TY  - JOUR
AU  - Klatt, Brooke N
AU  - Hovareshti, Pedram
AU  - Holt, Lisa S
AU  - Dunlap, Pamela M
AU  - Zalkin, Chad
AU  - Tolani, Devendra
AU  - Whitney, Susan L
PY  - 2025
DA  - 2025/2/4
TI  - A Tablet-Based Technology for Objective Exercise Monitoring in Vestibular Rehabilitation: Mixed Methods Study
JO  - JMIR Rehabil Assist Technol
SP  - e58713
VL  - 12
KW  - technology
KW  - rehabilitation
KW  - vestibular
KW  - physical therapy
KW  - vestibulo-ocular reflex
KW  - ocular
KW  - physiotherapy
KW  - vision
KW  - feasibility
KW  - exercises
KW  - mHealth
KW  - mobile health
KW  - app
KW  - tablet
KW  - digital health
KW  - telerehabilitation
KW  - e-health
KW  - web-based
KW  - clinical use
KW  - physiotherapist
KW  - home exercise
KW  - usability study
KW  - mobile app
AB  - 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. 
SN  - 2369-2529
UR  - https://rehab.jmir.org/2025/1/e58713
UR  - https://doi.org/10.2196/58713
DO  - 10.2196/58713
ID  - info:doi/10.2196/58713
ER  -