This study aims to design an occupational therapy kit for individuals in stages 1 and 2 of ALS or MND, to be used conveniently at home. The kit will consist of a variety of exercise tools targeting muscles in the fingers, palm, wrists, elbows, and shoulders. The objective is to help patients maintain their range of motion, improve grip strength, and reduce muscle wasting in their upper limbs. The designed kit emphasizes affordability, accessibility, and portability, allowing individuals to engage in therapy sessions without the need for frequent hospital visits. The tools within the kit are designed to be intuitive and user-friendly, facilitating ease of use. Additionally, exercise performed with the assistance of these tools can be personalized by the occupational therapist to suit the specific needs and condition of each patient. By providing a comprehensive therapy kit, this study seeks to enhance the accessibility and effectiveness of occupational therapy for individuals with ALS or MND. The convenience of using the kit at home promotes consistent engagement in therapy, enabling patients to proactively manage their condition. This approach holds the potential to improve the maintenance of upper limb function and enhance the overall quality of life for individuals living with ALS or MND in the early stages of the disease.