Due to the bed-ridden or physical disability, the elders in the lng-term care institute massively increase their dependence on the activities of daily life, in addition to reduced self-esteem and quality of life. The purposes of this cohort study were to investigate the intervention effect of Hula Hands on the changes of upper limbs function in the elders and to provide the further suggestions to improve the functional activities for the elders. The inhabitants from a long term care institute in central Taiwan volunteered to participate in this study. The Hula Hands intervention program consisted of 30-40 minutes of Hula activity. The intervention frequency was 2-3 times per week, and totally 9 weeks of activity sessions were provided. The results suggested that the Hula hands activity had the positive effect on the improvements of the physiological parameters in the upper limbs. The ranges of motion (ROM) in wrist flexion and wrist extension were significantly different from the baseline measurements. The muscle strengths of both upper limbs in shoulder flexion and extension, elbow flexion and extension, wrist flexion and extension, and shoulder abduction significantly improves (P < .001), except for left shoulder abduction, right shoulder extension and abduction, right elbow flexion, left wrist extension. The physical disability of the elders is generally influenced by limited activity. Our study may indicate that the appropriate and regular exercise may provide multiple sensory stimuli to improve the functional abilities of the upper extremities.