The best home exercise program (HEP) software for vestibular therapists (2026)

Disclosure: I founded VOR Eye Rehab — one of the five below — so this ranking comes with an obvious conflict, flagged and, I hope, managed. The list includes a $7/mo tool beating platforms 50× its price for the right buyer, and a competitor I've called the category's evidence leader.

HEP software is usually bought generically and then quietly adapted to vestibular work — a video library with checkboxes. This guide asks the sharper question: which HEP platforms actually handle vestibular programs, where "handle" means dose, symptoms, and progression, not just delivery.

TL;DR

Best HEP for vestibular programs

VOR Eye Rehab

Best general HEP + education

MedBridge

Best international general HEP

Physitrack

Cheapest that works

HEP2Go

A vestibular home program has three jobs a generic HEP doesn't do: verify exercise dose (head velocity, not a done/undone checkbox), capture symptom response around every session, and progress difficulty from those responses. VOR Eye Rehab does all three. MedBridge and Physitrack deliver excellent generic HEPs if your caseload is mixed; HEP2Go does the basics for almost nothing; PT Wired handles engagement rather than exercise science.

The picks at a glance

Platform Best for Price Handles vestibular dose?
VOR Eye Rehab Vestibular-specific programs USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month Yes — head-velocity guidance, symptom gating, AI progression
MedBridge Mixed caseloads + CE ≈$329/yr per seat No — video delivery, manual progression
Physitrack International mixed caseloads $19/mo per practitioner No — video delivery, manual progression
HEP2Go Minimal cost Free–$7/mo No — but honest about it
PT Wired Patient retention & engagement Pricing on request No — engagement-first, not exercise science

Where generic HEP platforms break for vestibular patients

Test any HEP platform against a real vestibular program: Brandt-Daroff four times daily with symptom counts, VOR x2 at increasing head speeds, gaze shifting with fixation targets, habituation with graded provocation. On generic platforms every one of those becomes a video with a done-checkbox. What you lose is precisely what makes vestibular rehab work: dose verification (was the head actually moving fast enough?), symptom response (did dizziness rise or fall after the set?), and titration (should tomorrow be harder or easier?).

That data — captured per session, not per visit — is also what makes discharge defensible and RTM billable. A platform that collects it as a byproduct of the exercise is doing two jobs at once; a platform that doesn't is doing neither.

The honest case for generic platforms

Most vestibular clinicians work inside mixed practices, and the generic platforms are genuinely good at the mixed part: enormous libraries, polished apps, patient familiarity, EMR integrations. If dizzy patients are one in eight of your caseload, a specialist platform for them plus a general platform for everyone else is overhead, not leverage — run the general one well.

The switch point is workload, not philosophy: when you're rebuilding vestibular dose-and-symptom scaffolding (metronome apps, printed diaries, sticky-note velocity targets) around a generic platform every single week, the scaffolding has become your second job. That's when the specialist platform starts paying for itself — ours costs less per year than most clinics spend on printing.

1. VOR Eye Rehab (mine)

Best for
Vestibular programs where dose and symptoms matter
Price
USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month · patient app free
Vestibular specificity
The HEP built for this discipline

Every element of our home program exists because a vestibular program demanded it: VOR x1/x2 with real-time head-velocity guidance from the phone's sensor, metronome-paced prescriptions, voice coaching in English/Spanish/French, and five-metric symptom capture (dizziness, brain fog, headache, eye strain, nausea) around every session. The progression engine reads those symptoms and adjusts difficulty nightly — the titration loop vestibular clinicians do in their heads, automated.

Condition templates (BPPV, concussion, Meniere's), auto-scored DHI/ABC/VVAS, AI discharge reports, and RTM-ready monitoring data round out the practice side. Honest limits: small general library (we don't pretend to cover ortho), no native telehealth, founder-led company. USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month, patient app free.

Apply for the 30-Day Clinic Pilot

2. MedBridge

Best for
Mixed practices that want one platform
Price
≈$329/yr per seat (HEP) · CE plans from ≈$299/yr
Vestibular specificity
Best-in-class general HEP with the CE moat

The most popular HEP in US rehab for good reasons: a huge library, a patient app patients actually use, strong adherence tracking, and integration depth. Their vestibular exercise content is present, and their continuing-education catalog — including serious vestibular coursework — adds value no competitor matches.

The vestibular gap is the same one every general platform has: delivery without measurement. Videos play, checkboxes tick, and the questions that matter for gaze stabilization — how fast, how did symptoms respond, what should change tomorrow — go unanswered unless the clinician collects them manually. At mixed caseloads, fine. At vestibular-dominant caseloads, it's the reason specialist platforms exist.

Visit MedBridge

3. Physitrack

Best for
Practices outside the US or heavy on telehealth
Price
$19/mo per practitioner
Vestibular specificity
18,500 exercises + native telehealth, worldwide

The internationalist's HEP: available in more countries than any specialist, 40+ EMR integrations, native video consultations, and a free patient app with a strong reputation. At $19/mo per practitioner the price is transparent and fair for the breadth.

For vestibular programs it's a delivery vehicle — 18,500 exercises, none instrumented, symptom tracking that isn't vestibular-shaped, manual progression. If your practice spans disciplines and borders, it earns its spot; if your week is dizzy patients, it's the right tool wrapped around the wrong core.

Visit Physitrack

4. HEP2Go

Best for
The tightest budgets and the simplest needs
Price
Free–$7/mo
Vestibular specificity
A free tier for basic program delivery

HEP2Go remains what it has been for a decade: a dependable program builder with video delivery and no ambitions beyond that. Free tier, $7/mo paid. For a community clinic, a new practice, or a discipline where "the patient has the sheet" is genuinely the requirement, it's the honest answer and I won't pretend otherwise.

For vestibular programs, budget what you're really choosing: printed VOR protocols, a separate metronome app, paper symptom diaries, and clinician time reconstructing dose at every visit. The $7/mo price is real; so is the evening it costs you weekly.

Visit HEP2Go

5. PT Wired

Best for
Practices whose problem is retention, not exercise design
Price
Pricing on request
Vestibular specificity
Engagement machinery first

PT Wired's premise is that most rehab failure is dropout, not programming — so they build reminders, automated check-ins, and review-generation flows under the Prompt Health umbrella. For practices hemorrhaging patients between visits, that machinery is worth more than any exercise feature.

It's not exercise science: no dose measurement, no symptom modeling, vestibular programs as videos like everyone else. Include it when your HEP platform search is really a retention search; skip it when the vestibular program itself is the point. Pricing by demo.

Visit PT Wired

My pick

Vestibular-dominant caseload: VOR Eye Rehab — it's the only HEP on this list where the home program measures its own dose, tracks the right symptoms, and progresses itself. Mixed practice in the US: MedBridge (add us later for the dizzy patients if the share grows). International: Physitrack. Budget floor: HEP2Go with your eyes open about the manual scaffolding.

Whichever you pick, run this test in week one: ask the platform what head velocity your patient trained at yesterday and how their symptoms responded. If it can't answer, you've bought a video player — which is sometimes fine, but should be a choice, not a surprise.

What I'd do today

  1. 1 Count how many of last week's programs were vestibular. Under ~25%: buy for the general practice. Over ~50%: buy for the vestibular work.
  2. 2 Audit your current workarounds: metronome apps, printed diaries, sticky-note targets. Each one is a feature you're paying for with time instead of money.
  3. 3 Trial your top two candidates on the same three vestibular patients for two weeks; compare what you know about those patients at the end.
  4. 4 Check RTM fit if you bill US codes — home-program platforms that capture monitoring data as a byproduct change the billing math.

Questions

What's the difference between a HEP platform and vestibular rehab software?
A HEP platform delivers exercise programs — videos, schedules, adherence checkmarks. Vestibular rehab software additionally handles the discipline's specifics: dose measurement (head velocity during VOR work), symptom tracking across the vestibular cluster (dizziness, brain fog, headache, eye strain, nausea), progression logic driven by those symptoms, and vestibular outcome measures (DHI, ABC, VVAS). Generic platforms deliver the program; specialist platforms instrument it.
Can I build a vestibular HEP in MedBridge or Physitrack?
Yes — both have vestibular exercise videos, and clinicians do it daily. What you build is a video playlist: no head-velocity verification, pain-first rather than vestibular symptom tracking, and manual progression at follow-up. That's workable for occasional vestibular patients and becomes scaffolding-heavy (separate metronomes, diaries, recall-dependent dose adjustments) when vestibular is the caseload.
How much does HEP software cost for a small vestibular practice?
From free (HEP2Go's tier) through $7/mo (HEP2Go Pro), USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month (VOR Eye Rehab), $19/mo (Physitrack), to roughly $329/yr per seat (MedBridge, education priced separately), and quote-based enterprise options. The honest range for a solo vestibular specialist runs $0–$120/year depending on how much instrumentation you need.
Do HEP platforms support RTM billing for home programs?
Support varies from none to purpose-built. VOR Eye Rehab ships an RTM dashboard with CPT tracking and included-vs-billable balancing, capturing monitoring data as a byproduct of instrumented exercises. MedBridge supports RTM on Care tiers; Physitrack supports some codes; HEP2Go doesn't. If RTM revenue is part of your model, verify code coverage and how monitoring time is documented before buying.

Run your next vestibular caseload on VOR Eye Rehab

Purpose-built VOR and oculomotor training, five-metric symptom tracking, AI progression, projector mode, and an RTM billing dashboard. Professional: USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month. Patient app free. 30-day founder-guided pilot.

Promotional platform fee before December 31, 2026; standard fee: USD 89/month. The patient app is free.

Apply for the Clinic Pilot

Pricing checked against public sources in October 2026. MedBridge tiers and promotions vary; Physitrack pricing differs by region.