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CompletedNCT05691582Updated Jan 20, 2023

Tolerability of the Immersive Virtual Reality System Grail in Subjects Affected by Rett Syndrome

An interventional study of GRAIL in Rett Syndrome, sponsored by IRCCS Eugenio Medea. Completed at 1 site in Italy. Open to female participants aged 6 Years to 35 Years. Per ClinicalTrials.gov, last updated 2023-01-20.

Sponsored by IRCCS Eugenio Medea · Not applicable, Interventional, and Device feasibility

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled Jul 2021, registered May 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
6 Years to 35 Years
Sex
Female
01

Study summary

The main goal of this study is to investigate the tolerability to the use of the GRAIL system in subjects affected by Rett syndrome, particularly referred to:

  1. Grail environment (training in dark conditions, interaction with wide and surrounding screen, positioning over the treadmill);
  2. time to prepare a set of body marker in order to execute a gait analysis;
  3. walking activity over treadmill, with immersive virtual reality;
  4. proprioceptive stimulatione provided by the GRAIL platform;
  5. cognitive-attentive span time to the activity proposed. The secondary goal is to understand if a training that avail of treadmill and virtual reality would be useful in the future in improving gait characteristics in subjects affected by Rett syndrome
02

Conditions studied

  • Rett Syndrome

Keywords

  • Virtual Reality
  • Rett Syndrome
  • walk
03

In context

Rett Syndrome

98 studies on the registry are indexed under Rett Syndrome; 20 are open to participants now.

This study's enrollment of 9 is below the median of 30 across 64 interventional studies indexed under Rett Syndrome.

Browse Rett Syndrome studies →

Lead sponsor

IRCCS Eugenio Medea is the lead sponsor of 104 studies on the registry; 52 are open to participants now.

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

04

Who can participate

Ages eligible
6 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • subjects affected by Rett Syndrome that are able to walk with hands support (corresponding to a score ranging from 1 to 3 in item 8 of Rett Syndrome Gross Motor Scale)

Exclusion criteria

Exclusion Criteria:

  • subjects unable to walk and with a complete incapacity to undestand verbal directions
05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    Single arm

    All the subjects recruited have 4 access to GRAIL, in 4 different day, to test their tolerability to the proposals

    Device: GRAIL

Interventions

  • DeviceGRAIL

    The subjects experiment GRAIL virtual reality for three days, during which they deal with 4 different activities. In the first activity subjects are required to ask over the treadmill in a snow environment. in the second they are required to stand over the moving platform in a simulation of a boat pitch. in the third they have to walk over a bridge with a slope. in the fourth the subjects are required to try so interact with virtual reality and to ski between snowman. if it is possible, on the last day a gait analysis is executed

06

What researchers measure

Primary outcomes

  1. Total score on the Suitability Evaluation Questionnaire (SEQ)

    it is a subjective questionnaire assessing the suitability of the intervention. This is not a health outcome. Indeed SEQ is a questionnaire designed for virtual reality, composed by 13 questions, with a response graded on a 5-point Likert Scale, and a last open question. It measures measures enjoyment, sense of being in the system, feeling of success and control, realism, easy-to-understand instructions and general discomfort; furthermore it is aimed to detect issues frequently associated with virtual rehabilitation systems, like dizziness or nausea symptoms, eye discomfort, disorientation or confusion symptoms and sense of progress in rehabilitation. Finally, it evaluates the perceived difficulty of the task and the observed difficulty related with the physical interface used in the system.

    Time frame: immediately after the treatment

Secondary outcomes

  1. Gait analysis spatial parameters: temporal parameters in seconds and kinematics in degrees

    The gait analysis assessment is conducted over the GRAIL (Gait Real-time Analysis Interactive Lab) system . It is a laboratory suitable for motion analysis and VR-based rehabilitation. It is composed by a treadmill, provided with two belts that can be driven at different speeds and it is equipped with integrated force platforms. An immersive semicircular screen is placed in front of the treadmill, where VR environments, synchronized with the treadmill movement, are projected. The system uses a Vi-con motion capture system and 3 video cameras to perform motion detection and gait analysis: accordingly, 25 markers were placed on specific anatomical landmarks of the body. Each participant performed a ten-minute familiarization phase and then about 40 steps were acquired. Spatiotemporal parameters, such as walking velocity, stance duration, stride length and step width, and kinematic parameters of pelvis, hip, knee and ankle were computed.

    Time frame: immediately after the treatment

  2. Happiness index

    The parameter comes from a taxonomy based on the analysis of the communication of subjects with profound intellectual disabilities. it consists of 12 categories, and each can receive the score "1" when present or "0" when absent

    Time frame: immediately after the treatment

07

Study locations

1 site
  • IRCCS E. Medea
    Bosisio Parini, Lecco 23842, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 20, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05691582
Lead sponsor
IRCCS Eugenio Medea
Collaborators
Associazione Italiana Rett (AIRett) O.n.l.u.s.
Responsible party
Sponsor
First posted
Jan 20, 2023
Start date
Jul 1, 2021
Primary completion
Mar 22, 2022
Completion
Apr 15, 2022
Last update
Jan 20, 2023

Oversight

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

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This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

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