Video gaming is a popular recreational activity for children and adults across the world. Gaming technology using virtual reality systems has enabled users to become active participants in the virtual environment. The incorporation of physical activity into video gaming facilitates the integration of this technology into rehabilitation therapies.In recent years the integration of gaming system technologies in the field of rehabilitation has been expanding. The use of gaming systems as a treatment strategy incorporates essential elements of motor learning. When used as a rehabilitation tool, gaming systems provide, not only real time practice of tasks and activities, but also provides opportunities to engage in intensive, meaningful, enjoyable and purposeful tasks related to real-life environment. Physical activity in these games includes a great deal of movements and tasks that involves a wide range of sensory feedback; adjustable movement amplitudes, speed, and precision levels; and incorporation of a variety of visual-spatial, cognitive, and attention tasks. The practice of these activities may be promising as it may increase participation and motivation during therapy and can be used as part of the home therapy program.