With the equipped daily living tools, the system enables hand grip, pinch, forearm rotation, wrist, finger, and cognitive perception training. Rotational and pressure resistance can be set according to the patient’s ability prior to training. Features up to 40 basic training, game-based, mission-based, and cognitive training courses that strengthen, maintain, and rehabilitate the users’ ability to perform activities of daily living (ADLs). System developed and used in patients under rehabilitation after stroke and long term care (elderly and rehabilitation) settings.