Vertigenius vs VOR Eye Rehab: the honest comparison between the two purpose-built vestibular platforms (2026)

Disclosure: I founded VOR Eye Rehab, and Vertigenius is our most direct competitor — a vestibular rehab platform out of Trinity College Dublin with a clinician portal, a patient app, and a wearable head sensor. This is the comparison I get asked about most, and the one where I have to work hardest to stay honest, because they're genuinely good.

The short version: Vertigenius has the stronger evidence pedigree and a dedicated medical-grade sensor. VOR Eye Rehab has the broader treatment surface — optokinetic and oculomotor work, five-metric symptom-driven progression, RTM billing economics — at a transparent price a tenth of what an enterprise sensor platform typically runs.

TL;DR

Choose Vertigenius if

You want published trial evidence, a dedicated wearable sensor giving kinematic biofeedback, and you're comfortable with quote-based enterprise pricing

Choose VOR Eye Rehab if

You want the full vestibular + oculomotor treatment surface — projector mode, optokinetics, real-world video habituation, AI progression, RTM dashboard — for USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month with a free patient app and no hardware

Vertigenius measures head movement with a dedicated IMU sensor and carries peer-reviewed trials from Trinity College Dublin and RCSI — real evidence, published in 2024, including a 65% adherence improvement. VOR Eye Rehab measures head velocity through the patient's phone and invests instead in breadth: 15 optokinetic and pursuit projector patterns, oculomotor training, five-metric symptom gating, AI progression, and RTM billing tooling. Sensor depth versus treatment breadth.

The two at a glance

	VOR Eye Rehab	Vertigenius
Price	USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month	Quote-based (demo required)
Head-movement measurement	Phone motion sensors — velocity guidance (°/s)	Dedicated wearable IMU sensor — velocity, frequency, amplitude
Regulatory posture	Software platform, HIPAA-compliant	FDA Class II, CE-marked Class I, ISO 13485 manufacturing
Evidence base	Building — newer platform	Peer-reviewed trials (Meldrum et al., Trinity College Dublin / RCSI)
Exercise library	Vestibular + oculomotor (VOR, saccade, pursuit, convergence, OKN)	400+ vestibular exercises (gaze, balance, gait, habituation)
In-clinic visual stimulation	Projector mode — 15 patterns with live parameter control	Not a focus
Symptom tracking	5 metrics pre/post every session	DHI and clinical assessments
Progression	AI-driven from symptom responses	Clinician-prescribed dosing from sensor data
RTM billing	Dedicated dashboard with CPT tracking	Markets RTM reimbursement support (US)
Patient app cost	Free	Free to download

Where Vertigenius is genuinely better

Three things, and they're big. First, the sensor: a dedicated wearable IMU measuring head velocity, frequency, and amplitude with real-time corrective feedback is a more controlled measurement instrument than any phone, and it shows. Second, the evidence: Meldrum and colleagues published real trials — adherence up 65%, dizziness scores significantly improved against usual care. As a founder I can tell you exactly how hard that is to build, and they built it. Third, regulatory: FDA Class II clearance with ISO 13485 manufacturing is a moat most digital health companies never cross.

If you're a hospital vestibular unit that needs defensible, device-grade measurement for research or credentialing, that package justifies enterprise pricing. I'd take that demo seriously — I do.

Where VOR Eye Rehab wins

Breadth of the treatment surface, and price transparency. Vertigenius instruments the exercise; VOR Eye Rehab builds the whole care pathway around it. Fifteen projector patterns for optokinetic, pursuit, and saccade work with live parameter control from your laptop — the in-clinic side Vertigenius largely leaves to you. Real-world video habituation environments graded by visual complexity for the visual-vertigo patients who panic in supermarkets. Oculomotor training across saccades, pursuits, and convergence for the concussion caseload. Five-metric symptom capture (dizziness, brain fog, headache, eye strain, nausea) gating progression automatically. AI progress and discharge reports, and an RTM dashboard that tracks which patients are billable, not just adherent.

And the price is on the website: USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month, patient app free, no hardware, no procurement cycle. For a private clinic, that difference isn't incremental — it's the difference between a pilot this month and a budget request next fiscal year.

1. Vertigenius

Best for: Hospital vestibular units and research-oriented clinics wanting device-grade measurement
Price: Pricing on request (demo required)
Vestibular specificity: Wearable IMU sensor + published trials + FDA Class II

The most credible specialist competitor, and the one I respect most. The wearable sensor streams velocity, frequency, and amplitude with corrective kinematic feedback during gaze stabilization — a real instrument, not a phone approximation. The Trinity College Dublin and RCSI trial data (2024) is the strongest published evidence any platform in this category has.

The honest reservations: pricing is quote-only, which usually means enterprise contracts; the exercise focus stays inside classic vestibular rehabilitation (gaze, balance, gait, habituation) with less coverage of oculomotor and optokinetic work; and the in-clinic visual stimulation toolkit is minimal next to a dedicated projector mode. If your bottleneck is measurement rigor, those reservations don't matter. If your bottleneck is running a busy dizzy clinic across the full pathway, they do.

Visit Vertigenius

2. VOR Eye Rehab (mine)

Best for: Private vestibular, concussion, and balance clinics that need the full pathway affordably
Price: USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month · patient app free
Vestibular specificity: Full treatment surface — projector, OKN, oculomotor, symptom AI — no hardware

We made the opposite trade from Vertigenius: phone sensors instead of a wearable, and every dollar into treatment breadth instead of device clearance. You still get real-time head-velocity guidance and metronome pacing — the dose still gets measured — but through hardware patients already own.

What that buys: projector mode for in-clinic optokinetic and pursuit protocols, real-world video habituation, saccade/pursuit/convergence training for concussion, five-metric symptom gating with AI progression, auto-scored DHI/ABC/VVAS, AI-generated discharge reports, and an RTM billing dashboard. Published RCT-grade evidence? Not yet — that's our honest gap and we're building toward it. Transparent USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month pricing with no procurement? Yes, today.

Apply for the 30-Day Clinic Pilot

My honest pick

If you're a hospital unit, a research site, or a clinic where defensible instrument-grade measurement and published evidence are non-negotiable, talk to Vertigenius first. Their sensor-plus-trials package is the category's benchmark, and pretending otherwise would be marketing, not analysis.

If you're a private clinic treating the whole vestibular and concussion pathway — including oculomotor and optokinetic work — on a real budget, VOR Eye Rehab covers more of your day for a price that doesn't need a committee. Some clinics will end up with both, and that's a rational answer too.

What I'd do today

1 Decide whether you need device-grade measurement (research, credentialing, medico-legal defensibility) or pathway coverage (daily treatment delivery). That single question separates these products.
2 Ask Vertigenius for a quote early — if it fits your budget, their evidence base deserves a serious pilot.
3 List how much of your caseload is visual-vertigue habituation, optokinetic intolerance, or post-concussion oculomotor — the cases projector mode and OKN patterns address daily.
4 Pilot both on the same patient cohort for a month; compare adherence, symptom trajectories, and discharge documentation time.

Questions

Doesn't a dedicated wearable sensor beat a phone sensor?

For measurement rigor, yes — a dedicated IMU with corrective kinematic feedback is the better instrument, and Vertigenius's FDA Class II clearance and trial data reflect that. The phone sensor answers a different question: is the patient training in the prescribed velocity zone, every rep, with zero hardware cost and zero sync friction? For clinical dose guidance it's usually sufficient; for research-grade quantification it isn't. Know which one your practice needs.

How much does Vertigenius cost?

They don't publish pricing — you book a demo and get a quote, which typically signals enterprise-level contracts per clinic or system. VOR Eye Rehab publishes USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month with a free patient app and no hardware. If transparency and budget predictability matter to your procurement process, that difference is real.

Which platform has better evidence?

Vertigenius, clearly, today. Their team has peer-reviewed publications from Trinity College Dublin and RCSI including 2024 trial results (65% adherence improvement, significant dizziness reduction). VOR Eye Rehab is earlier on the evidence curve — we built the treatment surface first and are building the evidence base now. If published outcomes are your purchasing criterion, choose accordingly.

Do Vertigenius and VOR Eye Rehab overlap on RTM billing?

Both support US Remote Therapeutic Monitoring economics, but differently. Vertigenius markets RTM as a reimbursed revenue stream around its monitored programs; VOR Eye Rehab ships an RTM billing dashboard with CPT code tracking and included-vs-billable patient balancing built into the workflow. If RTM revenue is central to your business case, ask both vendors exactly which codes are tracked and how monitoring time is evidenced.

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

Feature and evidence claims checked against Vertigenius's public site and published literature in October 2026. Vertigenius pricing is quote-based — request current terms directly.