Arlati Sara, Colombo Vera, Mondellini Marta, Nossa Roberta, Grasso Chiara, Rossini Mauro, Biffi Emilia, Fumagalli Alessia, Diella Eleonora, Guanziroli Eleonora, Sanna Nicole, Ambrosini Emilia, Sacco Marco, Molteni Franco
Institute of Intelligent Industrial Technologies and Systems for Advanced Manufacturing, National Research Council of Italy, Via Previati 1/E, Lecco, 23900, Italy, +39 03412350202.
Department of Psychology, Università Cattolica del Sacro Cuore, Milano, Italy.
JMIR Hum Factors. 2025 Sep 10;12:e71099. doi: 10.2196/71099.
Telerehabilitation is a promising solution to provide continuity of care. Most existing telerehabilitation platforms focus on rehabilitating upper limbs, balance, and cognitive training, but exercises improving cardiovascular fitness are often neglected.
The objective of this study is to evaluate the acceptability and feasibility of a telerehabilitation intervention combining cognitive and aerobic exercises.
A virtual reality-based dual-task exercise exploiting a cycle ergometer was designed, developed, and integrated with a commercially available telerehabilitation platform. Patients with different conditions were enrolled and administered subjective questionnaires investigating attitudes toward technology, usability, technology acceptance, and subjective workload. Their therapists were interviewed, and adherence and performance data were analyzed.
In total, 26 patients with neurological or post-COVID symptoms were included. Their attitude toward technology (range: 0-5) did not change after the training period (pre: 3.44 [IQR 0.63]; post: 3.50 [IQR 0.48]); the platform was rated usable and acceptable. Frustration and physical and mental workload were present, especially among younger participants. The adherence was moderate, but individual differences were present (0.59 [IQR 0.54]). The therapists highlighted the potential of remote rehabilitation programs but also identified some limitations.
This study proved the feasibility and acceptability of a customized virtual reality-based telerehabilitation program allowing for the safe implementation of aerobic cycling-based dual-task training. The solution was judged meaningful for dehospitalized patients, although some environmental and technical barriers should be overcome to implement telerehabilitation more effectively.
远程康复是提供持续护理的一种有前景的解决方案。大多数现有的远程康复平台专注于上肢康复、平衡训练和认知训练，但改善心血管健康的运动常常被忽视。
本研究的目的是评估一种结合认知和有氧运动的远程康复干预的可接受性和可行性。
设计、开发了一种基于虚拟现实的利用自行车测力计的双任务运动，并将其与一个商用远程康复平台集成。招募了不同病情的患者，并发放主观问卷，调查他们对技术的态度、可用性、技术接受度和主观工作量。对他们的治疗师进行了访谈，并分析了依从性和表现数据。
总共纳入了26名有神经系统症状或新冠后症状的患者。他们对技术的态度（范围：0至5）在训练期后没有变化（训练前：3.44[四分位距0.63]；训练后：3.50[四分位距0.48]）；该平台被评为可用且可接受。存在挫败感以及身体和精神上的工作量，尤其是在年轻参与者中。依从性中等，但存在个体差异（0.59[四分位距0.54]）。治疗师强调了远程康复计划的潜力，但也指出了一些局限性。
本研究证明了一种定制的基于虚拟现实的远程康复计划的可行性和可接受性，该计划允许安全地实施基于有氧骑行的双任务训练。尽管要更有效地实施远程康复还应克服一些环境和技术障碍，但该解决方案对出院患者具有重要意义。
