ClinicalTrials.gg
Not yet recruitingNCT07885995VR-COPDUpdated Oct 21, 2026

EFFECT OF COMBINED VIRTUAL REALITY-GUIDED BREATHING AND AEROBIC TRAINING ON VENTILATORY FUNCTION IN PATIENTS WITH COPD

An interventional study of VR-Based Pulmonary Rehabilitation Group and Conventional Pulmonary Rehabilitation Group in Chronic Obstructive Lung Disease, sponsored by Cairo University. Not yet recruiting. Open to participants aged 45 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Cairo University · Not applicable, Interventional, and Treatment

Updated Oct 21, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
45 Years to 55 Years
Sex
All
01

Study summary

This Single-blind, randomized controlled trial will evaluate the effects of 12 weeks of combined VR-guided diaphragmatic breathing (Flowborne) and VR-aerobic cycling (Kinneta) compared with conventional pulmonary rehabilitation in male and female patients aged 45-55 years with stable COPD (GOLD Stage II). Both groups will train three times weekly at 65-75% HRmax. Primary outcomes are diaphragmatic excursion and FEV₁, while secondary outcomes include FVC, FEV1/FVC ratio, 6MWT, Borg dyspnea score, smoking index, SpO₂, and CAT score. All outcomes will be assessed at the end of the 12-week intervention.

Read the detailed description

This randomized controlled trial aims to investigate the effects of combining virtual reality (VR)-guided diaphragmatic breathing using Flowborne with VR-based aerobic cycling using Kinneta on ventilatory function in male and female patients aged 45-55 years with stable COPD (GOLD Stage II). Participants will be randomly assigned to either an intervention group receiving combined VR-guided breathing and aerobic cycling or a control group receiving conventional pulmonary rehabilitation with an identical session structure. Both groups will participate in three sessions per week for 12 weeks, with aerobic exercise performed at 65-75% of maximum heart rate (HRmax).

The primary outcomes will be diaphragmatic excursion, assessed using ultrasound, and forced expiratory volume in one second (FEV₁), measured using spirometry. Secondary outcomes will include FVC, FEV1/FVC ratio, six-minute walk test (6MWT) distance, dyspnea severity measured using the Borg scale, smoking index, peripheral oxygen saturation (SpO₂), and COPD Assessment Test (CAT) scores. All outcomes will be assessed at the end of the 12-week intervention period following randomization. The study aims to determine whether integrating VR-guided breathing and aerobic exercise produces greater improvements in diaphragmatic function, pulmonary function, exercise capacity, and overall COPD-related health status compared with conventional pulmonary rehabilitation.

02

Conditions studied

  • Chronic Obstructive Lung Disease

Keywords

  • COPD
  • Virtual reality
  • breathing exercise
  • aerobic exercise
03

In context

Pulmonary Disease, Chronic Obstructive

4,252 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 707 are open to participants now.

This study's planned enrollment of 60 is below the median of 70 across 3,008 interventional studies indexed under Pulmonary Disease, Chronic Obstructive.

Browse Pulmonary Disease, Chronic Obstructive studies →

Lead sponsor

Cairo University is the lead sponsor of 4,907 studies on the registry; 1,445 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
45 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Sixty male patients with chronic obstructive pulmonary disease, diagnosed with stable COPD according to GOLD criteria, defined by spirometric evidence of GOLD stage II airflow limitation (FEV₁ ≥50% and \<80% predicted for stage II.
  • Their age will range from 45-55s.
  • Ability to use a VR headset after training
  • Clinically stable condition with no acute exacerbation during the previous 4-6 weeks.
  • Ability to ambulate independently and perform aerobic exercise safely.
  • Medically cleared by a physician to participate in exercise training.
  • Ability to understand and follow instructions.
  • Stable pharmacological treatment for at least 4 weeks before participation.
  • Patients willing to participate and sign informed consent.

Exclusion criteria

Exclusion Criteria:

  • Acute exacerbation of Chronic Obstructive Pulmonary Disease or recent hospitalization.
  • Unstable cardiovascular disorders, such as:
  • uncontrolled hypertension
  • unstable angina
  • recent myocardial infarction
  • severe arrhythmias
  • Severe musculoskeletal disorders limiting exercise performance.
  • Neurological disorders affecting balance, gait, or exercise ability.
  • Severe cognitive impairment or psychiatric disorders interfering with cooperation.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    VR-Based Pulmonary Rehabilitation Group

    Participants will receive VR-guided diaphragmatic breathing using Flowborne combined with VR-based aerobic cycling using Kinneta for 12 weeks, three sessions per week.

    Behavioral: VR-Based Pulmonary Rehabilitation Group

  • Active comparator
    Conventional Pulmonary Rehabilitation Group

    Participants will receive conventional diaphragmatic breathing exercises combined with conventional aerobic cycling training, following the same session structure and training duration as the experimental group.

    Behavioral: Conventional Pulmonary Rehabilitation Group

Interventions

  • BehavioralVR-Based Pulmonary Rehabilitation Group

    Participants will perform VR-guided diaphragmatic breathing using Flowborne combined with VR-based aerobic cycling using Kinneta for 12 weeks, three sessions per week.

  • BehavioralConventional Pulmonary Rehabilitation Group

    Participants will perform conventional diaphragmatic breathing exercises combined with conventional aerobic cycling training, following the same session structure and training duration as the experimental group.

06

What researchers measure

Primary outcomes

  1. Diaphragmatic Excursion

    Change in diaphragmatic excursion, measured in centimeters using diagnostic ultrasound during deep inspiration, from baseline to the end of the intervention period.

    Time frame: Baseline and 12 weeks after the start of the intervention.

  2. Forced Expiratory Volume in One Second (FEV₁)

    Change in forced expiratory volume in one second (FEV₁), measured using spirometry, from baseline to the end of the 12-week intervention period.

    Time frame: Baseline and 12 weeks after the start of the intervention.

Secondary outcomes

  1. Forced Vital Capacity (FVC)

    Change in forced vital capacity (FVC), measured using spirometry, from baseline to the end of the intervention period.

    Time frame: Baseline and 12 weeks after the start of the intervention.

  2. FEV₁/FVC Ratio

    Change in the ratio of forced expiratory volume in one second to forced vital capacity (FEV₁/FVC), measured using spirometry, from baseline to the end of the intervention period.

    Time frame: Baseline and 12 weeks after the start of the intervention.

  3. Six-Minute Walk Distance (6MWD)

    Change in six-minute walk distance, measured in meters using the standardized six-minute walk test, from baseline to the end of the intervention period.

    Time frame: Baseline and 12 weeks after the start of the intervention.

  4. Peripheral Oxygen Saturation (SpO₂)

    Change in peripheral oxygen saturation (SpO₂), measured using pulse oximetry, from baseline to the end of the intervention period.

    Time frame: Baseline and 12 weeks after the start of the intervention.

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared with other researchers. Only aggregated study results will be reported in publications. This decision is based on the absence of a planned data-sharing arrangement for this study.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07885995
Lead sponsor
Cairo University
Responsible party
Reham Yehia Nasr Elsayed Moustafa (lecteure assistant, Cairo University) — Principal investigator
First posted
Oct 21, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Mar 1, 2027 (estimated)
Completion
Apr 1, 2027 (estimated)
Last update
Oct 21, 2026

Study contacts

HEND ELMONAEM ABD EL-MONAEM, Phd
Contact
drhend@cu.edu.com
0201115507195

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion