Experiences / Pleasant Cove™ – Cognitive and Motor Skills

Pleasant Cove™ – Cognitive and Motor Skills

Pleasant Cove is a REAL System experience offering rehabilitation patients exercises focusing on cognitive and motor skills
REAL System experience called Pleasant Cove focuses on therapy to recover cognitive skills

Pleasant Cove sets the patient in an environment reminiscent of a relaxing vacation destination. It focuses on the mental wellness component of therapy for patients recovering cognitive skills (or addressing cognitive impairments) while providing options for the therapist to address rehab goals through more directed, stress-relieving experiences.

Pleasant Cove includes a relaxing mix of activities set in a low-intensity, tranquil vacation destination. It’s designed to improve confidence and engagement through relaxation and procedural memory-inspired tasks.

Sit back and relax on a patio, taking in the beautiful waterfront view. Play some tunes with the xylophone and participate in the Playful Percussion activity. Grow beautiful, blooming flowers in the Green Thumb Gardening activity. Feed friendly birds in the Bountiful Birdseed activity. Practice sequencing and sorting abilities in ADL Cards.

Virtual Reality Aided Impairments

  • Procedural Memory
  • Attention
  • Psychomotor Skills
  • Sequencing
  • Sorting

Cognitive and Motor Rehabilitation Activities

Pleasant Cove is an intuitive and flexible experience with multiple activities that can incorporate structure or be used for relaxation.

Bountiful Birdseed


Working on sustained attention, patients use wrist ROM to interact with birds by picking up and shaking seeds out of the can. The patient can experience a friendly interaction with birds happy to eat seeds off the ground or even from their right or left hand. If the patient is up for a challenge, they can try to coax the shy blue bird into their hand. If the patient is gentle, they’ll be rewarded with a dance.

Playful Percussion


Focusing on sequencing, psychomotor skills, and working memory, patients participate in a playful percussion interaction with a xylophone and mallets. Patients can create their own melodies or for more of a challenge, follow the arrows to play the correct notes of a song from the jukebox-style songbook. The songbook will both play and be used to guide the patient through eight simple songs of varying difficulty levels including “Ode to Joy,” “Pop Goes the Weasel,” “Mary Had a Little Lamb,” “Jingle Bells,” and “Twinkle, Twinkle Little Star.”

Green Thumb Gardening



Grow flowers in mere moments! The patient can personalize their garden by decorating and arranging by size, color, or shape for added difficulty. Following visual cues, use the shovel to place dirt, pour a packet of one of three seed types, water the newly planted seeds, and pick the flowers for final placement once the flowers have finished blossoming. Practice sequencing skills by matching the instruction card placed in front of the floral foam.

ADL Cards



Work on ADLs, sequencing, and sorting! Each card features ADLs; specifically, bathing, dressing, grooming, and eating. Interact with the cards by picking them up and placing them in the correct order based on the specific exercise. Upon placing the cards in the correct order, the green bird will celebrate.

Rendering for illustrative purposes only. Procedural and operative techniques and considerations are illustrative examples from healthcare provider experience. Healthcare providers’ treatment and technique decisions will vary based on their medical judgment. Individual results may vary depending on patient-specific attributes and other factors.

Caution: Federal (USA) law restricts this device to sale by or on the order of a healthcare provider. Prior to use, please refer to the Instructions for Use (IFU) for complete product indications, contraindications, warnings, precautions, potential adverse events, and detailed instructions for use. Please click here for the complete IFU. Please contact your REAL Care Specialist for more information.

Copyright ©2022 Penumbra, Inc. All rights reserved. The REAL Hero logo, REAL, Pleasant Cove, Bountiful Birdseed, Playful Percussion, Green Thumb Gardening, and ADL Cards are registered trademarks or trademarks of Penumbra, Inc. in the USA and other countries. All other trademarks are the property of their respective owners. 23445, Rev. A 03/22

Curious how REAL® System can support your patient?

Schedule a Free Demo Patient uses REAL System VR headset for rehabilitation.