Inclusion Criteria:  Attending hand therapy for rehabilitation of an upper extremity injury with a diagnosis of distal radius fracture, complex regional pain syndrome or tendon ruptures Must be in an active exercise phase of rehabilitation  Exclusion Criteria:  Not in a phase in their rehabilitation in which they can perform active exercises Having arm injury due to a neurological disorder (stroke, Multiple sclerosis, spinal cord injury, other) Non-English speaking Patient reporting a history of severe claustrophobia or motion sickness