A pedal assembly for an exercise and rehabilitation device can include a disk having an axis of rotation. A central aperture can be formed in the disk along the axis. Spokes can extend radially from adjacent the central aperture toward a perimeter of the disk. The disk can be formed from a first material. In addition, a crank can be coupled to one of the spokes of the disk. The crank can have a hub concentric with the central aperture. Pedal apertures can extend along a radial length of the crank. The crank can be formed from a metallic material that differs from the first material. A pedal having a spindle can be interchangeably and releasably mounted to the pedal apertures in the crank.