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This study investigated the challenges encountered to implement telerehabilitation during the COVID-19 pandemic.
• This study demonstrates the steps taken to enhance telerehabilitation services in a tertiary care center.
• Results show telerehabilitation as a feasible form of delivering clinical services.

Plain Language Summary 
Telerehabilitation refers to the use of information and communication technologies to provide rehabilitation to patients at home or in other similar environments. In the aftermath of the COVID-19 epidemic, rehabilitation professionals had to shift from the face-to-face method of therapy to telerehabilitation, as it was the first time for most of them. This article discusses the steps taken at a tertiary care center (National Institute of Speech and Hearing [NISH]) in Kerala, India to overcome the barriers and expand the opportunities for telerehabilitation during the COVID-19 outbreak. An average of 1000 clients were monthly served through telerehabilitation at NISH. The feedback collected from the clients and caretakers revealed that the majority of the patients were satisfied with the telerehabilitation provided at the center. Accordingly, telerehabilitation was a feasible strategy during the COVID-19 outbreak to supplement in-person clinical services.