Summary: There is a compelling need to create an alternative and affordable home based therapy system founded on sound rehabilitative principles, that is readily available, engaging and motivational, and can be remotely monitored by therapists. In the past two years, stroke related medical costs have increased 20\%, while the number of clinical treatment sessions have declined. The purpose of this study was to develop an affordable interactive stroke rehabilitation gaming experience based on therapeutic fundamentals that can easily be used in the clinical setting or the home environment.