Upper Limb Home-Based Robotic Rehabilitation During COVID-19 Outbreak

Hemanth Manjunatha, Shrey Pareek, Sri Sadhan Jujjavarapu, Mostafa Ghobadi, Thenkurussi Kesavadas, Ehsan T. Esfahani

Research output: Contribution to journalReview articlepeer-review


The coronavirus disease (COVID-19) outbreak requires rapid reshaping of rehabilitation services to include patients recovering from severe COVID-19 with post-intensive care syndromes, which results in physical deconditioning and cognitive impairments, patients with comorbid conditions, and other patients requiring physical therapy during the outbreak with no or limited access to hospital and rehabilitation centers. Considering the access barriers to quality rehabilitation settings and services imposed by social distancing and stay-at-home orders, these patients can be benefited from providing access to affordable and good quality care through home-based rehabilitation. The success of such treatment will depend highly on the intensity of the therapy and effort invested by the patient. Monitoring patients' compliance and designing a home-based rehabilitation that can mentally engage them are the critical elements in home-based therapy's success. Hence, we study the state-of-the-art telerehabilitation frameworks and robotic devices, and comment about a hybrid model that can use existing telerehabilitation framework and home-based robotic devices for treatment and simultaneously assess patient's progress remotely. Second, we comment on the patients' social support and engagement, which is critical for the success of telerehabilitation service. As the therapists are not physically present to guide the patients, we also discuss the adaptability requirement of home-based telerehabilitation. Finally, we suggest that the reformed rehabilitation services should consider both home-based solutions for enhancing the activities of daily living and an on-demand ambulatory rehabilitation unit for extensive training where we can monitor both cognitive and motor performance of the patients remotely.

Original languageEnglish (US)
Article number612834
JournalFrontiers in Robotics and AI
StatePublished - May 24 2021


  • COVID-19
  • haptic
  • home-based monitoring
  • mental engagement
  • recovery
  • robotic rehabilitation

ASJC Scopus subject areas

  • Computer Science Applications
  • Artificial Intelligence


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