Table 1. Measures of upper extremity function.
Assessment | Age | Reasons for use | Measures | ICF domain | Diagnostic group | Mode of administration | Unilateral or bimanual |
---|---|---|---|---|---|---|---|
Kids-Assisting Hand Assessment18 | Small Kids AHA: 18 mo–5 y School-Kids AHA: 6–12 y |
Planning intervention Measuring outcome |
Performance | Activity | Unilateral cerebral palsy Obstetric brachial plexus palsy |
Clinician administered Scored from video of 15-min semistructured play session Clinician accreditation required |
Bimanual |
Mini-Assisting Hand Assessment15 | 8–18 mo | Planning intervention Measuring outcome |
Performance | Activity | Clinical signs of unilateral cerebral palsy | Clinician administered Scored from video of 15-min semistructured play session Clinician accreditation required |
Bimanual |
Shriners Hospital for Children Upper Extremity Evaluation16 | 3–18 y | Planning intervention Measuring outcome |
Performance | Activity and body function and structure | Unilateral cerebral palsy | Clinician administered Scored from video Training package available |
Unilateral |
Children's Hand-use Evaluation Questionnaire25 | 6–18 y | Describing upper extremity ability May measure outcome after further research of psychometric properties |
Performance | Activity | Unilateral cerebral palsy | Parent or child report if over 12 y | Bimanual activities to understand the function of the more affected hand |
Pediatric Motor Activity Log (and revisions)26 27 28 | 7 mo–8 y depending on version | Measuring unilateral upper extremity outcome | Performance | Body function and structure | Unilateral cerebral palsy | Parent-report Self or clinician administered depending on version used Training package available |
Unilateral |
Melbourne Assessment 230 | 2 y 6 mo–5 y | Measuring outcome | Capacity | Activity ± body function | All neurologic conditions | Clinician administered Training package available |
Unilateral, both extremities can be evaluated separately |
Quality of Upper Extremity Skills Test31 | 18 m–8 y but used with older children | Measuring outcome | Capacity | Activity ± body function | Spastic cerebral palsy | Clinician administered Test manual available |
Unilateral function, both arms can be tested Measures quality not function |
Box and Blocks Test of Manual Dexterity33 | 6–19 y | Measuring outcome | Capacity | Activity ± body function | Any diagnosis | Clinician administered | Unilateral |
ABILHAND-Kids14 | 6–15 y | Measuring outcome | Performance | Activity | All topographies of cerebral palsy | Parent-report Available on website |
Mostly bilateral |
Canadian Occupational Performance Measure20 | Any age | Planning intervention Measuring outcome |
Performance | Activity | Any diagnosis | Parent-report or chid self-report if aged over 8 y Training package available |
Individualized |
Goal Attainment Scaling21 | Any age | Planning intervention Measuring outcome |
Performance | Activity | Any diagnosis | Clinician and child/family collaboratively | Individualized |
Abbreviations: ICF, World Health Organization's International Classification of Functioning, Disability and Health.