Rotate – Clinician Guide

What is Rotate?

Rotate is a registered medical application (FDA-listed) designed for neck (cervical) range of motion (ROM) assessment and guided neck movement training using gaze-based interaction.

Clinicians use Rotate to assess cervical mobility and guide patients through controlled, progressive neck movement exercises.

What does the app include?

Rotate includes two main parts:

Neck ROM measurement

• Measures active cervical ROM in six planes:
  • Right rotation
  • Left rotation
  • Flexion
  • Extension
  • Right side bending
  • Left side bending
• The patient is instructed to sit upright and move only the head and neck (not shoulders or chest).
• A tutorial runs automatically on first use and can be accessed again during the test.

If a patient asks: “How far should I move my neck?”
→ Tell them to move until they feel resistance or pain, then return to center, without forcing the movement.

Rotate neck training game

• The patient follows a flying dragon using their gaze.
• Looking at the dragon activates a protective energy beam, encouraging accurate and sustained neck movements.
• Some targets require the patient to maintain gaze in one position for a short time, promoting control and endurance.

Training flow and progression

• Rotate includes multiple environments (scenes), each containing several levels and bonus levels.
• Patients progress through levels based on points earned.
• Each new session resumes from the last level reached.

Clinician note: Difficulty does not increase automatically. Progression is controlled by adjusting game settings.

Game settings and parameters (detailed)

Clinicians can customize Rotate sessions based on therapeutic goals and patient ability.

Training modules

• ROM only – Neck ROM assessment only
• Training only – Neck training without ROM
• ROM + Training – ROM assessment followed by training

Training area

Defines the range of neck movement required during training.

Preset areas:

• Small: 35° rotation, 25° flexion/extension
• Medium: 45° rotation, 30° flexion/extension
• Large: 60° rotation, 35° flexion/extension

By quadrant:

• Create a personalized rectangular training area using adjacent quadrants.

Based on ROM:

• Training area is defined as a percentage (40%–100%) of the patient’s last ROM test.
• Can be customized separately for rotation, flexion, and extension.

Note: This option requires an existing ROM test result.

Difficulty

• Controls the curviness of the dragon’s flight path.
• Levels: Basic, Intermediate, Advanced

Speed

• Defines the dragon’s maximum flight speed (degrees/second):
  • Slow
  • Medium
  • Fast
  • Custom (levels 1–15)
• Dynamic Speed: Automatically adjusts speed based on tracking accuracy.

Session duration

• Select session length from 1–10 minutes.

Music

• Fun / Workout / Relaxing / No music
• Volume can be adjusted during the session.

VAS pain scale

• Optional pain rating (0–10) before and after the session.

Bonus levels

• Optional gaze-based target challenges using head and neck movements.
• Bonus levels are time-limited and reward accuracy.
• Patients may skip bonus levels if needed.

Pause menu

During a session, patients can click the pause button on the left controller to open the pause menu where they can:

• Pause or resume training
• Change music or volume
• Finish the session early

Session results

After the session, clinicians can review:

ROM results

• Cervical ROM values for each movement direction
• Movement smoothness percentage

Training results

• Total score
• Final speed level
• Tracking accuracy
• Response time

Clinician note: Session results are available at any time in the Clinician Platform, under the Reports tab.

When should clinicians adjust settings?

• If the patient shows limited control → reduce speed or training area
• If the patient performs accurately and comfortably → increase speed or area

Additional information

For more detailed clinical and regulatory information, please refer to the Instructions for Use (IFU).