BACKGROUND: The morbidity and death rates from burn injuries in children are considerably raised by lung issues resulting from inhalation injuries. PURPOSE: The purpose of this study was to ascertain how Wii aerobic exercise affected children who had inhaled injuries following thermal burns. METHODS: Children with inhalation injuries (N = 76) were split into two equal groups for this randomized controlled experiment. One group received conventional chest medical treatment along with Wii aerobic exercise. The control group, on the other hand, merely received routine chest medical treatment. Over 3 months, each patient underwent pulmonary function testing, chest expansion, the six-minute walk test, and the timed up-and-go evaluation. RESULTS: There was no statistically significant difference between the two groups at baseline assessment, but after 12 weeks of treatment, there was a treatment effect (p = 0.002 and f-value = 24.25). In the Wii aerobic group, there was a notable interaction between treatment and time, namely between pre-and post-treatment, while the control group did not show any such difference. CONCLUSIONS: Pulmonary function tests, chest expansion, the six-minute walk test, and the time-up-and-go test are all positively impacted by Wii aerobic training. STUDY REGISTRATION: The study was registered with the Clinical Trials.gov (NCT06326593).