Background: Training in virtual reality has promising results for upper extremity movement recovery after stroke. Methods: A 44-year-old female patient, 14 years after stroke, participated in a 4 weeks’ training with BiMeo system. The training was performed 3 times a week for 45 to 60 minutes. It consisted of 4 unilateral and 6 bilateral tasks. The level of difficulty was increased after two weeks. Before and after the training the assessment of motor function and muscle tone of the affected upper extremity was performed. During tasks performance movement parameters were collected with BiMeo system. Results: After training programme, accuracy, speed, range of motion and muscle strength of the affected extremity increased in majority of tasks. In some muscle groups the muscle tone decreased, but in others it remained unchanged. Motor function of the upper extremity remained unchanged. Conclusions: For the included subject, the training programme was partially effective. We speculate that use of BiMeo system might be effective in neurological patients with upper extremity movement dysfunction. Longer training period and combination with standard physiotherapy procedures might increase functional recovery, which might be greater in patients earlier after stoke.