Systems and methods for evaluating the efficacy of entertaining elements during physical and cognitive therapeutic sessions are disclosed. The system is comprised of a means for providing visual and auditory information, prompting a user to perform physical and cognitive tasks of varying difficulty. The system is further comprised of a means of tracking the user's movements to provide feedback to the user and assess the performance of the user's movements. Prompted movements are designed to provide occupational therapeutic benefits to the user and may increase or decrease in difficulty based on prior assessments of a user's movements. Entertaining elements are introduced in the visual and auditory information and assessed for their impact on the user's performance of the movements.
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