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].

Efficient operation of intelligent machines in the real world requires methods that allow them to understand and predict the uncertainties presented by the unstructured environments with good accuracy, scalability and generalization, similar to humans. Current methods rely on pretrained networks instead of continuously learning from the dynamic signal properties of working environments and suffer inherent limitations, such as data-hungry procedures, and limited generalization capabilities. Herein, we present a memristor-based differential neuromorphic computing, perceptual signal processing and learning method for intelligent machines. The main features of environmental information such as amplification (>720%) and adaptation (<50%) of mechanical stimuli encoded in memristors, are extracted to obtain human-like processing in unstructured environments. The developed method takes advantage of the intrinsic multi-state property of memristors and exhibits good scalability and generalization, as confirmed by validation in two different application scenarios: object grasping and autonomous driving. In the former, a robot hand experimentally realizes safe and stable grasping through fast learning (in ~1 ms) the unknown object features (e.g., sharp corner and smooth surface) with a single memristor. In the latter, the decision-making information of 10 unstructured environments in autonomous driving (e.g., overtaking cars, pedestrians) is accurately (94%) extracted with a 40*25 memristor array. By mimicking the intrinsic nature of human low-level perception mechanisms, the electronic memristive neuromorphic circuit-based method, presented here shows the potential for adapting to diverse sensing technologies and helping intelligent machines generate smart high-level decisions in the real world.