Video game breathing exercises for breathing problems in Asthma-COPD Overlap Syndrome

Investigation of the Effect of Video Game-Based Breathing Exercises on Dysfunctional Respiration in Patients With Asthma-COPD Overlap Syndrome (ACOS)

Not applicable Interventional Istinye University · NCT07185178

This trial will test whether video game-based breathing exercises help people aged 40–80 with Asthma-COPD Overlap Syndrome who have dysfunctional breathing patterns.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment40 (estimated)
Ages40 Years to 80 Years
SexAll
SponsorIstinye University Academic / other
Locations1 site (Kocaeli, Izmit)
Trial IDNCT07185178 on ClinicalTrials.gov

What this trial studies

Adults with Asthma-COPD Overlap Syndrome (ACOS) and evidence of dysfunctional breathing are enrolled and compared between a program of video game–guided breathing exercises and a control group. Participants must be clinically stable and able to use video game interfaces, and those with major comorbidities or contraindications to pulmonary rehabilitation are excluded. Outcomes focus on dysfunctional breathing measures (e.g., Nijmegen Questionnaire) and related functional and quality-of-life metrics. The intervention is delivered in a clinical setting at the enrolling hospital and aims to improve adherence and breathing technique through gamified feedback.

Who should consider this trial

Good fit: Ideal candidates are adults aged 40–80 with a diagnosis of ACOS, a Nijmegen Questionnaire score ≥23, clinically stable status, no severe asthma or COPD, and the cognitive ability to use video game interfaces.

Not a fit: Patients with severe asthma or COPD, recent exacerbations, contraindications to pulmonary rehabilitation, active cancer, severe cardiovascular disease, cognitive or visual impairment, or epilepsy/vertigo are unlikely to benefit or be eligible.

Why it matters

Potential benefit: If successful, the approach could reduce dysfunctional breathing and improve symptoms, exercise capacity, and quality of life for people with ACOS.

How similar studies have performed: Small studies of gamified or virtual-reality rehabilitation in COPD or asthma show improved engagement and some clinical gains, but direct evidence specifically in ACOS is very limited.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Aged between 40 and 80 years
* Diagnosed with Asthma-COPD Overlap Syndrome (ACOS)
* Nijmegen Questionnaire score ≥ 23
* No severe asthma
* No severe COPD
* In a stable condition (no acute exacerbation in the last 4 weeks)
* To have the cognitive level suitable to adapt to video games

Exclusion Criteria:

* Contraindicated for pulmonary rehabilitation
* Diagnosed with cancer
* Having severe cardiovascular disease
* History of thoracic surgery
* Presence of acute infectious disease
* Cognitive impairment
* Presence of vertigo, epilepsy, or visual impairment

Where this trial is running

Kocaeli, Izmit

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Asthma-COPD Overlap SyndromePulmonary RehabilitationVideo Gamesasthma-copd overlap syndromepulmonary rehabilitationdysfunctional breathingvideo games
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.