Last year I was suffering from vertigo due to vestibular hypofunction. I had about a half dozen physical therapy sessions and this pad does a lot of what I needed. Perfect for at home use.I did a lot of searching. There are some cheaper (and smaller) options but this is the brand that my clinic used and based on reviews seemed more durable. I like the bigger size in order to position feet in different ways.The main exercise that I need to do on the pad is to stand with feet together and eyes closed to isolate the vestibular contribution to balance. My physical therapist said that there are 3 elements to balance: touch (ex. feet), eyesight, and the inner ears (vestibulas). Using the pad, especially barefoot, takes away the sense of touch and keeping eyes closed takes the vision part out of the equation, leaving really just the inner ear. Keeping feet next to each other then try to stand still for 30 seconds. I place the pad in the corner so that I can just lean back if I'm feeling at all "wobbly". With time, I advanced to moving arms, shifting a foot forward 6 inches, using dumbbells, moving head around slowly, and increasing time.A year later and between the PT and the at home exercises, the problem seems to be largely solved but I still try to do the exercises periodically to keep it from coming back.Given that it is the same as what clinics use heavily, I'm not surprised that it has held up well. No sign of material breakdown, unlike review complaints about some cheaper options. I figure this will be in the corner of my entertainment room for years to come. I can stand in the corner and listen to the TV while doing my exercises.Mine is blue but the picture shows the pad in a pillow case. Makes it a little less visually obtrusive and easier to clean. Mine is about 20x16 and I recommend this size which makes it easier to position the feet in different ways to provide variety in the exercises.Glad that I got it and even more glad that the vertigo episodes are gone!