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Cycling-Based Telerehabilitation: Acceptability and Feasibility Study.

Sara Arlati¹, Vera Colombo¹, Marta Mondellini^1,2

¹Institute of Intelligent Industrial Technologies and Systems for Advanced Manufacturing, National Research Council of Italy, Via Previati 1/E, Lecco, 23900, Italy, +39 03412350202.

JMIR Human Factors

|September 10, 2025

Summary

This summary is machine-generated.

This study shows that a virtual reality telerehabilitation program combining cognitive and aerobic exercises is feasible and acceptable for patients. While usable, some technical and environmental barriers need addressing for wider implementation of this remote rehabilitation approach.

Keywords:

aerobic exercise exergaming telemedicine usability virtual reality

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Area of Science:

Rehabilitation Medicine
Digital Health
Virtual Reality Applications

Background:

Telerehabilitation offers continuity of care but often neglects cardiovascular fitness exercises.
Existing platforms primarily focus on upper limb, balance, and cognitive training.

Purpose of the Study:

To evaluate the acceptability and feasibility of a telerehabilitation intervention.
To assess a novel program combining cognitive and aerobic exercises.

Main Methods:

Developed a virtual reality-based dual-task exercise system integrated with a cycle ergometer and a telerehabilitation platform.
Administered subjective questionnaires to patients and interviewed therapists.
Analyzed adherence and performance data.

Main Results:

26 patients with neurological or post-COVID symptoms participated.
The platform was rated usable and acceptable, with no significant change in attitude toward technology.
Moderate adherence was observed, with some reported frustration and workload, particularly in younger individuals.

Conclusions:

The virtual reality telerehabilitation program is feasible and acceptable for aerobic cycling-based dual-task training.
The intervention is considered meaningful for dehospitalized patients.
Environmental and technical barriers require resolution for effective telerehabilitation implementation.