VestAid Game Suite

Business / Non-Profit Category

By Intelligent Automation, Inc

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Description: The VestAid game suite is for patients in need of vestibular rehabilitation therapy. Service members who have been exposed to blastshave frequent complaints of vertigo, gaze instability, motion intolerance, and other symptoms consistent with vestibular pathology. Gaze stabilization and habituation exercises are essential to vestibular rehabilitation and are delivered both as in-clinic therapy and aspart of a home-exercise program. Gaze stabilization exercises are usually done with the aid of marks on a wall or handheld cards.Therapists often complain that patients lack motivation to do exercises at home and that when they do them, they have difficulties performing the exercises properly and complying to the prescribed regimen. The home exercises can be boring and may induce symptoms. VestAid supports vestibular rehabilitation therapy through the use of gamification strategies to improve patient motivation and compliance. The games developed for VestAid make the therapy fun, exciting, and add challenging elements for encouragement.Where possible, the traditional therapies are integrated stealthily. The suite provides physical therapists with objective measures of performance, adherence, and symptom history.

The suite contains Rhythmic Vision, a VR rhythm game in which players synchronize eye and head motions with visual representations of song notes. This game provides training for corrective saccadic eye motion.

Also in the suite is VestibulArrR!, a tower defense game in which players control a set of cannons to defend a town against incoming pirate ships. The cannons are loaded, aimed, and fired using eye and head movements. This game provides saccade eye motion,smooth pursuit, and dual/multi-tasking training.

Finally, Fast Focus, a car racing game, is integrated with patient therapy, not only does it provide encouragement and rewards, it also provides therapeutic benefits of habituating patients to visual stimuli that can induce symptoms.

Skills and Ideas Taught:

  • Habituation to reduce vestibular-related symptoms by repeated exposure to a provoking stimulus
  • Adaptation of the saccade system by moving the gaze quickly between multiple targets
  • Active pursuit eye motions while being exposed to an optokinetic stimulus
  • The importance of adherence to a home-exercise regimen

Goal or Challenge:

  • Rhythmic Vision: Move head and eyes to clear all notes from a song.
  • VestibulArrR!: Move head and eyes to fire cannons and sink all pirate ships in a series of waves.
  • Fast Focus: Race a vehicle around a track while simultaneously habituating to complex visual stimuli that can induce symptoms in vestibular patients.

Primary Audience: Soldiers post-concussion suffering from symptoms of vestibular pathology.

Assessment Approach:

Rhythmic Vision:

  • Time to acquire notes.
  • Movement of tracked head and eye position relative to the notes and laser emitters over time.- Performance in game over time.
  • Prospective: Survey responses about symptom onset.


  • Number of missed targets.
  • Movement of tracked head and eye position relative to the ships, cannons, and reloading buttons.
  • Performance in game over time.
  • Prospective: Survey responses about symptom onset.

Fast Focus:

  • Time to complete tracks
  • Level of progression
  • Prospective: Locations of crashes versus intended symptom provocation
  • VOR Exercises: measures of gaze and head position, timing, compliance, subjective symptom rating, and progression over time.

Game Engine: Unity

Operating System: Windows 10, Android

Platform: Android & PC

Special Hardware: Vive Pro Eye