FAQs

Getting Started with XR in a PT Clinic

  • To get started, you’ll need:

    • Standalone XR headsets (e.g., Pico Ultra Enterprise, Meta Quest 3S or Vive Vision) – No PC required.

    • Rehabilitation applications (e.g., AquaVision).

    • Device management system (MDM) if managing multiple headsets (e.g., ArborXR).

    • Hygiene covers and cleaning supplies for multi-patient use.

  • Not necessarily. Many XR applications support offline use, meaning they can be downloaded and used without an internet connection. However, internet access is recommended for:

    • Initial setup and app downloads.

    • Software updates.

    • Remote management (if using MDM).

  • Most XR rehabilitation applications require minimal space (a seated or standing position is often sufficient). However, some full-body movement experiences may need a cleared area of at least 6.5ft x 6.5ft.

  • Costs can vary depending on your setup:

    • Hardware: ~$400–$1200 per headset.

    • Software: Subscription-based or one-time licensing (e.g., AquaVision: $39.99/month or $399.99/year per device).

    • Device Management (Optional): ~$10/month per headset for MDM services.

    • Training & Support (Optional): Some clinics opt for setup assistance.

  • Yes, many XR applications, including AquaVision, offer a free demo trial before purchase.
    If your clinic is located in Los Angeles, CA; Nashville, TN; Austin, TX; or San Francisco, CA, we can provide a live in-person demo on a headset.

Clinical Use & Patient Experience

  •  XR therapy can support patients with:

    • Neurological conditions (e.g., stroke, TBI, Parkinsons Disease).

    • Vestibular disorders (e.g., balance and spatial orientation).

    • Orthopedic recovery (e.g., improving ROM, Strength, and endurance).

    • Cognitive and visual impairments (e.g., oculomotor training).

  • Typical XR therapy sessions last 10–30 minutes, depending on the patient’s tolerance and clinical goals. Some patients may require shorter sessions initially to avoid fatigue.

  • Yes, because our applications are specifically designed for patients who aren’t accustomed to VR, ensuring a comfortable and accessible experience. Activities do not feature locomotion, which significantly reduces the risk of motion sickness. Additionally, our apps prioritize low-latency visuals, controlled movement, and short session options to accommodate patients prone to dizziness. For added comfort, we recommend starting with shorter sessions and using a seated position before transitioning to standing exercises.

    • Use applications that are clinically designed for rehabilitation.

    • Built-in difficulty ramp up within the activity

    • Monitor patient posture and head movement to prevent strain.

    • Provide regular breaks to prevent fatigue.

  • Yes, home-based XR therapy is possible for patients who have been trained and approved by a clinician to use XR independently. Some clinics implement remote therapy programs where patients can continue their rehabilitation at home using a compatible XR headset. To ensure safety and effectiveness, clinicians typically provide initial in-clinic training, assess patient tolerance, and offer ongoing guidance as needed.

Technical & Security Considerations

  •  For clinics using several headsets, a Mobile Device Management (MDM) system (e.g., ArborXR) can:

    • Lock devices into therapy mode to prevent distractions.

    • Push app updates and manage content remotely.

    • Ensure patient data privacy and compliance with regulations.

  •  AVRwell applications like AquaVision do not collect user data. Some XR platforms, like Meta, collect usage data, but MDM solutions can help restrict data sharing in clinical settings.

  •  Yes. Many rehabilitation XR applications support offline mode, allowing clinics to run sessions without an active internet connection.

      • Use disposable hygiene covers or wipeable face pads.

      • Disinfect headset surfaces between patients using alcohol-free wipes.

      • Store headsets in a dry, dust-free area when not in use.

    • Software updates: Typically every 1–3 months for bug fixes and new features.

    • Device firmware: Manufacturer updates occur a few times per year.

    • MDM updates: Automatically applied in cloud-based systems.

Billing & Reimbursement

  • XR therapy may be covered if billed under existing CPT codes for physical therapy, cognitive rehabilitation, or vision therapy. Clinics should check with payers and Medicare guidelines for XR-based rehabilitation reimbursement.

  •  Most clinics include XR as part of standard therapy sessions, but some offer premium XR therapy packages for additional fees.

Final Considerations

    • Start with a simple demo session to build confidence.

    • Explain how XR improves engagement and recovery.

    • Allow patients to use XR in a supervised, comfortable setting.

  • Yes! Many clinics market XR therapy as an innovative treatment to differentiate themselves. Clinics that incorporate technology are often perceived as adaptable, cutting-edge, and forward-thinking, which can enhance their reputation for delivering high-quality patient care. This not only attracts younger tech-savvy patients, neurological rehab patients, and athletes seeking performance training but also serves as a marketing advantage by positioning the clinic as a leader in modern rehabilitation.

  • To answer questions about our catalog and XR therapy implementation, reach out to sales@avrwell.com for guidance on setup, licensing, and technical support.

XR Hardware Procurement Resources for Clinics

    • Meta-approved sellers provide business-ready Quest headsets with HMS (Headset Management System) and an MDM pre-installed.

    • Ensures enterprise-level security, remote management, and compliance.

    • Find approved Meta resellers: Meta for Business

    • Pico 4 Ultra Enterprise is available via approved business resellers.

    • Comes with enterprise licensing, enhanced security, and business-grade support.

    • Find authorized resellers: Pico Enterprise

    • HTC Vive Focus Vision and other enterprise-grade headsets are available via HTC’s network of authorized resellers.

    • Supports advanced tracking, data analytics, and expandable storage for long-term use.

    • Find an approved HTC reseller: VIVE Business

  • Mobile Device Management (MDM) – A platform that allows clinics and facilities to remotely control, update, and secure XR headsets. AVRwell partners with ArborXR for this purpose.

    If you need a secure solution that IT will approve and deploy, you'll want to implement a Mobile Device Management software on your headsets to manage content, customize your home screen, and track your inventory. 

    All-in-one XR solutions all use an MDM to lock and secure their device, and manage it for their customers. You might already use an MDM to manage your tablets or phones, and adding VR headsets might be trivial.
    If you don’t already have an MDM, we've partnered with ArborXR for an easy, secure deployment that will make IT happy.


  • For clinics managing multiple headsets, an MDM system is recommended to ensure:

    • Remote app updates & security patches

    • Locking headsets into therapy mode (preventing unauthorized use)

    • Enterprise compliance & data protection

    Recommended MDMs:

    • ArborXR: Specializes in XR healthcare device management. ArborXR

    • ManageXR: An alternative MDM for clinical deployments. ManageXR

    • Your existing MDM solution: you already might have an MDM to manage tablets or other mobile devices. Ask them if they also support VR headsets (most do).

XR Hardware Decision Guide for Clinics

    • Visual & Cognitive Training (e.g., oculomotor rehab, concussion recovery)

    • Movement-Based Therapy (e.g., balance, coordination, range of motion)

    • Patient Engagement & Relaxation (e.g., pain distraction, meditation)

    • Research & Data-Driven Tracking (e.g., eye-tracking, motion analysis)

    Recommended Features Based on Use Case:

    • High Refresh Rate – For visual training & motion-heavy applications.

    • Inside-Out Tracking – Ideal for movement-based rehab (no external sensors).

    • Eye & Hand Tracking – Useful for advanced analytics & accessibility.

  • Durability & Hygiene

    • Durable materials (clinic use requires sturdier hardware)

    • Easy-to-clean surfaces & hygiene covers for multi-patient use

    • Replaceable face cushions for comfort & sanitation

    Comfort for Extended Use

    • Lightweight design & balanced weight distribution

    • Rear-mounted battery for reduced front weight strain

    • Adjustable head straps & interpupillary distance (IPD) settings

    Connectivity & Security

    • Offline mode available (for clinics with strict network policies)

    • MDM compatibility (if managing multiple devices). MDM require the business version

    Tip: Choose the headset that best matches your clinic’s budget, therapy needs, and long-term scalability.

    • How many headsets do we need? (Single device vs. multi-clinic setup)

    • Do we need MDM (Mobile Device Management)? (For remote updates & security)

    • One-time purchase vs. subscription licensing? (Factor in long-term software costs)

    • Test before purchasing – Consider a free trial or demo.

    • Plan for staff training – Ensure therapists are comfortable using XR.

    • Set up a hygiene & storage plan – Prevent hardware issues.

    • Monitor patient response – Adjust session times based on tolerance.

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