The use of telemedicine/telehealth increased substantially during the COVID-19 pandemic, leading to its accelerated development, utilization and acceptability. Telehealth momentum with patients, providers, and other stakeholders will likely continue, which will further promote its safe and evidence-based use. Improved healthcare by telehealth has also extended to musculoskeletal care. In a recent study looking at implementation of telehealth physical therapy in response to COVID-19, almost 95% of participants felt satisfied with the outcome they received from the telehealth physical therapy (PT) services, and over 90% expressed willingness to attend another telehealth session. While telehealth has enhanced accessibility by virtual patient visits, certain physical rehabilitation largely depends on physical facility and tools for evaluation and therapy. For example, limb kinematics in PT with respect to the shoulder joint is difficult to evaluate remotely, because the structure of the shoulder allows for tri-planar movement that cannot be estimated by simple single plane joint models. With the emergence of gaming technologies, such as videogames and virtual reality (VR), comes new potential tools for virtual-based physical rehabilitation protocols. Some research has shown digital game environments, and associated peripherals like immersive VR (iVR) headsets, can provide a powerful medium and motivator for physical exercise. And while low-cost motion tracking systems exist to match user movement in the real world to that in the virtual environment, challenges remain in bridging traditional PT tooling and telehealth-friendly physical rehabilitation.