{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T20:21:56Z","timestamp":1778185316241,"version":"3.51.4"},"reference-count":43,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,6,21]],"date-time":"2022-06-21T00:00:00Z","timestamp":1655769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Video game\u2010based systems have been proposed to improve effectiveness and compliance with exercise training in children and adolescents with noncystic fibrosis bronchiectasis (NCFB). This study aimed to investigate the effects of aerobic and breathing video game\u2010based exercises (VGE) on pulmonary function, respiratory and peripheral muscle strength, functional capacity, and balance in children and adolescents with NCFB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Thirty\u2010nine children and adolescents aged between 8 and 18 years with NCFB were randomly allocated into three groups as \u201chome\u2010based chest physiotherapy group\u201d (CP), \u201caerobic VGE given in addition to home\u2010based chest physiotherapy group\u201d (CP\u2009+\u2009aerobic VGE), and \u201cbreathing VGE given in addition to home\u2010based chest physiotherapy group\u201d (CP\u2009+\u2009breathing VGE). All three groups performed chest physiotherapy program twice a day for 7 days per week for 8 weeks. Pulmonary function, respiratory and peripheral muscle strength, functional capacity, and balance were assessed at baseline and after 8 weeks of training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The improvement in maximum expiratory pressure and balance scores were significantly higher in both CP\u2009+\u2009aerobic and CP\u2009+\u2009breathing VGE groups. The significant improvement in maximum inspiratory pressure was greater in the CP\u2009+\u2009breathing VGE group. The changes in peripheral muscle strength and functional capacity were significantly higher in the CP\u2009+\u2009aerobic VGE group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present study showed that aerobic VGE provides additional benefits in improving peripheral muscle strength and functional capacity, while breathing VGE provides further increase in improving respiratory muscle strength. In addition, both aerobic and breathing VGE were effective in improving balance, but they were not superior to each other.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.26026","type":"journal-article","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T06:04:11Z","timestamp":1654581851000},"page":"2207-2217","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Video game\u2010based exercise in children and adolescents with non\u2010cystic fibrosis bronchiectasis: A randomized comparative study of aerobic and breathing exercises"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7211-1805","authenticated-orcid":false,"given":"Hikmet","family":"Ucgun","sequence":"first","affiliation":[{"name":"Department of Cardiopulmonary Physiotherapy and Rehabilitation, Institute of Health Sciences Bezmialem Vakif University Istanbul Turkey"},{"name":"Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences Biruni University Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5846-6781","authenticated-orcid":false,"given":"Hulya Nilgun","family":"Gurses","sequence":"additional","affiliation":[{"name":"Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences Bezmialem Vak\u0131f University Istanbul Turkey"},{"name":"Department of Cardiopulmonary Physiotherapy and Rehabilitation, Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences Bezmialem Vak\u0131f University Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9743-3341","authenticated-orcid":false,"given":"Meltem","family":"Kaya","sequence":"additional","affiliation":[{"name":"Department of Cardiopulmonary Physiotherapy and Rehabilitation, Institute of Health Sciences Bezmialem Vakif University Istanbul Turkey"},{"name":"Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences Bezmialem Vak\u0131f University Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1438-7854","authenticated-orcid":false,"given":"Erkan","family":"Cak\u0131r","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology, Faculty of Medicine Bezmialem Vakif University Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.disamonth.2008.05.007"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2006.03.012"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2012.02.004"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/2049-6958-7-3"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.25052"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.136119"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00629-2017"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41077-020-00151-z"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2009.08.005"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/g4h.2018.0062"},{"issue":"33","key":"e_1_2_10_12_1","first-page":"\u200b","article-title":"Virtual reality as a tool in pulmonary rehabilitation: a narrative review","volume":"2020","author":"Clements JB","year":"2020","journal-title":"Inti Journal"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.893420"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2014.07.004"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.4274\/jcrpe.2183"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.05.00034805"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00080312"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.166.4.518"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.166.1.at1102"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000130"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15327841MPEE0502_3"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.109.5.1169"},{"key":"e_1_2_10_23_1","unstructured":"Breathing Labs Clinical Guidelines2020. 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