The primary objective of this research is to design a recreational rehabilitation videogame that interactively encourages purposeful upper extremity gross motor movements. The simulation is also capable of continuous game modification to fit changing therapy goals, to match the needs of the players, and to provide continued motivation while capturing the interactive repetition. This thesis explains the design and features of this latest simulation - Tilt. Tilt uses physics to develop an engaging training experience and provides a realistic approach to virtual reality simulation including friction, elasticity and collisions between objects. It is designed to train upper extremity function as a unit involving multiple modalities simultaneously, either unilaterally or bilaterally.

It is the latest addition to the NJIT Robot Assisted Virtual Rehabilitation (RAVR) system. It Employs the Cyber Glove and Flock of Birds systems to interface with the real world. This allows training motor function of patients that come to use in day to day life like making use of hands, fingers and shoulders to pick small objects on table, moving them and placing them elsewhere.