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Updated: Jul 27, 2025

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Published on: August 30, 2019
Head mounted display effect on vestibular rehabilitation exercises performance
Christos Nikitas1, Dimitris Kikidis1, Athanasios Pardalis2
11 Department of Otorhinolaryngology, Head and Neck Surgery, National and Kapodistrian University of Athens, Hippocrateion General Hospital, Athens, Greece.
Augmented Reality (AR) equipment may enhance vestibular rehabilitation by improving head movement control and exercise execution difficulty. Further adaptation is needed for clinical integration.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Human-Computer Interaction
Background:
- Clinical guidelines suggest Mixed Reality (MR) environments benefit vestibular rehabilitation for peripheral vestibular hypofunction.
- The HOLOBalance platform utilizes Augmented Reality (AR) via low-cost Head Mounted Displays for vestibular exercises.
Purpose of the Study:
- To investigate the impact of AR equipment on performance during common vestibular rehabilitation exercises.
- To assess the effect of AR on head movement frequency and perceived exercise difficulty in healthy adults.
Main Methods:
- Twenty-five healthy adults performed three standard vestibular rehabilitation exercises.
- Exercises were executed both with and without AR equipment.
Main Results:
- Significant differences in head movement frequency (yaw plane) were observed during vestibular adaptation (p<0.001).
- AR equipment use showed statistically significant differences in perceived difficulty for vestibular-oculomotor adaptation (pitch plane, p=0.049) and standing exercises (p=0.0001).
Conclusions:
- AR equipment shows potential in modifying exercise performance and perceived difficulty in vestibular rehabilitation.
- Clinical protocols incorporating AR technology require adaptation to meet healthcare professionals' needs.
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