mVOR: A digital health solution for remote assessment of gaze stability in unilateral vestibular dysfunction

To evaluate whether a smartphone-based gaze stabilization test (mVOR) detects unilateral vestibular dysfunction (UVD) compared with computerized gaze stabilization testing.MethodsAdults with UVD ( n = 18) and controls ( n = 17) performed horizontal GST using mVOR and a commercially available computerized system....

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✦ The floor

Discussion

Signed responses from readers of the wire.

✦ Clinical Takeaway ✦

If mVOR shows strong agreement with computerised gaze stabilisation testing, audiologists and vestibular specialists should monitor validation data — but do not replace lab-based vestibular assessment with this app until peer-reviewed accuracy thresholds and sensitivity/specificity figures are confirmed.

✦ Why It Matters ✦

Validated smartphone-based vestibular testing could substantially expand access to vestibular diagnostics in remote or low-resource settings where lab-based equipment is unavailable.

✦ Key Points ✦

01mVOR is a smartphone app designed to assess gaze stability as a proxy for vestibular function.
02Study compared mVOR against computerised gaze stabilisation testing in patients with unilateral vestibular dysfunction.
03Published in Journal of Vestibular Research (PMID 42875095; DOI 10.1177/09574271261494420).
04Remote digital health tools for vestibular assessment could improve access to care in underserved areas.
05Reliability and diagnostic accuracy metrics from this study will determine clinical readiness.

✦ Claims & Evidence ✦

ClaimEvidenceSupport

The smartphone-based mVOR test can reliably detect unilateral vestibular dysfunction compared with computerised gaze stabilisation testing.

studypartially supported

mVOR is suitable for remote assessment of gaze stability.

studyunclear

✦ Research metadata ✦

PMID: 42875095
DOI: 10.1177/09574271261494420.
Journal: Journal of Vestibular Research
Publication type: research_article
Evidence level: 2b
Population: Adults with unilateral vestibular dysfunction
Intervention: Smartphone-based mVOR gaze stabilisation test
Comparator: Computerised gaze stabilisation testing (lab-based)

Primary outcomes

Reliability of mVOR in detecting unilateral vestibular dysfunction; Agreement between mVOR and computerised gaze stabilisation testing

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