Table 3.

Upper limb motor performance module for DMD (PUL for DMD)^a.

Entry item	6 grades
This item defines the gross ability of an individual and is based on the Brooke Scale. It directs the evaluator to the appropriate items to assess next.
High level shoulder Dimension
Shoulder abduction to shoulder height	Graded with weights
Shoulder abduction above shoulder height	Graded with weights
Shoulder flexion to shoulder height	Graded with weights
Shoulder flexion above shoulder height	Graded with weights
Mid level elbow Dimension
Hand(s) to mouth	Graded with cup and weights
Hand(s) to table from lap	Function
Move weight on table	Graded with weights
Lifting light cans	Also a timed test
Lifting heavy cans	Also a timed test
Stacking light cans	Also a timed test
Stacking heavy cans	Also a timed test
Remove lid from container	Bimanual activity
Tearing paper	Bimanual activity
Distal wrist and hand Dimension
Tracing path	Function
Push on the light	Function
Supination	Function
Picking up coins	Function
Placing finger on number diagram	Function

^aItems have been collated and adapted from Brooke scale, Jebsen Test, Motor Function Measure, and Upper Limb scale for SMA.