This systematic review analyzes the impacts, benefits, and challenges of using robotics and gametherapy for neurological rehabilitation in physiotherapy. The bibliographic survey was conducted on the CAPES journals portal, including full articles published between 2016 and 2025, focusing on upper limb neurological recovery. Twenty-five studies were selected, 16 on robotics and 9 on gametherapy, categorized according to the technologies utilized. The results showed functional gains in post-stroke patients, such as increased strength, range of motion, and gait, in addition to greater treatment engagement. Challenges related to costs, infrastructure, protocol standardization, and the need for long-term studies persist. It is concluded that robotics and gametherapy constitute innovative and complementary approaches, capable of enhancing the therapeutic quality of neurological rehabilitation.