Portable physical and occupational therapy systems and methods with an adjustable balance pole assembly utilized as a target in combination with a number of manipulable objects, such as rings, that engage the target, for the purpose of exercising patients through a range of motions and through a range of cognitive actions. A basic therapy tool set incorporates a target pole of variable height, pivotally positioned on a target base. Each therapy tool set includes a number of therapy rings sized and structured to engage the target pole. The angle of the target pole may be varied by releasing a pole angle lock. The basic therapy tool set may be utilized alone or in combination with additional sets. A basic kit that may be utilized by a therapist could preferably involve three complete therapy tool sets assembled and positioned in an array around a therapy patient.