Abstract: 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, and prompting a patient to perform physical and cognitive tasks of varying difficulty. The system is further comprised of a means of tracking the patient's movements to provide feedback to the patient and assess the performance of the patient's movements. Prompted movements are designed to provide therapeutic mental, behavioral, and physical health benefits to the patient, and may increase or decrease in difficulty based on prior assessments of a patient's movements. Entertaining elements are introduced in the visual and auditory information and assessed for their impact on the patient's performance of the movements.