{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T08:12:07Z","timestamp":1788336727144,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Purpose<\/jats:title><jats:p>VestAid is a tablet\u2010based computer application designed to deliver vestibulo\u2010ocular reflex (VOR) exercises to persons with dizziness. It was developed to provide objective data to clinicians to drive clinical decisions. VestAid allows for VOR exercise progression between face\u2010to\u2010face visits via telehealth. The primary aim of this study was to determine the consistency of clinical decision\u2010making among physical therapists (PTs) using an exercise performance report (EPR) from the VestAid app and a video recording of patients performing VOR exercises. The secondary aim was to determine the effect of the clinical experience of a vestibular physical therapist on decision\u2010making agreement about exercise choice. Lastly, an attempt was made to determine if the EPR provided adequate information to make a clinical judgment about exercise progression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty PTs with varied vestibular experience levels participated. Vestibular experience was clustered into 3 levels [&lt;\u00a05\u00a0years of experience (<jats:italic>n<\/jats:italic>\u00a0=\u00a010), 6\u201315\u00a0years of experience (<jats:italic>n<\/jats:italic>\u00a0=\u00a010), and &gt;\u00a015\u00a0years of experience (<jats:italic>n<\/jats:italic>\u00a0=\u00a010)]. The PTs viewed 12 videos of individuals with dizziness completing VORx1 exercises that were a priori classified as easy, moderate, or difficult. The PTs were randomly shown 12 EPRs for the same individuals, which included their percentage of gaze fixation, symptom reports, and head speed compliance. Each PT was then asked whether they would progress the exercise program, regress the program, or leave the exercise program unchanged.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Physical therapist percent agreement using the video was 60% compared to 71.1% using the EPR. No differences existed in the percentage of agreement between experience levels. One hundred percent of the PTs with less than 5\u00a0years of experience reported that the EPR was sufficient for advancing the exercises, compared with 67% of those with greater experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>VestAid's EPR yielded comparable clinical decision\u2010making agreement to that of the video. The EPR offers PTs insight into gaze fixation and head speed compliance\u2014information otherwise inaccessible without the use of technology. Currently, there are no established guidelines for exercise progression. While such technology shows potential to improve consistency in clinical decision\u2010making, further research is needed to better understand whether objective VOR exercise outcome metrics facilitate recovery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.70072","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T02:58:46Z","timestamp":1751511526000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Use of Technology for Exercise Prescription Among Persons With Dizziness: A Mixed\u2010Methods Study"],"prefix":"10.1002","volume":"30","author":[{"given":"Susan L.","family":"Whitney","sequence":"first","affiliation":[{"name":"University of Pittsburgh Department of Physical Therapy and Otolaryngology  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela M.","family":"Dunlap","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Department of Physical Therapy  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedram","family":"Hovareshti","sequence":"additional","affiliation":[{"name":"AeroVironment (AV)  Arlington Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa S.","family":"Holt","sequence":"additional","affiliation":[{"name":"AeroVironment (AV)  Arlington Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad","family":"Zalkin","sequence":"additional","affiliation":[{"name":"AeroVironment (AV)  Arlington Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devendra","family":"Tolani","sequence":"additional","affiliation":[{"name":"AeroVironment (AV)  Arlington Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Lambert","sequence":"additional","affiliation":[{"name":"Bodies in Balance Physical Therapy  Wilmington North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Esquivel","sequence":"additional","affiliation":[{"name":"Department of Defense Hearing Center for Excellence  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke N.","family":"Klatt","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Department of Physical Therapy  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea J.","family":"Manetta","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Department of Physical Therapy  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2009.66"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3233\/ves\u2010190672"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1609406919874596"},{"key":"e_1_2_8_5_1","volume-title":"A Physical Therapy Profile: Demographics of the Profession, 2021\u20132022","author":"Association A. 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