Age ≥ 18 years.

Clinical diagnosis of Multiple Sclerosis with EDSS score between 2.0 and 6.5, with upper-limb involvement.

Ability to maintain independent sitting and to stand with or without assistive devices.

Upper-limb functional capacity between 11 and 54 points on the ARAT, indicating limited to substantial impairment.

Cognitive ability to understand and follow simple instructions, demonstrated by a Mini-Mental State Examination score ≥ 23.

Provision of written informed consent by the participant or legally authorized representative.

Home-Based Exergame Rehabilitation for Upper Limb Function in People With Multiple Sclerosis