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Patients who have suffered traumatic brain and spinal cord injury, as well as other neuro and orthopedic injury, often have severe upper or lower extremity movement impairments. In short they have difficulty in doing the everyday living tasks that others take for granted. On a practical treatment aspect, many brain and spinal cord injury patients do not have sufficient movement ability to enable them to do repetitive active tasks or the active tasks can not be customized to work on their specific motor, sensory or cognitive impairment. This may lead to frustration and then depression during rehabilitation. HandTutor glove and dedicated rehabilitation software uses biofeedback encourages customized intensive and motivating hand exercises after: Stroke, brain/ spinal cord injury, Cerebral Palsy, Orthopedic hand/ arm surgery even if the patient does not have sufficient movement ability to enable them to do repetitive active tasks. The HandTutor is now used in major rehabilitation clinics.