{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T02:02:37Z","timestamp":1781143357496,"version":"3.54.1"},"reference-count":13,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009898","name":"Defense Health Agency","doi-asserted-by":"publisher","award":["HT942523C0060"],"award-info":[{"award-number":["HT942523C0060"]}],"id":[{"id":"10.13039\/100009898","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective(s)<\/jats:title>\n                    <jats:p>Vestibular rehabilitation therapy (VRT) is an efficient treatment for dizziness and vertigo, but its accessibility remains limited. This study evaluates the feasibility and performance of a machine vision\u2010based automated alternative\u2014the Automated Vestibular Rehabilitation System (AVRS)\u2014as a more accessible approach to delivering VRT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty age\u2010 and sex\u2010matched adults without balance disorders or recent head injury completed one standard VRT exercise, X1, in seated and standing positions using the AVRS, which tracked real\u2010time head and eye movements. Gain, the ratio of eye to head velocity near the neutral head position, was calculated using median values and interquartile ranges. Test\u2010retest reliability (TRTR) was assessed in a subset of 20 participants using intraclass correlation coefficients (ICCs) with 95% confidence intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All participants successfully completed the AVRS\u2010guided vestibular exercises. The\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920 person test\u2010retest reliability subset returned after 27\u2009\u00b1\u20099\u2009days. Mean VOR gain approximated the expected physiologic norms (~\u22121.0) across sessions irrespective of frequency (Session 1: \u22120.98\u2009\u00b1\u20090.04; Session 2: \u22120.99\u2009\u00b1\u20090.03). Overall reliability between sessions was moderate (ICC (3, 1): 0.59 [95% CI: 0.37\u20130.75],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The AVRS demonstrated moderate reliability and accurate VOR gain measurement in healthy adults, supporting its potential as a scalable, accessible tool for VRT delivery, with normative data to guide therapeutic progression in clinical populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70425","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T12:04:01Z","timestamp":1770379441000},"page":"3140-3145","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Automated Vestibular Rehabilitation System: Normative Data From a Machine Vision\u2010Guided Platform"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3773-3086","authenticated-orcid":false,"given":"Erin","family":"Williams","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Echeverri","family":"Tribin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Rodriguez","family":"Diaz","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Yunis","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devin","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blaine","family":"Ayotte","sequence":"additional","affiliation":[{"name":"Creare LLC  Hanover New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"McKenna","sequence":"additional","affiliation":[{"name":"Creare LLC  Hanover New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odile","family":"Clavier","sequence":"additional","affiliation":[{"name":"Creare LLC  Hanover New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5574-4387","authenticated-orcid":false,"given":"Michael","family":"Hoffer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine  Miami Florida USA"},{"name":"Department of Biomedical Engineering University of Miami  Coral Gables Florida USA"},{"name":"Department of Neurological Surgery University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,6]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000175987.59991.3d"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/NPT.0000000000000382"},{"issue":"17","key":"e_1_2_13_4_1","first-page":"300","article-title":"Vestibular Disorders","volume":"117","author":"Strupp M.","year":"2020","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-021-02188-7"},{"issue":"1","key":"e_1_2_13_6_1","first-page":"Cd005397","article-title":"Vestibular Rehabilitation for Unilateral Peripheral Vestibular Dysfunction","volume":"1","author":"McDonnell M. N.","year":"2015","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_13_7_1","first-page":"Cd005397","article-title":"Vestibular Rehabilitation for Unilateral Peripheral Vestibular Dysfunction","volume":"2","author":"Hillier S. L.","year":"2011","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_13_8_1","volume-title":"Neuroanatomy, Vestibulo\u2010Ocular Reflex","author":"Somisetty S.","year":"2025"},{"issue":"4","key":"e_1_2_13_9_1","article-title":"A Conceptual Framework for the Progression of Balance Exercises in Persons With Balance and Vestibular Disorders","volume":"2","author":"Klatt B. N.","year":"2015","journal-title":"Physical Medicine and Rehabilitation International"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-015-0003-7"},{"key":"e_1_2_13_11_1","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-4614-7320-6_14-5","volume-title":"Vestibular Rehabilitation","author":"Schubert M. C.","year":"2014"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1590\/1982-0216\/20202264320"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1941738121998687"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/NPT.0b013e3181dde568"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70425","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70425","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70425","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T01:30:42Z","timestamp":1781141442000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70425"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,6]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/lary.70425"],"URL":"https:\/\/doi.org\/10.1002\/lary.70425","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,6]]},"assertion":[{"value":"2025-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}