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Individualized Vestibular Rehabilitation for Elderly with Self-Management and Gaming Elements

Award Number: R44DC017408
ORGANIZATION: NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/01/2018
PERIOD OF PERFORMANCE END DATE: 05/31/2023

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Individualized Vestibular Rehabilitation for Elderly with Self-Management and Gaming Elements - Project Summary/Abstract: Vestibular rehabilitation has been proven to be effective in reducing dizziness and falls in older adults, but patient adherence is a major problem. Recent research shows that less than half of patients complete their rehabilitation. Some of the main reasons for this are the numerous visits that are required and accessibility. In particular for older individuals who experience dizziness and/or falls, it may be difficult to travel to attend rehabilitation sessions. Additionally, rehabilitation programs become expensive in terms of equipment and health professional’s time. Programs may also not be available to all who may benefit because of geographical limitations. Previous research has shown that remote monitoring and gaming elements have great potential to solve these issues, even in an older population. However, current solutions are generic and effectiveness can be inconsistent. The overall goal of this project is to develop a vestibular rehabilitation app to be used by older adults at home. The app will improve adherence through gaming, self-management, and remote monitoring. Patients will use low-cost sensors placed on their bodies (head and waist) to play the games on the app. This allows simultaneous monitoring of patient progress while performing the exercises. This data can be shared with a clinician via email or the cloud, allowing the patient to perform the rehabilitation at their home and the clinician to monitor how well the patients performed their exercises. The vestibular rehabilitation components are packaged in a phone and tablet app that is easy to navigate for older individuals and has a modular design that allows individualized rehabilitation. By improving patient engagement and enjoyment, rehabilitation adherence should be improved as well. Phase I demonstrated feasibility of this approach. In Phase II, games will be added to cover a full at-home rehabilitation session and improve usability of the app. In addition, machine learning algorithms will be developed to provide real-time feedback if exercises are performed incorrectly. This ensures patients will perform their exercises correctly when at home. As in Phase I, clinical collaborators will provide continued guidance and testing throughout development to ensure clinical relevance and promote adoption during commercialization. This project uses a novel approach in that it develops rehabilitation games specifically designed for vestibular rehabilitation through a mobile app tailored for an older population. Current gaming approaches for rehabilitation typically use existing or commercial games. The use of sensors for remote monitoring is also novel in this area and allows patients to perform rehabilitation at their home, while being monitored by a clinician. This project is therefore likely to have a high clinical impact. It will advance clinical practice, make vestibular rehabilitation more accessible to older individuals, and help adherence to programs. Successful implementation of this program will reduce falls and improve quality of life of for patients.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$917 )
2024	2021	CFD RESEARCH CORPORATION	6820 MOQUIN DR NW	HUNTSVILLE	AL	35806	MADISON	USA	Research Related to Deafness and Communication Disorders	000	3	1/17/2024	NON-COMPETING CONTINUATION	-$917
														Subtotal = -$917

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2021	CFD RESEARCH CORPORATION	6820 MOQUIN DR NW	HUNTSVILLE	AL	35806	MADISON	USA	Research Related to Deafness and Communication Disorders	000	3	9/26/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $793,588 )
2021	2021	CFD RESEARCH CORPORATION	6820 MOQUIN DR NW	HUNTSVILLE	AL	35806	MADISON	USA	Research Related to Deafness and Communication Disorders	001	3	8/2/2021	NON-COMPETING CONTINUATION	$793,588
2021	2020	CFD RESEARCH CORPORATION	6820 MOQUIN DR NW	HUNTSVILLE	AL	35806	MADISON	USA	Research Related to Deafness and Communication Disorders	000	2	10/27/2020	COMPETING CONTINUATION	$0
														Subtotal = $793,588

Issue Date FY: 2020 ( Subtotal = $680,368 )
2020	2020	CFD RESEARCH CORPORATION	701 MCMILLIAN WAY STE D	HUNTSVILLE	AL	35806	MADISON	USA	Research Related to Deafness and Communication Disorders	000	2	9/7/2020	COMPETING CONTINUATION	$680,368
														Subtotal = $680,368

Grand Total All Awards = $1,473,039

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Individualized Vestibular Rehabilitation for Elderly with Self-Management and Gaming Elements

Award Number: R44DC017408

ORGANIZATION: NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/01/2018

PERIOD OF PERFORMANCE END DATE: 05/31/2023

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