SilverFit Mile Cycling

Cycling and walking are both important elements in many rehabilitation programmes. Unfortunately, exercising on a machine is far less motivating than actually going outside. The SilverFit Mile projects a film so that the indoor experience resembles reality. The aim is to increase the duration of individual sessions and improve therapy adherence. The SilverFit Mile can be connected to any home trainer, active-passive trainer (e.g. Thera trainer, MotoMed) or treadmill.

The SilverFit Mile is installed onto an existing treadmill, home trainer, or active/ passive trainer (for example the Thera or MotoMed). It is also possible to connect the Mile to more than one apparatus at a time. A route is shown on the big screen in front of the apparatus. The speed at which the film plays is determined by the speed at which the user moves. This gives a feeling of actually exercising outside.

Professional medical tool

The SilverFit Mile is a CE certified medical tool. This means that it has been through a lengthy control process to establish the system’s operation and avoid any possible risks. Besides the fact that this certification is mandatory in healthcare, it also brings with it many practical advantages. For example, it is important that the speed of the films adjusts automatically and that the imagery does not move or jolt. If it moves too much it can cause a risk of falling. SilverFit installs the entire system at your location and offers good quality and service. We are also happy to advise you when purchasing a new bicycle, trainer or treadmill. 

Visual impact

The screen is impressive and immediately attracts attention. The user is absorbed into the experience. The film is not animated, but recorded live with a camera creating a unique and realistic experience. People who are present in the room, but not actively participating in the exercise enjoy looking on. This results in conversation and increased social cohesion. There is a wide range of routes, through towns, countryside and unique locations such as Amsterdam, Paris, Ravello, Patagonia, Swiss Alps and Schiphol Airport. 

Prolonged training

As the user is focused on the experience, they are likely to walk or cycle longer because they lose track of time. People often aim for a specific goal in terms of the film, such as, ‘now I am going to walk to the church’. As their attention is focused on the screen and not on the control panel, they are more likely to walk in an upright position. It is also possible to do a route in different stages, carrying on where the user left off the last time.

Virtual therapy for walking or cycling leads to better results on cognitive tests and balance parameters, higher exercise adherence, quicker achievement of training goals; and in addition, people enjoy it much more. 

Cognition

A study by Anderson-Hanley et al. (2012) explored the effect of  exercise on cognitive function in older adults. They looked  specifically at executive functions such as planning and divided attention. To identify this effect, three tests were used. The  results (see the below figure) show that the group that cycled  with virtual images (with VR) showed a significantly better cognitive performance than the control group.

anderson

Exercise adherence

The study by Rhodes et al. (2009) into cycling with and without video games showed that exercise adherence was higher when cycling with video games compared to cycling without video games. The study showed that this higher exercise adherence was caused by the fact that the participants found training with the video games to be more fun.

rhodes

Balance

Cho and Lee (2014) showed that using virtual images has a positive  effect on balance during walking. Compared to the control group, the VR group scored significantly better after the intervention  with regard to the parameters and test, shown below.  

cho

Cardiovascular function

Chuang et al. (2006) showed that walking with virtual images function has a positive impact on achieving fitness goals. After a coronary  bypass, one of the training goals was to reach 85% of maximum  heart rate. After 20 training sessions, it was observed that less  than half of the control group had achieved this. However, almost  all of the VR group achieved this goal. Moreover, the VR group  achieved this after 10 training sessions.

chuang 

Exertion and enjoyment

Feenstra (2013, unpublished) studied the effects on exertion enjoyment while cycling with or without virtual images using the SilverFit  Mile. The results show that patients enjoyed cycling with  images much more than without.  The addition of virtual  images to cycling in most cases improved exertion tolerance  as well. 

feenstra

Avoid risks

There is a number of research done to  the effect of video images on balance and equilibrium. Every research stresses  the importance that the images connect closely to the subjective movement experience. Research done by Nishiike (2013) for example, analysed the speed of the film and pointed out undesired movements of a video. Especially movements in which the horizon rotates too much or gets shaky and wobbly can cause a nauseous feeling similar to seasickness. Bonato (2009) describes this effect with healthy 19-year-old participants. 

SilverFit has therefore developed a specific methodology to avoid this kind of shaky movements. A film is recorded with a scoot mobile that is adapted for this purpose and uses a self-stabilizing camera. Furthermore, all images are edited afterwards with stabilisation software and tested by a person who is highly sensitive herself for the above-described effect. In this way, we can be sure that the videos we record do meet the very strict requirements of a medical device

Literature

  • Anderson- Hanley, C., Arciero, P.J., Brickman, A.M., Nimon, J.P., Okuma, N., Westen, S.C., Merz, M.E., Pence, B.D., Woods, J.A., Kramer, A.F. & Zimmerman, E.A. (2012). Exergaming and older adult cognition: a cluster randomized clinical trial. American Journal of Preventive Medicine 42(2): 109-119
  • Bonato, F., Bubka, A., & Palmissiano, S. (2009), Combined pitch and roll and cybersickness in a virtual environment. Aviation, Space and Environmental Medicine 80 (11): 941-945
  • Cho, K.H. & Lee, W.H. (2014). Effect of treadmill training based real-world video recording on balance and gait in chronic stroke patients: a randomized controlled trial. Gait & Posture 39: 523-528
  • Chuang, T.Y., Sung, W.H., Chang, H.A. & Wang, R.Y. (2006). Effect of a virtual reality-enhanced exercise protocol after coronary artery bypass grafting. Physical Therapy 86: 1369-1377
  • Feenstra, A. (2013, not published). Onderzoek naar belastbaarheid op de fiets mét en zonder SilverFit Mile bij kwetsbare ouderen
  • Nishiike, S. et al., (2013). The effect of visualvestibulosomatosensory conflict induced by virtual reality on postural stability in humans. Journal of Medical Investigation 60 (3-4): 236-239
  • Rhodes, R.E., Warburton, D.E.R. & Bredin, S.S.D. (2009). Predicting the effect of interactive video bikes on exercise adherence: an efficacy trial. Psychology, Health & Medicine 14 (6): 631-640

The SilverFit mile includes an enormous diversity of films recorded worldwide. A route lasts in between 30 - 70 minutes . A film can start at several moments in the route to enable to create a different experience during each session. Many people enjoy cycling in their own familiar environment. You can order a film to be made of your environment which SilverFit can then integrate into the SilverFit Mile.

Mile AlbertaRockies   Alberta Rockies (USA)
Mile AmericanSouthwest American Southwest 1 (USA)
Mile AmericanSouthwest1 American Southwest 2 (USA)
Mile Amsterdam   Amsterdam (Netherlands)
Mile AngelsCrest  Angels Crest (Canada)
Mile Barendrecht Barendrecht (Netherlands)
Mile BergenOpZoom  Bergen op Zoom (Netherlands) 
Mile Betuwe Betuwe (Dutch countryside)
Mile Blossomingroute Betuwe Blossoms (Dutch countryside)
Mile Bilthoven Bilthoven (Netherlands)
Mile ZooBlijdorp Blijdorp Zoo (Netherlands)
Mile Brielle Brielle (Netherlands)
Mile BritishColumbiaCoast British Columbia (Canada)
Mile BuenosAires Buenos Aires (Argentina)
Mile Chicago Chicago (USA)
Mile CostaRica Costa Rica
Mile DenBosch Den Bosch (Netherlands)
Mile Deventer Deventer (Netherlands)
Mile Dutchcanaltrip Dutch canals (Netherlands)
Mile Four seasons in the woods Four seasons
Mile Germany Germany
Mile Groningen Groningen (Netherlands)
Mile Heel Heel (Netherlands)
Mile Heeswijk Dinther Heeswijk-Dinther (Netherlands)
Mile National Park Hoge Veluwe Hoge Veluwe, National Parc (Netherlands)
Mile Houten Houten (Netherlands)
Mile IJsselstein IJsselstein (Netherlands)
Mile Kinderdijk Kinderdijk, Windmills (Netherlands)
Mile Lekdijk Lekdijk (Netherlands)
Mile LosAngeles Los Angeles (USA)
Mile Maastricht Maastricht (Netherlands)
Mile MahoneBay Canada Mahone Bay (Canada)
Mile Molenbeeksepad Molenbeek (Netherlands)
Mile SouthIslandNewZealand  New Zealand
Mile NorthernItaly North Italy 
Mile Nuth Nuth (Netherlands)
Mile Oisterwijkse bossen Oisterwijk (Netherlands)
Mile Oosterbeek Oosterbeek (Netherlands)
Mile Panama Panama
Mile Paris Paris (France)
Mile Patagonia Patagonia (Argentina)
Mile Patagoni Chili Patagonia (Chile)
Mile Ravello Italy Ravello (Italy) 
Mile Roosendaal Centrum Roosendaal (Netherlands)
Mile Rotterdam Rotterdam (Netherlands)
Mile Rotterdam Zuid Rotterdam South (Netherlands)
Mile Boulevard Scheveningen Scheveningen beach (Netherlands)
Mile Schiphol Airport Schiphol Airport (Netherlands)
Mile SwissAlps Swiss Alps (Switzerland)
Mile Sydney Sydney (Australia)
Mile Taiwan Taiwan
Mile DenHaag The Hague (Netherlands)
Mile DenHaagFietstocht The Hague , bicycle (Netherlands
Mile TierradelFuego Tierra del Fueago (Argentina)
Mile Tilburg Tilburg (Netherlands)
Mile TrinityMountains Trinity Mountains (USA)
Mile TurnhoutBelgie Turnhout (Belgium)
Mile Utrecht Utrecht (Netherlands)
Mile Vlissingen Vlissingen (Netherlands)
Mile WalsallEngeland Walsall (United Kingdom)
Mile Wijchen Wijchen (Netherlands)
Mile Zeist Zeist (Netherlands)

 

Bicycle / Home Trainer

For many people riding a bike is a familiar activity which they still enjoy in later stages of life. The SilverFit Mile can be connected to any existing bike, home trainer or recumbent trainer.  

Active-passive trainer

The SilverFit Mile can also be attached to an active-passive trainer such as the Thera Trainer or the MotoMed. SilverFit can install the SilverFit Mile onto your existing apparatus. Should you wish to purchase a new active-passive trainer, we are happy to advise you.

"We had a lady who used to cycle a lot. Now, she did not want to participate at all. When she saw the bikes with video, she felt it was so real that she wanted to try it. Now she cycles every time for 30 minutes when she is here."
Activity coordinator, de Wiek, day care centre, The Netherlands

Bed-cycle

The SilverFit Mile can also be attached to a bed-cycle. This system is used in hospitals, at the Intensive Care and dialysis unit to mobilize patients as early as possible.

Living room

It is also possible to use SilverFit Mile films in small-scale housing or even at home. In this case, we would advise a small touch screen, connected to an exercise bike that takes up a small amount of space.

‘This system is highly accessible to our residents and hardly takes up any space" 
Activity coordinator

Standard components

Mile aansturingssoftwarecopy 

SilverFit Mile control software

A simplified menu to control the SilverFit Mile

Mile Filmsetcopy 

Filmset

A series of films recorded in different environments at varying speeds

Mile hd scherm aan de muurcopy

 

Wall-mounted screen

For a crystal clear screen

Mile Computercopy 

Computer

Computer, pre-programmed with SilverFit Mile software and films

Mile Afstandsbedieningcopy 

Professional remote control

Remote control for the supervisor

Mile Sensorcopy 

Sensor

Sensor used to measure speed is built into the exercise apparatus

Newton servicepackage 

Service package (1 year, extendable)

On-site installation, training of all potential users, 1-year hardware guarantee, quick on-site service in case of any problems, software updates, and new films. 

 

Options

Mile Eigenfilmcopy 

Own film

One or more films recorded in familiar environment

Mile Computerkastcopy 

Computer cabin

Neat cabin to hide computer and cables