Miguel Perez-Pinzon, Ph.D., FAHA, Chair, International Stroke Conference 2019 Program Committee, offers overviews and perspective on late breaking science being presented at ISC 2019 in Honolulu. He is Professor of Neurology/Neuroscience, Director, Cerebral Vascular Disease Research Center, Director, Peritz Scheinberg Cerebral Vascular Laboratory, Vice-Chair for Neurology Basic Science at the Miller School of Medicine, Department of Neurology at the University of Miami, Miami, FL. copyright American Heart Association "This is the Tele-Rehabilitation in the Home Versus Therapy In-Clinic for Patients With Stroke. Basically, this is about why many patients receive suboptimal rehabilitation therapy for reasons that include cost and access. So in this case, we are suggesting that telehealth can potentially address these problems. In this trial, in tele-rehabilitation, they're using a computer-based system delivered to the patient homes. It's a game-ify therapy activities: exercise, educational sessions such as Stroke Jeopardy. The therapist kind of sets progress via videoconference. In the clinic-based therapy, the patients drive to the clinic and perform standard exercises and therapeutic activities, with the therapist, without a computer, and without the game activities. That's the comparison that they're making. They show that the home-based telehealth methods provide comparable benefits to the traditional clinic methods. So in the future, the telehealth approach to post-stroke rehabilitation might help patients reduce disability by accessing large doses of therapy."