About this trial
Using a tele-research approach, we will recruit, enroll, guide and support carers and participants to engage in computer based activities (modified virtual reality) with the primary outcome of reducing stereotypies and increasing independent arm and hand use and secondary outcome of improving quality of living. Because of our virtual approach, we are able to recruit from multiple countries and all states and territories of the USA.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Rett syndrome,
Understanding of cause and effect,
Functional range of motion of arms to complete the movements needed to control the games.
Disqualifiers
no competing orthopedic or neuromuscular diagnosis that impacts shoulder movements
Trial design
Single group
Treatments tested in this trial
Modified Virtual Reality Gaming
BehavioralInvestigators customize each gaming session based on the motivators and interests of each participant. The intervention facilitates independent hand separations (minimizing stereotypies) and encourages independent arm/hand movement that serves to activate or control the computer-generated activities.
Treatment groups
Trial outcomes
Primary outcomes
functional Reach Test
Investigators will video record all testing sessions so that the video can be viewed slow motion or frame by frame to count hand separations, number of reaches, time of sustained reaches, and sustained hand separations.
Secondary outcomes
Goal Attainment Scale (GAS)
In collaboration with the parents/carers, investigators will create three goals specific for each participant that relate to study aims and improving quality of daily living.
Functional Range of Motion (FROM)
Assess range of shoulder and hand motion at start and at end of study to be sure that shoulder mobility is unchanged and/or not impacting the required motions for the intervention.
Sponsors and contacts
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Georgetown University
Lead sponsor
International Rett Syndrome Foundation
Collaborator