The goal was to evaluate the clinical effectiveness of a quasi-home-based tele-motion-rehabilitation (TMR) program, using the Gertner System, in improving functional ability of the weak upper extremity post-stroke. Eighteen adults with stroke were randomized into two groups; a quasi-home-based TMR program and a self-training upper extremity home exercise group. No between groups differences were found. Within group differences were found in the impairment level for both groups but in the participation level only in the research group. The results point to the potential of using the TMR system to improve the functional use of the upper extremity post-stroke.