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Available online: 13 Mar 2009Tele-rehabilitation may be one alternative for addressing the growing demand for rehabilitation among older adults because it may offer quality home-based care and promote autonomy among older adults. This pilot study assessed the effectiveness of videoconference-based physiotherapy to improve strength and range of motion in the old-old elderly, using a previously validated Videoconference Goniometer®. Seventeen homebound older adults (mean age 82.4, ±7.2) participated in a 10-week exercise program. Strength and range of motion were assessed at baseline and after 10 weeks. Significant improvements were found in measures of strength and range of motion following the 10-week program. This study demonstrates the feasibility of delivering and monitoring videoconference-based physiotherapy with this population of homebound older adults.