Motivation While Doing Physical Exercise in a Social Dual-task Virtual Environment

Exclusion Criteria

• •Absence of appropriate cognitive abilities to interact with virtual reality software;
• •Presence of severe sensory deficits (visual acuity, auditory perception) such as to interfere with the administration of the proposed activities;
• •Poor trunk control or physical limitations (excessive spasticity or joint limitations) that impair the safe performance of the pedaling activity. Presence of epilepsy or treatment with antiepileptic drugs, where the physician highlights contraindications;
• •Participation in other standardized rehabilitation protocols involving lower limbs and walking.
• •Specifically, for INRCA Casatenovo:
• •clinical instability (pH \<7.35, hemodynamic instability, resting tachypnea);
• •acute exacerbations in the month prior to enrollment;
• •cognitive impairment such that participation in rehabilitation activities is impaired (Mini Mental State Examination \< 24);
• •cardiovascular decompensation NYHA (New York Heart Association) class III and IV;
• •major cardiac arrhythmias;
• •active solid or hematologic neoplasms;
• •recent myocardial infarction (\< 6 months);
• •orthopedic clinical conditions that interfere with exercise.