A computer-based system provides arm movement therapy for patients with sensory motor impairments. The system is based off a web site that provides access to assessment and therapy exercises designed to test and improve motor coordination in the arm. It operates over the World Wide Web using client-side applets, and can track user movement recovery over time and report it to a remote server computer. The system can also be customized to provide a personalized program of therapeutic exercise to a multiplicity of individuals. A mass manufactured computer input device senses the user's movement and provides a means to track sensory motor performance.

An apparatus and method for rehabilitating patients and assessing tactile skills in response to visual stimuli generated from a portable neural training device. The device generates a visual output to elicit tactile response (hand movement) from the patient. The device preferably automatically adjusts the difficulty of a session in response to demonstrated patient skill level (i.e. combination of correct responses, speed, and accuracy of responses). The invention evaluates and challenges the patient to control tactile response, overcome visual perception difficulties, or practice simple multi-tasking or reasoning skills. The invention also provides information which is valuable to those administering the rehabilitation program or assessing patient skill and/or progress. By way of example the neural training device is described with an embodiment having discrete fixed keys and an embodiment utilizing a touch sensitive display screen.