Furthermore, anecdotal comments from the participant’s mother reported greater independence with performing and optimizing his exercises. She also indicated that she limited the computer’s use to the main caretaker’s home, preventing any possible breakage of the system. This decision uncovered a major limitation in using a therapy video game, however, results from the participant’s compliance log showed continuous practice during the times he was without the computer. Future development of therapy video games should be less cumbersome, accessible and designed for hand-held devices.