Objective : This study aims to examine the effect of physical rehabilitation programs using motion recognition based virtual reality contents on upper extremity and hand functions and activities of daily living of Stoke patients. Methods : In this study, a sing group formed as pre and post design was used for 18 Stroke patients who visited two rehabilitation hospitals in Daegu and North Gyeongsang province. Motion recognition based immersive virtual reality physical rehabilitation program was conducted three times a week for eight weeks and 30 minutes per week in parallel with traditional work therapy.. To identify changes in post intervention of upper extremity and hand function, we measured with a Manual function test, a Box & block test, a Jebson-Taylor hand function test, and a Purdue pegboard test. It was also measured with the Modified Barthel Index to identify changes in the performance of Activities of daily living. Results : The results of the study are as follows. First, there were significant changes in the upper extremity and hand functions of the subjects, but there were no significant changes in finger fine motor dexterity. Second, there were no significant changes in the performance of activities of daily living. Conclusion : It was confirmed that the physical rehabilitation program using motion recognition-based immersive virtual reality content is effective for upper limb and hand function in stroke patients. In addition, through the results of this study, physical rehabilitation programs using motion- aware, immersive virtual reality content can be newly utilized in clinical practice along with traditional Occupational therapy.