The invention discloses an upper limb and hand functional rehabilitation apparatus which comprises an arm sleeve, an air cushion, a strap, first connecting pipes, balloons, a protective pad, a fixingsleeve, a tightening slide bar, a sleeve, second connecting pipes, a shell, a temperature controller, a heater, a heat conduction plate, a motor, a rotary shaft, cams, a connecting seat, first inflators, first pistons, springs, second inflators, second pistons, a slide groove, an electric push rod and a slide bar. The upper limb and hand functional rehabilitation apparatus has the advantages thatthe upper limb and hand functional rehabilitation apparatus is ingenious in structure and has powerful functions; the arms and the backs of patients can be compressed in a point contact manner under effects of inflatable blood activating massage mechanisms, accordingly, the subcutaneous nerve tissues can be stimulated, and the blood circulation can be promoted; exercise rehabilitation on functional positions of the upper limbs of the patients can be reinforced under matching effects of arm swing and back flexure mechanisms, accordingly, effective forced movement of the upper limbs of the hemiplegic patients can be guaranteed, and the purpose of effectively clinically popularizing and applying the upper limb and hand functional rehabilitation apparatus can be ultimately achieved.