title: Remotely controlled biking is associated with improved adherence to prescribed cycling speed.
abstract: BACKGROUND
  Individuals with mobility impairment may benefit from passive exercise mode which can be subsequently enhanced by an active exercise program. However, it is unclear which exercise mode promotes higher adherence to prescribed exercise intensity.
  
  
  OBJECTIVE
  The goal of this project was to compare adherence to prescribed speed during passive and active cycling exercise.
  
  
  METHODS
  We used cross-over study design in which subjects followed the same cycling intensity prescription for passive and active exercise modes in a random sequence. Coefficient of variation (CV) and speed differences were used to estimate extent of deviation from the prescribed trajectory.
  
  
  RESULTS
  CV varied from 5.2% to 20.4% for the active mode and from 2.8% to 4.5% for the passive mode respectively. Though the CV differences did not reach statistical significance, analysis of cycling speed adherence of 120-second periods showed significantly higher cycling adherence during passive mode for each target cycling speed.
  
  
  CONCLUSIONS
  Our results indicated that the passive mode may promote exercise safety and efficacy by helping patients who have safety concerns such as the frail elderly, patients with cardiovascular conditions or people with other contraindications for excessive exertion during exercise, in following the optimal intensity trajectory prescribed by their provider.
authors.forename: In Cheol
authors.initials: IC
authors.lastname: Jeong
authors.forename: Joseph
authors.initials: J
authors.lastname: Finkelstein
mesh_terms: D001642:Bicycling; D018592:Cross-Over Studies; D015444:Exercise; D006801:Humans; D010349:Patient Compliance; D000069350:Telerehabilitation / Q000379:methods*
keywords: Telerehabilitation; cross-over design; exercise; personal health systems; self-management