Abstract: Provided herein are control and monitoring protocols for a virtual or augmented reality environment provided to patients, and which enable a trainer to have real-time monitoring and control of the virtual reality environment. In various embodiments, a virtual environment is provided to a first user at a first location. Data (e.g., biometric data) is collected based on the first user's interaction with the virtual environment while engaging in a training protocol. A real-time mirrored view of the virtual environment is provided to a second user via a network. The data and one or more control tools are provided to the second user. The control tools are configured to adjust one or more parameters of the virtual environment. A selection of at least one of the control tools is received form the second user and the virtual environment is adjusted based on the selection.

Abstract: Guidance of user motion for physiotherapy in a virtual reality or augmented reality environment is provided. In various embodiments, an object is displayed to a user within a virtual environment. The user is directed to track the object within the virtual environment with a body part. The object is moved within the virtual environment to induce motion of the body part in compliance with a predetermined rehabilitation protocol. The position of the body part is determined and the position is sent over a network to a remote server. Compliance with the predetermined rehabilitation protocol is determined at the remote server. An electronic health record includes the predetermined rehabilitation protocol and may be stored in a remote database.