The hand is required to perform fine movements to be functional. Manual dexterity is often used to estimate the level of performance of the UL in the accomplishment of activities of daily living (ADLs) and it has been shown to be highly correlated with the level of independence in ADLs in older adults, to do this one of top physiotherapy Center in Kozhikode we have interactive exercise therapy devices and advanced hand rehab equipments. Upper limb assessment allows a detailed investigation into the characteristics and deficits of hand and arm use.