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..
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.
Dysfunction restricting activity, such as neurological disorders.
Pulmonary disorders such as COPD and malignancy.
Unstable vital signs.
Orthopedic problems such as scoliosis and kyphosis.
Parallel
The Nintendo Wii Fit operates on the Wii system, produced by Nintendo Co., Ltd, based in Kyoto, Japan.
DeviceThe 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.
Chest physical therapy and diet therapy
Other interventionChest Physiotherapy: Breathing exercises (diaphragmatic breathing, segmental breathing) Incentive spirometry (if applicable) Thoracic expansion exercises Diet therapy : Individualized calorie-controlled diet plan
Forced vital capacity (FVC)
The maximum amount of air expired after the maximum Inspiration in liters.
Forced expiratory volume in 1 s (FEV1)
The air volume expired in the first second after maximal Inspiration in liters.
Peak expiratory flow (PEF)
Achieving maximum forced expiration without hesitation from the point of peak lung inflation yields the maximum expiratory flow
Chest Expansion
Upper chest expansion (2nd intercostal space) \& Lower chest expansion (xiphoid) were assessed from the reference point mentioned by using tab
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
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
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
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.
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