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Most people can ride exercise bikes. The main adjustment is the seat. Set it so your legs are almost straight at the bottom of the movement. At first, you may feel "local muscular fatigue," that is, your legs get tired. Your legs will get stronger and adapt the more you ride your exercise bike, so don't be discouraged. Use low tension and short exercise bouts at first. Bikes usually ride smoothest at a certain speed. When you find that, adjust the tension not the speed to make it harder unless you are doing speed work. Sit up straight so you don't tire your back, and don't wear loose pants that will catch the pedals.