Technology-Supported Motor Rehabilitation for Rett Syndrome

(TeMoRett Trial)

Age: Any Age
Sex: Female
Trial Phase: Academic
Sponsor: Georgetown University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to help individuals with Rett syndrome improve arm use and reduce repetitive movements (stereotypies) through a specially designed gaming system as part of technology-supported motor rehabilitation. Participants will focus on separating their hands to stop these repetitive movements and learn to reach for targets to interact with the games. The trial employs telemedicine, projecting the games onto a table, with hand movements controlling the game. Suitable candidates have Rett syndrome, can move their arms well, and understand cause and effect. As an unphased trial, this study provides a unique opportunity to explore innovative rehabilitation methods that could enhance daily living skills.

Do I need to stop my current medications for the trial?

The trial does not specify if you need to stop taking your current medications. However, if you have seizures, they must be managed with medication to participate.

What prior data suggests that this technology-supported motor rehabilitation is safe for individuals with Rett Syndrome?

Previous studies have shown that using technology for movement rehabilitation is safe and well-tolerated for people with conditions like Rett Syndrome. Experts have confirmed that telerehabilitation, or remote rehab through technology, is safe and effective. No reports of serious side effects exist. Therefore, using the gaming system in this trial should be safe. Participants can expect a well-managed experience aimed at improving arm use and reducing repetitive movements.12345

Why are researchers excited about this trial?

Researchers are excited about technology-supported motor rehabilitation for Rett Syndrome because it offers a fresh approach to enhancing motor skills and independent play. Unlike standard treatments that focus mainly on managing symptoms through physical and occupational therapy, this intervention uses a gaming system to encourage active participation and control over movements. The treatment leverages telemedicine and interactive games specifically tailored for individuals with dyspraxia, making it accessible and engaging. This novel method aims to empower participants to interact more effectively with their environment, potentially leading to improved quality of life.

What evidence suggests that this technology-supported motor rehabilitation is effective for Rett Syndrome?

Research has shown that technology-assisted movement exercises can benefit people with Rett syndrome. This trial will investigate a gaming system as a form of technology-supported motor rehabilitation. Studies have found that similar methods, such as virtual reality therapy, improve motor skills and reduce repetitive movements, common challenges for those with Rett syndrome. In one study, 78.7% of rehabilitation goals were met or exceeded, with participants demonstrating better movement and increased physical activity. Additionally, telerehabilitation, which involves remote therapy sessions, has proven effective by providing intense training that boosts motivation and engagement. These findings suggest that technology-supported training could help manage symptoms and improve daily life for people with Rett syndrome.12678

Who Is on the Research Team?

PD

Pamela Diener, PhD,MS,OT/L

Principal Investigator

Georgetown University

Are You a Good Fit for This Trial?

This trial is for people diagnosed with Rett syndrome who can move both arms, understand cause and effect, have repetitive hand movements (midline stereotypies), and either don't have seizures or have well-controlled seizures.

Inclusion Criteria

I can move both of my arms normally.
I have been diagnosed with Rett syndrome.
* understanding cause and effect
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-intervention testing

Baseline measurements taken at start of study

1 week
1 visit (in-person)

Cause-and-effect training/intervention

Training for separation tasks for the first 13 weeks, followed by reaching tasks for the final 13 weeks

26 weeks
4 sessions per week (telemedicine)

Post-intervention testing

Measurements of functional arm/hand use and other behavioral measurements compared to Baseline

1 week
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Technology-supported Motor Rehabilitation

Trial Overview

The study tests a computer gaming program designed to help participants use their arms more purposefully and reduce repetitive hand movements. Training lasts about 6 months, focusing on separating hands during play to improve motor skills.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Gaming systemExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Georgetown University

Lead Sponsor

Trials
355
Recruited
142,000+

Fraunhofer Heinrich Hertz Institut (HHI)

Collaborator

Charite University, Berlin, Germany

Collaborator

Trials
1,071
Recruited
3,739,000+

Rett Syndrome of Germany

Collaborator

Max-Planck-Institute for Cognition

Collaborator

Citations

Technology-supported Motor Rehabilitation for People ...

This study focuses on improving purposeful arm use while simultaneously reducing engagement in stereotypies. It is typically expected that the training period ...

Technology-Supported Motor Rehabilitation for Rett ...

This study focuses on improving purposeful arm use while simultaneously reducing engagement in stereotypies. It is typically expected that ...

Virtual Reality as a Tool for Upper Limb Rehabilitation in Rett ...

The findings support the VR intervention's efficacy, showing improvements in motor skills, reduction in stereotypical behaviors, and enhanced ...

Enhancing cognitive-motor recovery in Rett syndrome

Transcranial direct current stimulation (tDCS) together with linguistic training improved language abilities and motor coordination in subjects ...

Effects of a remotely supervised motor rehabilitation ...

Thirty-seven (78.7%) rehabilitative goals were achieved or overachieved. Ten participants (76.9%) significantly increased their gross motor functional level ...

Virtual Reality as a Tool for Upper Limb Rehabilitation in ...

This study aims to assess the impact of VR training on upper limb motor skills in RTT patients, focusing on reaching and hand-opening tasks.

At-School Telerehabilitation for Rett Syndrome - PMC

A recent expert consensus confirmed that TR is safe, well-tolerated, and effective across domains such as attention, memory, executive ...

Use of a low-tech tool in the improvement of social ...

This study demonstrated that the use of a low-tech tool can increase social interactions of patients with RTT in a school setting.