{"doi":"10.2196/58713","title":"A Tablet-Based Technology for Objective Exercise Monitoring in Vestibular Rehabilitation: Mixed Methods Study","abstract":"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.","journal":"JMIR Rehabilitation and Assistive Technologies","year":2024,"id":472534,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9593,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1308023,"name":"Pedram Hovareshti","orcid":"0000-0002-9002-2013","position":1,"is_corresponding":false},{"id":975034,"name":"Lisa S. Holt","orcid":"0000-0002-3779-0961","position":2,"is_corresponding":false},{"id":672542,"name":"Pamela M. Dunlap","orcid":"0000-0001-9181-4533","position":3,"is_corresponding":false},{"id":975032,"name":"Chad Zalkin","orcid":"0000-0001-5229-8150","position":4,"is_corresponding":false},{"id":1308435,"name":"Devendra Tolani","orcid":null,"position":5,"is_corresponding":false},{"id":888448,"name":"Susan L. Whitney","orcid":"0000-0003-4271-8718","position":6,"is_corresponding":false},{"id":672544,"name":"Brooke N. Klatt","orcid":"0000-0003-2310-0330","position":0,"is_corresponding":true}],"reference_count":27,"raw_metadata":null,"created_at":"2026-07-19T02:05:57.032095Z","pmid":"39903910","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}