant difference was found in the VRBT group compared to the IST group, except for the peak expiratory flow (PEF) values, which showed a nonsignificant difference between the groups.
Conclusion:
There were significant differences in FVC and FEV1 between the VRBT and IST groups. It has been concluded that VRBT has additional benefits in improving pulmonary functions.
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