Neurological and musculoskeletal injuries may cause impairment of the upper extremity functions. There is significant evidence that physical training improves skills and reduces disability. However, these approaches typically require extreme dedication and are often repetitive and boring. Several studies have provided preliminary descriptions of the benefits of virtual reality and video games in rehabilitation training but most have demonstrated this through high cost video game like Wii and others. The current study taken up to find if low cost, modified games. Objective: To document the improvement in the range of motion of hand and the make the patient functionally independent through use of the modified video gaming. Methodology: The participant in this study would be all adults and children above the age 3 years, with limited wrist movements. The participants will be randomly assigned to the two groups. The video gaming will be administered in the intervention group in addition to the conventional treatment while the control group will be getting only the conventional treatment. Result and conclusion: improvement in conventional and experimental group equally in their range of motion and functional independency level. Interesting way of the therapy methods is important for improving the patients faster. interactive methods or gamin would be the best methods for rehabilitation of hand injury patients low cost video gaming methods would be the good option in rural area where the costly therapy centre would not possible to set.