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Home-Based Augmented Reality Exercise For People With Parkinson Disease: Qualitative Acceptability Study
Lotte E S Hardeman1, Esther van Benten1,2, Eva M Hoogendoorn1
1Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
JMIR Rehabilitation and Assistive Technologies
|October 6, 2025
Summary
Augmented reality (AR) neurorehabilitation is acceptable for Parkinson disease patients at home. This approach complements physical therapy, with long-term adherence crucial for effectiveness.
Area of Science:
- Neurorehabilitation
- Digital Therapeutics
- Augmented Reality
Background:
- Rising Parkinson disease prevalence necessitates innovative, accessible care.
- Reality Digital Therapeutics (Reality DTx) offers remotely prescribed AR-based gait and balance exercises for home use.
Purpose of the Study:
- To explore the acceptability of Reality DTx in people with Parkinson disease at a preimplementation stage.
Main Methods:
- Qualitative exploratory study using semistructured interviews.
- 22 participants with Parkinson disease completed 6 weeks of Reality DTx at home.
- Reflexive thematic analysis informed by critical realism.
Main Results:
- Interindividual variation in perceived effectiveness and effort.
- Reality DTx is viewed as a valuable complement to supervised physical therapy.
- Long-term adherence is crucial, supported by therapist guidance and program flexibility.
Conclusions:
- Remotely prescribed, gamified AR exercises are acceptable for Parkinson disease patients.
- Findings inform future Reality DTx development, emphasizing patient perspectives alongside clinician input.
Keywords:
Parkinson diseaseacceptabilityaugmented realityhome-based rehabilitationneurorehabilitationphysical therapy
