%0 Journal Article
%@ 2369-2529
%I JMIR Publications
%V 12
%N 
%P e58713
%T A Tablet-Based Technology for Objective Exercise Monitoring in Vestibular Rehabilitation: Mixed Methods Study
%A Klatt,Brooke N
%A Hovareshti,Pedram
%A Holt,Lisa S
%A Dunlap,Pamela M
%A Zalkin,Chad
%A Tolani,Devendra
%A Whitney,Susan L
%K technology
%K rehabilitation
%K vestibular
%K physical therapy
%K vestibulo-ocular reflex
%K ocular
%K physiotherapy
%K vision
%K feasibility
%K exercises
%K mHealth
%K mobile health
%K app
%K tablet
%K digital health
%K telerehabilitation
%K e-health
%K web-based
%K clinical use
%K physiotherapist
%K home exercise
%K usability study
%K mobile app
%D 2025
%7 4.2.2025
%9 
%J JMIR Rehabil Assist Technol
%G English
%X Background: A low-cost home exercise system called VestAid has been developed to assist participants during vestibulo-ocular reflex gaze stabilization exercises outside of clinic visits. The system includes a tablet-based app for the participant and a web-based portal for the physical therapist that provides data to make judgments about exercise accuracy and performance. Objective: The purpose of this study was to assess the feasibility and acceptability of VestAid in a pilot study of 10 participants (mean age 45 [SD 19] years; 6 women) with various vestibular diagnoses. Methods: All participants completed twelve 30-second horizontal vestibulo-ocular reflex exercises in a seated position (6 “easy” and 6 “hard” exercises). The exercises differed by variations in the background color, pattern, and movement. One of the exercises was repeated to assess the test-retest reliability of the measure of gaze stability accuracy and head motion compliance during the exercise. Participants rated the difficulty of the exercises (0‐10 where 0=easy, 10=difficult) and completed usability surveys. Results: Participants completed the VestAid session without adverse events. The responses from the usability survey demonstrate the acceptability of VestAid. The mean rating of the “easy” exercises was 2.7/10 (SD 1.9). The mean rating for the “difficult” exercises across participants was 4.8/10 (SD 2.1). Conclusions: The consistency of the mean ratings of the participants with the exercise classifications (“easy” and “difficult”) suggests that VestAid has clinical utility. 
%R 10.2196/58713
%U https://rehab.jmir.org/2025/1/e58713
%U https://doi.org/10.2196/58713