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. 2023 Jun 20;45(6):3449–3473. doi: 10.1007/s11357-023-00844-z

Table 2.

Summary of tests of upper limb motor function

Author
(year)
Hand/upper limb assessed  Task Equipment  Protocol Movement variables
Ott (1995) [24 Both hands FT (index-target tapping) Computer keyboard Tapping any key of their choice at a fast pace for 8 s once with their index finger and then alternately tapped the index-middle finger Number of taps (average of the five trials)
Welch (1997) [25] Both hands FT (index-target tapping)  Not specified Finger tapping test as part of a neuropsychological battery (Halstead-Reitan manual) after 3 weeks of alcohol abstinence Tapping speed Mean tapping score
Camicioli (1998) [26] Both hands  FT (index-thumb tapping) Not mentioned 

Tapping index finger

to thumb for 10 s

(right and left hand)

Total number of taps for each hand 
Goldman (1998) [27] Both hands, dominant hand first FT (index-target tapping) An electronic device which is not specified  Tapping index finger for 10 s in 3 positions for each hand: wrist and elbow restrained, elbow restrained, and no restraint Number of taps 
Willis (1998) [28] Both hands 

1. FT (index-thumb tapping)

2. Forearm, supination/

pronation

Not specified 

1. Tapping index fingers to thumbs at

a fast pace for 10 s

2. Fast-paced supination/pronation of the dominant hand for 10 s

Number of correct cycles completed
Goldman (1999) [29] Both hands, dominant hand first  FT (index-target tapping) An electronic device which is not specified Tapping index finger for 10 s in 3 positions for each hand: wrist and elbow restrained, elbow restrained, and no restraint Number of taps 
Schroter (2003) [30] Dominant and non-dominant hand  Writing Digitising tablet and a pressure-sensitive inking stylus 

Drawing concentric circles on a digitising tablet as fast as

possible for 30 s,

then repeating the

task while performing an additional distraction task with the nondominant hand for 10 s

Peak velocity

SD of velocity

Number of changes in direction

Amieva (2004) [31] Not specified  FT (index-target tapping) Computer keyboard  No details provided  Speed 
Muhlack (2006) [32]

Both hands separately

(dominant hand first)

PPT 25-hole computer-based contact pegboard 

Transferring pegs

from a rack into

one of 25 holes in

the board individually and as quickly as possible

Time taken to complete the task for each hand

Total time

Bramell-Risberg (2010) [42 Both forearms  Forearm, supination/pronation An optical shaft encoder (Hewlett Packard HEDS5701-A00) connected to a microcontroller (Microchip PIC 16C84) sending the data to the computer

Supinating and pronating each

forearm separately

for 10 s while gripping the handle of the shaft and bend their elbow approximately 90°

Number of supination/

pronation

Speed

Buracchio (2010) [6] Both hands (index fingers)  FT (index-target tapping) A counting machine with a lever 

Tapping a lever with

an attached counter using the index finger of each hand for 10 s

Mean speed value of three trials 
Ameli (2011) [34] Dominant hand  Research/Grasp/Lift A cylindrical and cordless object, mounted on top of an opaque plastic box which was either empty (400 g total) or contained an added 200 g mass (600 g total)

Lifting the object

about 5 cm above the supporting table and holding for 4 s before putting it down under two conditions: with and without visual cues on weight of the object

Linear acceleration in three dimensions

Peak acceleration

Rousseaux (2012) [35] Both hands  Lille gestural apraxia test  Photos and various tools and objects as required  Imitating meaningless and symbolic gestures, pantomiming complex actions

Individual scores of each subtest

Total score 

Rabinowitz (2014) [36] Dominant hand  FT (index-target tapping) A touchpad mounted on a pressure transducer (FSR, InterLink Electronics, Camarillo, CA, USA)

Tapping index finger

on a pressure pad for 15 s at a self-selected pace 

Touch time

Time off touch pad Touch cycle

Touch SD Coefficient of variation 

Henley (2014) [37] Dominant hand  FT (index-target tapping) Superlab on a computer

Tapping index finger

on a computer key

once in pace with the beat of a series of tones and once tapping in pace with a series of tones after the sounds ceased

Inter-response interval

Inter-response interval variance Time variance Motor variance Response interval drift

Response interval absolute drift 

Johnen (2015) [38] Both hands 

The Cologne Apraxia Screening (CAS) Ideomotor Apraxia Test (IAT)

The Monster Apraxia Items (MI)

Pictures of gestures 

Pantomiming object

use and commonly

used gestures, and imitating hand and finger postures and

face postures

Total score for each test

Apraxia subdomain scores (% correct gestures) 

Ward (2015) [39] Dominant hand  Eight functional tasks from the Cambridge Cognitive Examination  Not specified 

Drawings of pentagon, spiral, house, clock,

and inserting a sheet

of paper into an envelope, waving goodbye, cutting a sheet of paper with a pair of scissors, and brushing teeth

Sub-items scores

Total score 

Nagahama (2015) [40] Both hands  Gesture imitation NA 

Imitating gestures

after watching demonstration by examiner. Maximum 10 s was allowed to imitate each gesture

Accuracy scores Time taken to imitate each gesture Average scores of both hands
Lin (2016) [41] Dominant hand  Trail making A custom-made test device with a wooden board and 16 electronic plates with lights connected to a computer. A pencil-like stick was connected to the board by a wire

Striking lit target sensors with the

pencil-like stick as fast as possible in three predetermined sequences: fixed pattern from left to right, random pattern and a fixed pattern while counting backward

Reaction time
Toosizadeh (2016) [42] Dominant arm  Elbow flexion/extension Wearable sensors: A tri-axial gyroscope and accelerometer sensor (BioSensics LLC, Boston, MA, USA) Flexing and extending elbow at fast pace for 20 s. Then performed this test while counting numbers backward by one

Speed

Flexibility

Power

Rise time

Moment

Speed reduction Speed variability Flexion number

Fritz (2016) [43] Both (dominant then non-dominant hand) PPT 9-hole Purdue Pegboard 

Placing pegs into

holes in a board and then removing them

Time 
Souza (2016) [44] Both hands  ILFT NA 

Imitating bimanual

non-symbolic gestures after demonstration by examiner

Individual scores

Total score

Dahdal (2016) [45] Right hand Functional tasks of upper limb such as holding the stylus inside a 5.8-mm-wide well for 20 s without touching the rim An electric stylus 

Holding the stylus and performing various tasks to test steadiness, precision, tapping, dexterity and aiming

A total of 5 tasks were performed, each taking 20 s

Number of errors

Number of taps

Time to complete tasks

Darweesh (2017) [19] Both hands (each hand separately and both hands together) PPT 25-hole Purdue Pegboard

Placing as many cylindrical metal pegs as possible into one of 25 holes

in a pegboard as possible in 30 s

Average score of three trials
Kay (2017) [46] Right hand  FT (index-target tapping)

A box with a push button

E-Prime software (Psychology Software Tools, Pittsburgh, PA) 

Participants tapped a button with their right index finger for 12 s in synchrony with a visual flashing yellow and black checkerboard Inter-tap intervals
Kueper (2017) [3] NA  Finger tapping  NA  Not specified  Not specified 
Bartoli (2017) [47] Both hands (starting with the dominant hand)  Target tracking A haptic interface (Omni®, Sensable) controlled by a custom-made software Participants followed the target movement when it moved continuously on a computer screen, abruptly and when remained stationary. There were 22 trials, each lasting 20 s

Reaction times

Mean absolute error with and without feedback 

Sanin (2017) [48] Both hands  Gesture imitation NA 

Imitating gestures/fingers configurations

and hand movements

Individual scores of each test

Total score 

Garre-Olmo (2017) [49] Dominant hand  Writing a sentence, drawing a clock face, and copying a house, pentagons, and a spiral  A commercial Intuos WACOM series 4 size L digitising tablet and a pressure sensitive Intuos ink pen

Writing sentences

and drawing circles with a wireless electronic stylus on a paper fastened to the digitising tablet

Pressure

Time

Speed

Acceleration 

Suzumura (2018) [50] Both hands  FT (index-target tapping) JustTouch screen 

Tapping marks on

the screen using the index finger of right, left and then both

hands for 15 s at a fast pace and in pace with

sound signals

Mean lag time

Lag-time SD

Mean inter-tap time Intertap-time SD

Contact time

Contact time SD

Inter-hand phase difference

Inter-hand phase SD

Roalf (2018) [51] Both hands  FT (index-target tapping) Light Beam Finger and Foot Tapper Test (NeuroCognitive Engineering, 1995)

Tapping index finger through a light beam device for 10 s with dominant, non-dominant and then

both hands. PD participants performed test while on medication

Total tap count Intra-individual variability

Inter-tap interval

Gupta (2018) [52] Both hands  FT (index-target tapping) A custom-made software running on a laptop computer 

Tapping index finger

on a computer key for 10 s

Frequency 
Rycroft (2018) [53 Both forearms Forearm, supination/pronation NA 

Supinating and pronating forearm of each arm separately

for 20 s at a self-selected (two trials) and at a fast pace (two trials)

Number of accurate movements 
Gulde (2018) [54] Dominant hand  Gesture imitation Pictures of objects  Imitating meaningless finger and hand gestures and performing pantomimes of object use Correct imitations and pantomimes 
Jeppesen Kragh (2018) [55] Both hands (right and left hand individually) 

1. FT (index-target tapping)

2. Forearm supination/

pronation

3. Reach/grasp/Lift

Force transducer (Mini-40, ATI Industrial Automation, Apex, NC, USA) 

1. Tapping the force transducer for 10 s

with the index finger

at a fast pace,

2. Tapping the force transducer with the palm and back of their hands at a fast pace,

3. Grasping and lifting the force transducer

and held it stable for 20 s at a height of 10 cm

1 & 2

Frequency

Mean inter-onset interval

Inter-onset interval SD

3

Mean orientation index

Mean position index

Zhang (2018) [56] Both hands  FT (index-target tapping) An infrared photoelectric sensor connected to a computer Placing index finger within the frame and tapping at a fast pace for 8 s Frequency 
Carment (2018) [14] Dominant hand  FT (index-target tapping) Finger Force Manipulandum; a device with force sensitive pistons

Matching the applied index finger force to

the target force using the visual feedback and then using auditory cues

Frequency Variability 
Fadda (2019) [57] Both arms  Hand to Mouth movement  Wearable sensors: Markers were placed on upper limb bony landmarks. An 8-cameras motion-capture system (SMART-D, BTS Bioengineering, Italy) Reaching, touching mouth and returning to initial position. Arms were tested separately

Time events (total and each phase)

Speed,

Smoothness Accuracy variables 

Toosizadeh (2019) [58] Dominant arm  Elbow flexion/extension 

Wearable sensor:

A tri-axial gyroscope and accelerometer sensor (BioSensics LLC, Boston, MA, USA) 

Flexing/extending the elbow under two conditions: fast-paced

for 20 s, and self-pace for 60 s. Self-selected pace was performed as a single-task and under two dual-tasks

Speed

Rise time

Flexion number Range of motion Variability 

Mollica

(2019) [59]

Both hands  FT (index-target tapping) Computer keyboard (E-Prime 2.0 (Psychology Software Tools Inc., Pittsburgh, PA) Tapping computer's spacebar with their index finger as fast as they could for 10 s while looking at a fixation point on the monitor. Hands were tested separately

Speed

Intrasubject variability 

Tomita (2020) [60 Both hands  FT (index-target tapping) Wearable sensors: Magnetic sensors were placed on the thumb and index finger of both hands. Magnetic sensors (UB-2; Hitachi Maxell, Tokyo, Japan)

Tapping index fingers to thumbs at a fast

pace for 15 s once in-phase and once alternately

Instruction: open fingers 5 cm while tapping

Amplitude (movement distance between the thumb and index finger)

Total tap count Rhythm

Bologna (2020) [61] Right hand  FT (index-thumb tapping) Wearable sensors: Reflective markers attached to the tips of the index finger and thumb and detected via an optoelectronic system (SMART motion system, BTS Engineering, Italy)

Tapping index finger

to thumb at a self-selected pace for 15 s

Amplitude

Velocity

Movement slope

Rhythm 

Liou (2020) [62] Both hands  Domain 8 of FUNDES-Adult assessment FUNDES-Adult assessment records  Assessment included pen-holding, buttoning, and knotting Level of assistance required to complete each task
San Martin-Valenzuela (2020) [63] Both hands  FT (index-target tapping) Not specified 

Tapping a key at a fast pace using the index finger of each hand separately and then

both hands simultaneously for 10 s

Number of finger-taps
Hesseberg (2020) [18] Dominant hand  FT (index to target tapping) A counting machine  Tapping index finger of the dominant hand at a fast pace for 10 s on a counting machine Mean tap number of the five trials 
Ntracha (2020) [64] Not specified Typing on a virtual keyboard Custom-made virtual keyboard on an app on Smartphones Typing down up to 4 short texts, around a paragraph in length about familiar topics. No time limit. Phones’ autocorrection feature were disabled Number of errors Keystroke timing
Ehsani (2020) [65] Dominant arm  Elbow flexion/extension Wearable motion sensors (tri-axial gyroscope sensors (BioSensics LLC, Cambridge, MA)

Flexing/extending elbow at a

self-selected pace for 60 s under

one single-task and two dual-task conditions

Entropy

Angular velocity

Zhang (2021) [66] Dominant hand  Drag and Drop Test  A Huawei M5 touch screen tablet

Dragging blocks one

by one from a start

area and dropping

them to a target area within 60 s without hitting a partition in between the start and target areas or

dropping the blocks in the start area

Number of successful and failed dragged blocks

Time taken to move a block

Average speed

Speed SD 

Paixao (2021) [67] Both hands  Grocery Shelving Task (putting grocery cans on a shelf)  Adjustable shelf and twenty 420-g grocery cans divided into two grocery bags Standing up from a chair, walking 1 m toward the shelf, and placing all the cans in the shopping bags on the shelf as quickly as possible, one can in each hand Time
Mancioppi (2021) [68] Dominant hand FT (index-target tapping) Wearable sensors, based on microelectromechanical sensors composed by the SensHand

Tapping index finger

at a self-selected pace for 15 s, under single- and dual-task conditions

Number of taps

Dual-task cost Opening velocity

Velocity SD 

Nagahama (2021) [69] Both hands  Gesture imitation  Not specified 

Imitating gestures

after watching examiner’s hand with each hand separately and then simultaneously

Time taken to imitate

Accuracy of imitation

Uwa-Agbonikhena (2021) [70] Both hands  Various tasks such as hook grasp, cylinder grasp, elbow flexion/extension, forearm supination and pronation, etc The Fugl-Meyer assessment As per Fugl-Meyer upper extremity assessment of sensorimotor function protocol

Subtest scores

Total motor function score 

Beeri (2021) [71] Both hands 

1. PPT

2. FT (index-target tapping)

1. 25-hole Purdue Pegboard,

2. an electronic tapper (Western Psychological Services, Los Angeles, CA)

1. Inserting as many pegs as possible in 30 s

2. Tapping the tapper with their index finger at a fast pace for 10 s

1. Average score of two trials for each hand

2. Average score of two trials for each hand (number of taps)

Zhao (2021) [72] Both hands)  FT (index-target tapping) An infrared photoelectric sensor Tapping index finger for 8 s at a fast pace within the device's frame first with the right and then with the left hand Frequency
Suzumura (2021) [73] Both hands  FT (index-thumb tapping)

A FT device with magnetic sensors (UB-2, Maxell Holdings, Ltd, Tokyo, Japan)

Colour-coded cables were attached to the dorsum of participants' index fingers and thumbs

Tapping index finger

to thumb at a fast pace for 15 s under four conditions: a single hand at a time, both hands simultaneously and both hands alternately

36 variables such as:

Max amplitude

Max velocity

SD of velocity Accretion

SD of inter-tapping interval

Inter-tapping interval variability 

Colella (2021) [74] Dominant hand  FT (index-thumb tapping) Wearable sensors: An optoelectronic system (SMART motion, BTS Technology, Italy)

Tapping index finger

on their thumb as widely as possible at a fast pace for 15 s in three trials

Amplitude

Velocity

Rhythm

Cosgrove (2021) [75] Both hands (trials alternated between hands) Reach/Grasp/Lift  The object was a cylindrical Philips Imageo rechargeable candle made of Perspex. Movements were recorded using a Polhemus Patriot electromagnetic tracking device Grasping the object, lifting it vertically and then placing it back on the table. Five trials for each hand completed under four conditions: normal lighting (self- and fast-paced) and self-selected pace (darkened room and eyes closed)

Reaction time

Movement time

Davoudi (2021) [76] Dominant hand Drawing (digital Clock Drawing Test) Digital pen Drawing a clockface with hands to 10 after 11 on paper using a digital pen

37 variables including:

Number of strokes

Completion time

Velocity

Average pen pressure on paper

Kutz (2022) [77] Dominant hand (dominant index finger)  FT (index-target tapping) A force transducer (manufacturer: Measurement Specialties Inc., Hampton, VA, USA; Model: FX-1901–0001-50 L) 

Tapping index finger

on the force transducer for 15 s and under two different conditions: at a self-selected pace (three trials) and at a fast pace (two trials)

Tapping cycle time and its components (time on the device and time off) Maximum tapping force 
Schmidt (2022) [78] Both hands  ILFT Camera to take photos of gestures for subsequent evaluation 

Imitating bimanual

non-symbolic gestures after demonstration by examiner

Individual scores

Total score

FT finger tapping; PPT Purdue Pegboard Test; ILFT Interlocking Finger Test, SD Standard Deviation