Telerehabilitation is a growing alternative to traditional face-to-face therapy to meet the demand in the rehabilitation field. However, because teleheath care is mostly deployed between two health care establishments, patients still need to travel to clinics to receive their treatments. To solve this specific problem, telehealth provided directly at home is an innovative solution. Because of both technological and clinical challenges surrounding in-home telehealth, the platform used must be in constant evolution. This ensures a high quality and an efficient way for rehabilitation delivery. The aim of this presentation is to present the telerehabilitation platform designed and built by our research team, “Équipe Spécialisée en TéléRéadaptation À Domicile” (ESTRAD). Based on a modular design, the generic platform integrates commercial systems and peripherals with custom software, TeRA. In addition to the video and audio components, other components are launched by TeRA (e.g. oximeter, stationary bike, speech therapy software) depending on the clinical applications. Until now, the platform has been used successfully to treat different rehabilitation populations (e.g. orthopedics, pulmonary and neurologic). ESTRAD is already working on the next generation of the platform in order to reduce its cost by using a less expensive videoconferencing solution and to provide further capabilities.