Previous studies indicated that auditory stimulation as an external cue might have positive impacts on sensorimotor synchronization. Additionally, according to previous reports apart from traditional interventions, digitized game-based device, such as FTOMBVG, are beneficial for the brain activation in elderly. Moreover, enhanced finger force control and coordination lead to better hand dexterity and is believed to eventually improve life independence in the healthy elderly and the elderly with cognitive decline. Therefore, this study aims to develop an advanced systems based on the previous one, that can provide hand function rehabilitation, cognitive training, and emotional comfort for the elderly or people suffer from cognitive deficiency. They can enhance their finger force control or visual to motor synchronization by music embedded during the gaming process.

Inclusion Criteria:

• Ability to communicate in Mandarin Chinese or Taiwanese
• MCI, according to clinical neurological assessment, Montreal Cognitive Assessment (MoCA):≦25&≧19
• Ability to perform ADL independently, no hand function disability
• Voluntarily participation and ability to sign the informed consent form

Exclusion Criteria:

• Alzheimers disease diagnosed by physicians or meeting the diagnostic criteria for dementia
• Physician's diagnosis of stroke
• Any mental illness or behavior problems and inability to cooperate with the trainer
• Visual impairment or hand diseases resulting in an inability to perform finger press
• received other cognitive or physical training in the past year
• any sight, hearing, or communication impairment