Effect Of Virtual Reality On Pulmonary Function And Anxiety Levels In Asthmatic Patients

Inclusion Criteria: * Both sexes would be previously diagnosed as bronchial asthma with a cut-off score FEV1: Between 60% and 80% of predicted value or less than 60% of predicted value and FEV1/FVC ratio: May be significantly reduced from normal value 0.75-0.80. * The age of the patients will be ranged between 30 and 40 years old. * Asthma Control Test(ACT) will be less than 16 can be successfully used to identify those who will be uncontrolled asthma. * All patients will be assessed by Hospital Anxiety and Depression Scale (HADS) ;A cut-off score of 11-15 a moderate depression/anxiety level. * Patients who are conscious and cooperative. * Patients who are able to understand and follow instruction. Exclusion Criteria: * Previous participation in any pulmonary rehabilitation program. * Cardiovascular instabilities such as: Uncontrolled hypertension, Uncontrolled arrhythmia and Recent ischemic event. * Mental disorders preventing protocol implementation. * Other chronic respiratory diseases. * Pregnant women. * New or current smoker. * Respiratory tract infection.