A Unified Platform for At-Home Post-Stroke Rehabilitation Enabled by Wearable Technologies and Artificial Intelligence

Hubin Zhao (hubin.zhao@ucl.ac.uk), and Luigi G. Occhipinti (lgo23@cam.ac.uk) Abstract At-home rehabilitation for post-stroke patients presents significant challenges, as continuous, personalized care is often limited outside clinical settings. Additionally, the absence of comprehensive solutions addressing diverse rehabilitation needs in home environments complicates recovery efforts. Here, we introduce a smart home platform that integrates wearable sensors, ambient monitoring, and large language model (LLM)-powered assistance to provide seamless health monitoring and intelligent support. The system leverages machine learning enabled plantar pressure arrays for motor recovery assessment (94% classification accuracy), a wearable eye-tracking module for cognitive evaluation, and ambient sensors for precise smart home control (100% operational success, <1 s latency). Additionally, the LLM-powered agent, Auto-Care, offers real-time interventions, such as health reminders and environmental adjustments, enhancing user satisfaction by 29%. This work establishes a fully integrated platform for long-term, personalized rehabilitation, offering new possibilities for managing chronic conditions and supporting aging populations. Stroke is the third leading cause of disability worldwide, affecting more than 101 million people [1, 2]. Post-stroke recovery is not only a prolonged process but also a resource-intensive one, imposing significant economic and caregiving burdens on families and healthcare systems--a challenge exacerbated by global aging [5]. For many patients, the home becomes a critical environment for rehabilitation, as opportunities for continuous and personalized care are limited outside of clinical settings [6].