Abstract: Methods and systems for automated administration and evaluation of physical therapy exercises are provided. A motion prompt is displayed on a display device. Hand position information is generated by a hand position sensing device, and muscular activity information is generated by a muscular activity sensing device, while a user performs the prompted motion. Compliance with the motion prompt is determined by analyzing the hand position information, and muscular activity is evaluated using the muscular activity information. The difficulty of the motion prompts provided by the system is automatically configurable based on the determined compliance with the motion prompt and the muscular activity evaluation.